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Improving outcomes in CKD and ESRD patients: carrying the torch from training to practice.
Semin Dial. 2004 Sep-Oct; 17(5):380-97.SD

Abstract

Practicing nephrologists are spending more time caring for end-stage renal disease (ESRD) and chronic kidney disease (CKD) patients. Despite this focus, and considerable advances in the understanding of those aspects of care that impact on clinical outcomes, morbidity, mortality, and quality of life for these patients has not improved substantially over the past decade. One of the possible explanations for this lack of progress is the structure of current nephrology training programs, where ESRD and CKD patient care is not emphasized. To address this issue, we developed a short preceptorship for second-year nephrology fellows, including didactic lectures and workshops. Of 67 participating fellows, 50% were from programs offering 3 or fewer months of exposure to outpatient hemodialysis, and 25% reported no exposure to peritoneal dialysis. Of more concern, 25% reported no "official rounds" with an attending nephrologist on dialysis patients. If nephrologists are to take their appropriate place as leaders of the care delivery team, nephrology fellowships must be restructured with appropriate emphasis placed on the comprehensive care of ESRD and CKD patients.

Authors+Show Affiliations

Department of Medicine, Division of Nephrology, David Geffen School of Medicine, UCLA, Los Angeles, California 90095, USA. anissenson@mednet.ucla.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

15461748

Citation

Nissenson, Allen R., et al. "Improving Outcomes in CKD and ESRD Patients: Carrying the Torch From Training to Practice." Seminars in Dialysis, vol. 17, no. 5, 2004, pp. 380-97.
Nissenson AR, Agarwal R, Allon M, et al. Improving outcomes in CKD and ESRD patients: carrying the torch from training to practice. Semin Dial. 2004;17(5):380-97.
Nissenson, A. R., Agarwal, R., Allon, M., Cheung, A. K., Clark, W., Depner, T., Diaz-Buxo, J. A., Kjellstrand, C., Kliger, A., Martin, K. J., Norris, K., Ward, R., & Wish, J. (2004). Improving outcomes in CKD and ESRD patients: carrying the torch from training to practice. Seminars in Dialysis, 17(5), 380-97.
Nissenson AR, et al. Improving Outcomes in CKD and ESRD Patients: Carrying the Torch From Training to Practice. Semin Dial. 2004 Sep-Oct;17(5):380-97. PubMed PMID: 15461748.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Improving outcomes in CKD and ESRD patients: carrying the torch from training to practice. AU - Nissenson,Allen R, AU - Agarwal,Rajiv, AU - Allon,Michael, AU - Cheung,Alfred K, AU - Clark,William, AU - Depner,Tom, AU - Diaz-Buxo,Jose A, AU - Kjellstrand,Carl, AU - Kliger,Alan, AU - Martin,Kevin J, AU - Norris,Keith, AU - Ward,Richard, AU - Wish,Jay, PY - 2004/10/6/pubmed PY - 2005/1/28/medline PY - 2004/10/6/entrez SP - 380 EP - 97 JF - Seminars in dialysis JO - Semin Dial VL - 17 IS - 5 N2 - Practicing nephrologists are spending more time caring for end-stage renal disease (ESRD) and chronic kidney disease (CKD) patients. Despite this focus, and considerable advances in the understanding of those aspects of care that impact on clinical outcomes, morbidity, mortality, and quality of life for these patients has not improved substantially over the past decade. One of the possible explanations for this lack of progress is the structure of current nephrology training programs, where ESRD and CKD patient care is not emphasized. To address this issue, we developed a short preceptorship for second-year nephrology fellows, including didactic lectures and workshops. Of 67 participating fellows, 50% were from programs offering 3 or fewer months of exposure to outpatient hemodialysis, and 25% reported no exposure to peritoneal dialysis. Of more concern, 25% reported no "official rounds" with an attending nephrologist on dialysis patients. If nephrologists are to take their appropriate place as leaders of the care delivery team, nephrology fellowships must be restructured with appropriate emphasis placed on the comprehensive care of ESRD and CKD patients. SN - 0894-0959 UR - https://www.unboundmedicine.com/medline/citation/15461748/Improving_outcomes_in_CKD_and_ESRD_patients:_carrying_the_torch_from_training_to_practice_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0894-0959&date=2004&volume=17&issue=5&spage=380 DB - PRIME DP - Unbound Medicine ER -