Education in Nephrology Fellowship: A Survey-Based Needs Assessment

Acute renal replacement therapy is one of the most common interventions provided by nephrologists, however, data on the quality of training provided to nephrology fellows is limited. Extensive curricula for acute renal replacement therapy and the management of poisonings and intoxications have been published, but personal experience suggests that there are significant opportunities to improve training. Particular areas to be considered include the use of novel technologies for assessment of volume status, greater emphasis on the dosing of medications during acute renal replacement therapy, greater training in assessing and tailoring treatment to the goals of care of the individual patient, incorporation of continuous quality improvement tools into the management of acute renal replacement therapy programs and development of robust simulation training to augment training.

Section: Assessment Of Training In Acute Renal Replacement Therapymentioning

confidence: 98%

Acute renal replacement therapy during hospitalization: Is training adequate?

Palevsky

2018

“…Nephrology fellows nationwide have identified that increased training in ultrasonography is a desired element of their curricula . For POCUS to be incorporated into clinical care on a nationwide level, educational curriculum and training programs need to be designed, tested, and integrated into physician training.…”

Section: Pocus Educationmentioning

confidence: 99%

“…POCUS evaluation of joints can identify monosodium urate crystals on cartilage and tophi and can help with diagnostic decision making 47. 5 | POCUS EDUCATIONNephrology fellows nationwide have identified that increased training in ultrasonography is a desired element of their curricula 48. For POCUS to be incorporated into clinical care on a nationwide level, educational curriculum and training programs need to be designed, tested, and integrated into physician training.…”

mentioning

confidence: 99%

Point‐of‐care ultrasound education to improve care of dialysis patients

Mullangi

Sozio

Segał

et al. 2018

Self Cite

Point-of-care ultrasound (POCUS) is rapidly emerging as a bedside diagnostic tool that can enhance physical diagnosis and facilitate clinical decision making. Although ultrasound is widely used by nephrologists for vascular access and kidney imaging, diagnostic POCUS skills in other anatomic areas are not part of routine nephrology training. In this narrative review, we will provide an overview of selected POCUS techniques, highlight potential uses of POCUS in routine nephrology practice, and describe a new curriculum implemented at Johns Hopkins University School of Medicine to teach diagnostic POCUS skills to nephrology fellows.

“…Although informative, these studies describe perceptions of physicians who have already completed fellowship rather than current fellows. A more recent study from the United States sought to determine current fellows' educational needs and evaluate their interest in potential educational interventions . The percentage of respondents indicating that they were well trained and competent ranged from approximately 80% for in‐center hemodialysis and transplant care to 15% for home hemodialysis care.…”

Section: Gaps In the Education In Nephrologymentioning

confidence: 99%

“…The ABIM and Canadian Internal Medicine regulators require candidates seeking certification in nephrology to be competent in temporary hemodialysis catheter insertion. 5 Traditional nephrology fellowship education may not provide the skills needed to perform this procedure safely with variable education and experience with catheter insertion. In a Canadian study, one-third of trainees felt they were not competent to place a central vein catheter at either the femoral or internal jugular site.…”

Section: Hemodialysis Curriculummentioning

confidence: 99%

In‐center hemodialysis education: Challenges and innovations in training of fellows in nephrology

Moist

Lindsay

2018

The in-center dialysis unit and practice of dialysis, in the current multi-team approach, requires knowledge and skills in all the domains including medical expert, communicator, collaborator, scholar, health advocate, and leader. We are tasked as a community, to embrace and incentivize new innovations and technology to address these needs for our post graduate trainees. These innovations must address the basic principles of dialysis, quality improvement, technical and procedural skills as well as leadership and administration skills. The teaching methods and innovations must also be challenged to demonstrate the translation into adoption and improvements in practice to demonstrate success. This article will review the current state of the training curriculum in Nephrology for in-center hemodialysis and address some of the recent innovations.