ASTS Advanced Transplant Provider Bio Corner  

thumbnail (14)Name: Eliana Z. Agudelo, PA-C
Title: Senior PA, Division of Liver Transplant
Institution: University of California, San Francisco
Years in current position: I have worked in Transplant Hepatology and Liver Transplant at UCSF for 15 years. I am currently a post liver transplant provider and have been in this role for 11 years. 

How many faculty and ATP colleagues are on your team?:

In Liver Transplant we work with nine surgeons and collaborate with eight transplant hepatologists. There are currently thirteen ATPs in the Division of Liver Transplant (pediatric, inpatient, outpatient, and pre LT). This number does not include kidney, pancreas, and heart/lung ATPs. There are about 30 ATPs working at UCSF Transplant. 

Patient population:

Post liver transplant patients, including LDLT and SLK patients.

Brief Job description:

I started my career in liver transplant in 2007. As an Outpatient Liver Transplant PA, I am responsible for the care of liver transplant patients starting at the time of discharge. The liver transplant ATPs provide the first line care of the patient by managing medical issues, coordinating care with referring providers, interacting with community providers, and consulting with collaborating physicians as needed. We provide long-term follow-up care of the post-transplant patients, which includes diagnosis, treatment, and management of post liver transplant complications, immunosuppressive management, ongoing clinical assessment, preventive care, and patient education. As a post liver transplant ATP, I also participate in outreach clinics, which allows for bringing care and education to locations that are hours away from the medical center. My position allows me to be a resource to other health care team members and to the community regarding the special concerns of liver transplant patients and their families. As a requirement for my position, I participate in the development of policies, procedures, and protocols and participate in continual quality improvement.   

It is gratifying to be part of an extraordinary interdisciplinary team and an honor to develop patient relationships that have spanned for over a decade now. 

How long have you been a member of ASTS?

10 years. I became a member when Dr. Roberts was ASTS President. 

How has the ASTS impacted your practice?

As a member of ASTS, I started attending meetings and later became a member of the ATP committee. This participation has brought forth opportunities for leadership development and educational growth. ASTS has impacted my clinical practice by providing ongoing opportunities to learn. The modules and meetings present clinically relevant information that impacts my clinical practice. Through involvement in ASTS, I have participated in expanding ATP recognition and awareness in the transplant community. I have been fortunate to work with an exceptional committee of ATPs in developing the ATP Certificate Program and job description, expanding membership, and planning our Winter Symposium sessions. 

In the next 5 years, what kinds of opportunities for ATPs would you like to see at your institution?

I hope to see ongoing programs and opportunities at the institutional and national level that continue to promote the growth of the ATP professional development. The expansion of leadership, educational, and clinical roles for ATPs is needed to promote professional satisfaction and retention, and therefore allow for exceptional patient care and contribute to the success of the transplant center. My hope is that in the next five years, both UCSF and ASTS will continue to increase opportunities for ATP growth and advancement.

professional pic Hoy_AName: Haley Hoy PhD, NP
Title: Nurse Practitioner
Institution: Vanderbilt Medical Center/ University of Alabama Huntsville
Years in current position: 17 years

How many faculty and ATP colleagues are on your team?:

On the lung transplant team, we have four ATPs. In the transplant center as a whole, we have over fifty faculty and twenty-two ATPs.

Patient population:

Lung transplantation

Brief Job description:

I have worked as a nurse practitioner for twenty-two years, the last seventeen of which have been in lung transplantation. For the first six years, I worked as an inpatient and outpatient nurse practitioner in both the pre-transplant and post-transplant arenas. The job description included the evaluation of new candidates for lung transplantation, inpatient rounds, outpatient urgent and annual clinic visits as well research and patient/staff education. As the program has grown, these tasks have been divided among multiple ATPs and additional team members. The following ten years I ran an NP-led waitlist clinic for lung transplant patients who were listed, and now I primarily work as a nurse practitioner in transplant outreach clinics in an effort to bring tertiary care services to underserved populations. I have been fortunate throughout my work in transplantation to work with an interdisciplinary team that functions with mutual respect and excellent communication.

How long have you been a member of ASTS?

I have been a member of ASTS for seven years.

How has the ASTS impacted your practice?

ASTS membership has enhanced my practice in many ways. I have been exposed to practitioners functioning as ATPs in different transplant organ groups, bringing to my conscious awareness the commonalities and differences of our individual successes and struggles.  The ATP educational opportunities within ASTS, both module-based and live conferences, have provided clinically relevant information that I have then brought back to my center for implementation into practice. Finally, ASTS has afforded me multiple opportunities for professional growth. I participated in the development of the ATP certificate program, had to opportunity to chair a very active ATP committee, and have had the pleasure of working with a dynamic committee that has significantly increased ATP involvement in ASTS.

In the next 5 years, what kinds of opportunities for ATPs would you like to see at your institution? Within ASTS?

Both at my institution and within ASTS I would like to see further opportunities for professional development and research grant opportunities for ATPs.