Dr. Joyce Trompeta is an Associate Professor who conducts outcomes research in the Department of Surgery in the School of Medicine at the University of California, San Francisco (UCSF). She completed her doctoral degree at UCSF, oversaw UCSF's Pediatric Kidney Transplant Program for 10 years and has expertise in adolescent growth and development. She has served on the Boards of the Organ Procurement and Transplantation Network (OPTN) / United Network for Organ Sharing (UNOS) - Minority Affairs Committee (MAC), and the International Transplant Nurses Society (ITNS). Currently, she is on the Council Board of the International Society of Organ Donation & Procurement (ISODP) as US representative, and President of ITNS. She has been appointed by the Health Resources & Services Administration (HRSA) / Health & Human Services (HHS) to serve on the Advisory Committee on Organ Transplantation (ACOT). As UCSF's International Pacific Rim Surgical and Medical Liaison, She has developed outreach programs to four Hawaiian Islands promoting solid organ transplantation and organ donor awareness. She has developed outreach clinics in Hawaii for UCSF's Interstitial Lung Disease and Lung Transplantation Program, and UCSF's Kidney/Pancreas Transplant Program. She oversees the Living Kidney Donor Transplant Program for the state of Hawaii. She performs all on-line donor health history screening and orchestrates compatibility testing and medical donor work-ups. She remains clinically active as well as lecturing professionally, nationally and internationally and providing community education. Her program of research examines factors related to organ donation and health disparities, including organ donation practices, medical exclusion related to race and ethnicity, and reasons why donors are unwilling to donate. She developed the Organ Donation & Transplantation Knowledge Survey (ODTK) which is psychometrically valid for evaluating knowledge about organ donation and transplantation. Results of her instrument were published in Transplantation Proceedings. Dr. Trompeta has created "The Kumamoto Model" that is a strategic plan to offer guidance to increasing deceased organ donations in Kumamoto Prefecture in Japan. The Kumamoto Model's (KM) mission is: to change the Japanese social climate regarding organ donation consent, to establish Japan's self-sufficiency for transplantation by increasing the availability of organs, create an efficient organ procurement organization, and develop culturally tailored organ donation educational programs. The KM has received support by Governor Kabashima and "Kumamon" as the Ambassador of Organ Donation, with the developed slogan: Extend Life. Do the Honor. Be an Organ Donor. Dr. Trompeta has been awarded a Fulbright U.S. Scholar Grant from the U.S. State Department through the Japan-United States Educational Commission. She will examine the organ donation and transplantation attitudes, beliefs, and knowledge among a population key to Japan's future - Japanese university students, as well as faculty and healthcare providers who often are the ones who promote and request organ donation consent. Her research will be conducted at Kumamoto University, Japanese Red Cross Kumamoto Hospital, and various academic institutions throughout Japan.Findings from this proposed Fulbright research project will provide a better understanding as to why organ donation rates are low in Japan and identify areas of education targeted to both young and older generations.