Mehrotra Rajnish, Shaffer Rachel N, Molitoris Bruce A
Department of Internal Medicine, Harbor UCLA Medical Center, Torrance, California, USA.
Semin Dial. 2011 May-Jun;24(3):275-7. doi: 10.1111/j.1525-139X.2011.00933.x.
Recent dramatic decreases in US medical graduate and International Medical Graduate interest in nephrology as a career suggest that delivery of care to the vulnerable population of dialysis patients in the United States could be negatively affected in coming years. Demographic shifts and changes to national health policy are also likely to exacerbate challenges to provide adequate care to people on dialysis or at risk of end-stage renal disease. Training an adequate number of nephrologists is imperative and will require both reconfiguring current approaches to training and certain aspects of care delivery as well as highlighting bright spots of innovation within the field of nephrology.
近期，美国医学专业毕业生和国际医学毕业生对肾脏病学作为职业的兴趣急剧下降，这表明未来几年美国为弱势透析患者群体提供医疗服务可能会受到负面影响。人口结构变化和国家卫生政策的改变也可能加剧为透析患者或处于终末期肾病风险的人群提供充分医疗服务的挑战。培养足够数量的肾病学家势在必行，这将需要重新配置当前的培训方法和护理提供的某些方面，同时突出肾脏病学领域的创新亮点。
