American College of Clinical Pharmacy
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SOTSAP 2026


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Continuing education activities in SOTSAP cover the most recent published data (past 3–5 years) on a specific therapeutic area or patient-care problem. Learning content is provided as an electronic book (interactive PDF) with high-level updates in up to three formats, as appropriate to the topic:

  • Traditional chapters review the latest published evidence on a therapeutic or practice-related topic
  • Case series deliver learning content in sections, with each section bookended by a sample case and its explained answer
  • Recorded webcasts provide learning content as a PowerPoint presentation, accessed as an MP4 file as well as a PDF of slides and transcribed narrative

Every SOTSAP release comes in two full-color online formats: (1) interactive PDFs you can save to your desktop or print; and (2) an e-media version you can view on an e-reader, tablet, iOS or Android smart phone.

All SOTSAP learning elements are fully referenced, with clickable hyperlinks to literature compilers such as PubMed. Other links provide ready access to clinical practice guidelines, official recommendations, and patient assessment tools. Graphic features focus on pivotal studies, patient care scenarios, and take-home points that can be readily integrated into clinical practice.

Release Date: November 16, 2026
BCTXP Deadline: November 16, 2027
ACPE Deadline: November 16, 2029

Editor(s): Campara M, McDermott JK
Publication Year: 2026
Format: PDF and ePub

Contents

Chapter: Updates in Desensitization (ABOi)

Chapter: Updates in Desensitization (HLA)

Chapter: Cardiac Allograft Vasculopathy and Chronic Lung Allograft Dysfunction

Chapter: Respiratory Viral Infections

Chapter: Expanding the Donor Pool

Chapter: Donor and Recipient Pain Management

Chapter: Technology for Care Delivery and Patient Education

Case Series: Pediatric Transplant and Infection

Case Series: Pregnancy and Reproductive Health

CPE Credit

The American College of Clinical Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

The American Society of Health-System Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education with Commendation.

The American College of Clinical Pharmacy and the American Society of Health-System Pharmacists are approved by BPS as a provider for the recertification of BCTXP.

BPS is an autonomous division of the American Pharmacists Association. To maintain its strict, independent standards for certification, BPS does NOT endorse or provide review information, preparatory courses, or study guides for board certification examinations. BPS, through its specialty councils, is responsible for specialty examination content, administration, scoring, and all other aspects of its certification programs. BPS is totally separate and distinct from ACCP. For information about BPS specialty recertification the BPS recertification process, go to: www.bpsweb.org/

To receive recertification credit, posttests must be submitted prior to the recertification posttest deadline (see above). Only completed tests are eligible for credit; no partial or incomplete tests will be processed. You may complete one or all available posttests for credit.

The passing point to earn recertification credit is based on an expert analysis of the assessment items in each posttest. Any posttest submitted before the recertification test deadline that meets this passing point will earn recertification credits. These credits will be assigned as of the date of test submission and reported within 48 hours to BPS. For statements of recertification credit, visit www.bpsweb.org.

In accordance with BPS guidelines concerning remediation for products launched in 2024 and after, posttests that do not reach the passing point for recertification credit will generate a second-chance test option. This test will automatically appear in the learner’s My Account page and will have assessment items presented in a different order. To qualify for recertification credit, the second-chance test must be submitted before the recertification deadline stated above.

The ACCP Recertification Dashboard is a free online tool that can track recertification credits as they are earned through ACCP and schedule new opportunities for credits from upcoming ACCP professional development programs. Questions regarding the number of hours required for recertification should be directed to BPS at www.bpsweb.org.

Contents

Chapter: Updates in Desensitization (ABOi)

Activity Number: 0217-9999-26-233-H01-P
Contact Hour(s): 3.50
Activity Type: Application Based
Learning Objectives

1. Discover recent advances in the literature on ABO-incompatible (ABOi) transplantation, including alternative strategies, novel antibody testing methods, complications, and outcomes.

2. Evaluate the effectiveness and suitability of current desensitization therapies in the context of ABOi transplantation.

3. Distinguish emerging therapies in the pipeline for their potential application in ABOi transplantation.

4. Assess clinical scenarios involving patients with ABOi living donors to determine transplant eligibility and challenges.

5. Develop a personalized desensitization plan for a patient undergoing evaluation for ABOi transplantation.

Chapter: Updates in Desensitization (HLA)

Activity Number: 0217-9999-26-234-H01-P
Contact Hour(s): 2.00
Activity Type: Application Based
Learning Objectives

1. Analyze the literature using novel immunosuppressive agents as monotherapy or combination therapy with respect to their recent use in highly sensitized transplant candidates.

2. Develop a desensitization plan for a highly sensitized transplant candidate according to the recent literature.

3. Develop a plan for detecting and potentially treating early antibody-mediated rejection in a transplant recipient undergoing desensitization.

Chapter: Cardiac Allograft Vasculopathy and Chronic Lung Allograft Dysfunction

Activity Number: 0217-9999-26-235-H01-P
Contact Hour(s): 3.50
Activity Type: Application Based
Learning Objectives

1. Analyze the underlying pathophysiology, clinical presentation, and identifiable risk factors contributing to the development and progression of cardiac allograft vasculopathy (CAV) and chronic lung allograft dysfunction (CLAD).

2. Assess the usefulness of different diagnostic modalities for detection of CAV and CLAD and develop a monitoring plan.

3. Evaluate the benefits and gaps of the pharmacotherapy agents used to prevent and manage CAV and CLAD.

4. Construct a pharmacotherapy plan for patients with CAV and CLAD.

Chapter: Respiratory Viral Infections

Activity Number: 0217-9999-26-236-H01-P
Contact Hour(s): 2.00
Activity Type: Application Based
Learning Objectives

1. Evaluate and interpret respiratory virus diagnostic testing.

2. Assess indications for respiratory viral prophylaxis in solid organ transplant recipients (SOTRs).

3. Devise and justify the use of therapies for the treatment of respiratory viral infections (RVIs).

4. Compose individualized immunosuppressive regimens in the context of concomitant RVI.

5. Develop monitoring plans to identify and manage complications of RVIs.

Chapter: Expanding the Donor Pool

Activity Number: 0217-9999-26-237-H01-P
Contact Hour(s): 2.50
Activity Type: Application Based
Learning Objectives

1. Justify the clinical rationale for using hepatitis C virus (HCV)-, hepatitis B virus (HBV)-, and HIV-positive donor organs to expand the solid organ transplant pool.

2. Develop evidence-based strategies to manage transplantation of HCV-positive donor organs including appropriate candidate selection, use of direct-acting antivirals, and posttransplant monitoring, to optimize recipient outcomes and mitigate risks of viral transmission and graft complications.

3. Formulate management strategies for transplantation of HBV-positive donor organs, incorporating pretransplant vaccination, antiviral prophylaxis, and posttransplant surveillance, to reduce transmission risk and optimize long-term recipient outcomes.

4. Design management approaches for HIV-positive donor to HIV-positive recipient transplantation, emphasizing antiretroviral regimen optimization, drug-drug interaction monitoring, and infection surveillance, to ensure graft function and recipient safety.

5. Discover the ethical, legal, and policy considerations surrounding the use of HCV-, HBV-, and HIV-positive donor organs.

Chapter: Donor and Recipient Pain Management

Activity Number: 0217-9999-26-238-H01-P
Contact Hour(s): 2.50
Activity Type: Application Based
Learning Objectives

1. Distinguish the potential risks associated with pretransplant opioid use on posttransplant outcomes, including graft survival and patient mortality.

2. Assess the differences in mechanisms of multimodal pain agents and how they differ from opioids.

3. Demonstrate how to apply multimodal analgesic strategies (eg, transversus abdominis plane [TAP] block, acetaminophen, gabapentin) in creating a pain management plan for living donation.

4. Assess the efficacy and safety outcomes of opioid minimization protocols across different organ transplant types.

5. Develop an institutional policy framework for opioid stewardship in solid organ transplantation, integrating patient education, preoperative risk assessment, and discharge prescribing guidelines.

Chapter: Technology for Care Delivery and Patient Education

Activity Number: 0217-9999-26-239-H01-P
Contact Hour(s): 1.50
Activity Type: Application Based
Learning Objectives

1. Analyze the evolving role of the transplant pharmacist to account for how technology integration enhances medication management, care coordination, and patient education across the transplant continuum.

2. Evaluate how telepharmacy, electronic health record optimization, clinical decision support, and remote monitoring technologies can be applied to optimize safety, efficiency, and continuity of transplant care.

3. Assess the effectiveness of digital education platforms, mobile applications, and gamified learning tools in improving transplant recipient comprehension, engagement, and medication adherence.

4. Design and devise technology-driven strategies to integrate into the transplant care workflow that enhance interdisciplinary collaboration, optimize pharmacotherapy management, and measure patient-centered outcomes.

5. Analyze and justify approaches to overcome barriers to technology adoption—such as data privacy, patient access, and provider resistance—while maintaining ethical and regulatory compliance.

Case Series: Pediatric Transplant and Infection

Activity Number: 0217-9999-26-240-H01-P
Contact Hour(s): 1.50
Activity Type: Application Based
Learning Objectives

1. Assess changes to recommended immunizations for pediatric solid organ transplant (SOT) recipients and candidates.

2. Evaluate the use of newer antimicrobial agents, vaccines, and antibodies in pediatric SOT recipients and candidates at risk of infectious complications.

3. Analyze the current recommendations on the management of cytomegalovirus (CMV) in pediatric SOT recipients.

4. Design treatment plans for pediatric SOT recipients with BK virus in accordance with the current guideline recommendations.

Case Series: Pregnancy and Reproductive Health

Activity Number: 0217-9999-26-241-H01-P
Contact Hour(s): 2.50
Activity Type: Application Based
Learning Objectives

1. Assess the benefits and risks of available contraceptive methods for a solid organ transplant recipient.

2. Construct a reproductive-health counseling plan for a sexually active solid organ transplant recipient.

3. Evaluate the maternal, graft, and fetal outcomes of pregnancy after solid organ transplant.

4. Design a safe immunosuppression regimen and monitoring plan for a solid organ transplant recipient during pregnancy and breastfeeding.


Commercial Support

The American College of Clinical Pharmacy does not solicit or accept external commercial/financial support for its continuing pharmacy education activities. No commercial/financial support has been solicited or accepted for this activity.