University of Pennsylvania School of Medicine, Hospital of the University of Pennsylvania, 3400 Spruce Street, 1 Founders Pavilion, Philadelphia, PA 19104, USA.
Clin J Am Soc Nephrol. 2010 Mar;5(3):490-6. doi: 10.2215/CJN.08461109. Epub 2010 Jan 14.
There have been no recent analyses of the adequacy of training in U.S. nephrology training programs or the importance of specific aspects of fellowship training in the careers and practices of nephrologists who recently completed training.
DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: An internet-based survey was sent to members of the American Society of Nephrology who completed nephrology training in 2004 to 2008. Respondents were asked to rate their fellowship training (little or no training, some training but not enough to feel competent, well trained and competent) in specific areas and the importance of each area to their current careers and practices.
Among 133 recent adult nephrology trainees, most felt well trained and competent in many areas of patient care and core content. A significant percentage of respondents reported receiving little or no training, or some training but not enough to feel competent in other specific areas, such as genetic renal disease, care of adults with childhood kidney disease, pregnancy complications, poisoning, nutrition, end-of-life care, clinical pharmacology, home and self-care hemodialysis, peritoneal dialysis, plasmapheresis, interpretation and performance of renal ultrasound and other renal imaging, renal biopsy pathology interpretation, business and administrative aspects of nephrology, research, and research funding. Many of these areas were also identified as somewhat or very important to the careers and practices of respondents.
Nephrology training programs are perceived as doing an excellent job training fellows in many areas. Gaps in training should be addressed in fellowship training and post-training education.
最近，我们尚未对美国肾脏病学培训项目的培训充分性进行分析，也未对近期完成培训的肾脏病医生的职业和实践中研究金培训的具体方面的重要性进行分析。
设计、设置、参与者和测量方法：我们对 2004 年至 2008 年期间完成肾脏病学培训的美国肾脏病学会会员进行了一项基于互联网的调查。要求受访者对他们在特定领域的研究金培训（很少或没有培训、有培训但不足以感到胜任、受过良好培训且胜任）进行评分，并对每个领域对其当前职业和实践的重要性进行评分。
在 133 名最近的成人肾脏病学受训者中，大多数人在许多患者护理和核心内容领域都感到受过良好培训且胜任。相当一部分受访者报告称，他们在其他特定领域接受了很少或没有培训，或接受了一些培训但不足以感到胜任，例如遗传肾脏疾病、治疗儿童期肾脏疾病的成年患者、妊娠并发症、中毒、营养、临终关怀、临床药理学、家庭和自我护理血液透析、腹膜透析、血浆置换、解读和执行肾脏超声和其他肾脏影像学、肾脏活检病理学解读、肾脏病学的商业和行政方面、研究以及研究资金。这些领域中的许多领域也被认为对受访者的职业和实践有些重要或非常重要。
肾脏病学培训项目在培训研究员的许多领域都被认为做得非常出色。在研究金培训和培训后教育中，应解决培训中的差距。
