Kohan Donald E, Rosenberg Mark E
Division of Nephrology, University of Utah Health Sciences Center, Salt Lake City, UT 84132, USA.
Semin Nephrol. 2009 Sep;29(5):539-47. doi: 10.1016/j.semnephrol.2009.06.011.
A major challenge facing the nephrology community in the United States is the training of adequate numbers of nephrologists to meet patient care and research needs. There is particular cause for concern because of the increasing incidence and prevalence of patients with chronic kidney disease. Data on the clinical and research nephrology workforce are incomplete or absent. However, the number of such individuals likely is inadequate to meet current and projected needs. To solve these workforce shortages, significant issues with regard to clinical and research training need to be addressed. These include funding of fellowship training, increasing the pipeline of medical students and internal medicine residents, and enhancing interest in nephrology among international and particularly US medical graduates. This review discusses these challenges facing the renal community, with emphasis on the care, prevention, and treatment of chronic kidney disease, and identifies potential pathways to developing solutions.
美国肾脏病学界面临的一项重大挑战是培养足够数量的肾脏病医生，以满足患者护理和研究需求。由于慢性肾病患者的发病率和患病率不断上升，这一问题尤其令人担忧。关于临床和研究肾脏病专业人员的数据不完整或缺失。然而，这类人员的数量可能不足以满足当前和预计的需求。为了解决这些人员短缺问题，需要解决临床和研究培训方面的重大问题。这些问题包括专科培训资金、增加医学生和内科住院医师的来源，以及提高国际医学毕业生尤其是美国医学毕业生对肾脏病学的兴趣。本综述讨论了肾脏学界面临的这些挑战，重点关注慢性肾病的护理、预防和治疗，并确定了制定解决方案的潜在途径。
