Improving outcomes in CKD and ESRD patients: Carrying the torch from training to practice

Allen R. Nissenson, Rajiv Agarwal, Michael Allon, Alfred K. Cheung, William Clark, Tom Depner, Jose A. Diaz-Buxo, Carl Kjellstrand, Alan Kliger, Kevin J. Martin, Keith Norris, Richard Ward, Jay Wish

Research output: Contribution to journalArticle

13 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)380-397
Number of pages18
JournalSeminars in Dialysis
Volume17
Issue number5
DOIs
StatePublished - Sep 2004

Fingerprint

Chronic Renal Insufficiency
Chronic Kidney Failure
Nephrology
Preceptorship
Teaching Rounds
Education
Peritoneal Dialysis
Renal Dialysis
Dialysis
Patient Care
Outpatients
Quality of Life
Morbidity
Mortality
Nephrologists

ASJC Scopus subject areas

  • Nephrology

Cite this

Improving outcomes in CKD and ESRD patients : Carrying the torch from training to practice. / Nissenson, Allen R.; Agarwal, Rajiv; Allon, Michael; Cheung, Alfred K.; Clark, William; Depner, Tom; Diaz-Buxo, Jose A.; Kjellstrand, Carl; Kliger, Alan; Martin, Kevin J.; Norris, Keith; Ward, Richard; Wish, Jay.

In: Seminars in Dialysis, Vol. 17, No. 5, 09.2004, p. 380-397.

Research output: Contribution to journalArticle

Nissenson, AR, Agarwal, R, Allon, M, Cheung, AK, Clark, W, Depner, T, Diaz-Buxo, JA, Kjellstrand, C, Kliger, A, Martin, KJ, Norris, K, Ward, R & Wish, J 2004, 'Improving outcomes in CKD and ESRD patients: Carrying the torch from training to practice', Seminars in Dialysis, vol. 17, no. 5, pp. 380-397. https://doi.org/10.1111/j.0894-0959.2004.17350.x
Nissenson, Allen R. ; Agarwal, Rajiv ; Allon, Michael ; Cheung, Alfred K. ; Clark, William ; Depner, Tom ; Diaz-Buxo, Jose A. ; Kjellstrand, Carl ; Kliger, Alan ; Martin, Kevin J. ; Norris, Keith ; Ward, Richard ; Wish, Jay. / Improving outcomes in CKD and ESRD patients : Carrying the torch from training to practice. In: Seminars in Dialysis. 2004 ; Vol. 17, No. 5. pp. 380-397.
@article{91ad98a51e4544ba8b9e74d3cd6f6ea2,
title = "Improving outcomes in CKD and ESRD patients: Carrying the torch from training to practice",
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.",
author = "Nissenson, {Allen R.} and Rajiv Agarwal and Michael Allon and Cheung, {Alfred K.} and William Clark and Tom Depner and Diaz-Buxo, {Jose A.} and Carl Kjellstrand and Alan Kliger and Martin, {Kevin J.} and Keith Norris and Richard Ward and Jay Wish",
year = "2004",
month = "9",
doi = "10.1111/j.0894-0959.2004.17350.x",
language = "English",
volume = "17",
pages = "380--397",
journal = "Seminars in Dialysis",
issn = "0894-0959",
publisher = "Wiley-Blackwell",
number = "5",

}

TY - JOUR

T1 - Improving outcomes in CKD and ESRD patients

T2 - 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 - 2004/9

Y1 - 2004/9

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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=7044271014&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=7044271014&partnerID=8YFLogxK

U2 - 10.1111/j.0894-0959.2004.17350.x

DO - 10.1111/j.0894-0959.2004.17350.x

M3 - Article

C2 - 15461748

AN - SCOPUS:7044271014

VL - 17

SP - 380

EP - 397

JO - Seminars in Dialysis

JF - Seminars in Dialysis

SN - 0894-0959

IS - 5

ER -