Achieving procedural competence during nephrology fellowship training: Current requirements and educational research

Edward Clark*, Jeffrey H. Barsuk, Jolanta Karpinski, Rory McQuillan

*Corresponding author for this work

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Concerns have previously been raised as to whether training programs are ensuring that nephrology fellows achieve competence in the procedural skills required for independent practice.We sought to review the current requirements for procedural training as well as educational research pertaining to achieving competence in the core nephrology procedures of nontunneled (temporary) hemodialysis catheter insertion and percutaneous kidney biopsy. At this time, there is no universal approach to procedural training and assessment during nephrology fellowship. Nonetheless, simulation-based mastery learning programs have been shown to be effective in improving fellows’ skills in nontunneled (temporary) hemodialysis catheter insertion and should be provided by all nephrology training programs. For percutaneous kidney biopsy, the development and evaluation of inexpensive simulators are a promising starting point for future study. Current practice with respect to procedural training during nephrology fellowship remains imperfect; however, the ongoing shift toward competency-based evaluation provides opportunities to refocus on improvement.

Original languageEnglish (US)
Pages (from-to)2244-2249
Number of pages6
JournalClinical Journal of the American Society of Nephrology
Volume11
Issue number12
DOIs
StatePublished - Jan 1 2016

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Keywords

  • Catheterization
  • Fellowships and Scholarships
  • Kidney biopsy
  • Medical education
  • Nephrology
  • Non-tunneled hemodialysis catheter
  • Procedures
  • Renal dialysis
  • Research

ASJC Scopus subject areas

  • Epidemiology
  • Critical Care and Intensive Care Medicine
  • Nephrology
  • Transplantation

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