Mehrotra Rajnish
Harborview Medical Center and Kidney Research Institute, Division of Nephrology, Department of Medicine, University of Washington, Seattle, WA, USA.
Semin Dial. 2018 Mar;31(2):107-110. doi: 10.1111/sdi.12666. Epub 2018 Jan 4.
Peritoneal dialysis is the most common modality for home dialysis and to ensure patients have access to dialysis at home, training programs have to ensure that the fellows attain clinical competency in the care of such patients. The limited data available however are sobering; about 10 years ago, 44% of nephrologists reported that they did not feel competent in the care of patients undergoing peritoneal dialysis. There are recognizable challenges in ensuring clinical competency of trainees that may need creative solutions. It is important for training program directors to evaluate the state of training at their institution, identify their unique barriers, and work to overcome them in the interest of ensuring that fellows are trained in all aspects of nephrology.
腹膜透析是家庭透析最常见的方式，为确保患者能够在家中进行透析，培训项目必须确保学员在这类患者的护理方面具备临床能力。然而，现有的有限数据令人警醒；大约10年前，44%的肾病学家报告称，他们觉得自己在腹膜透析患者的护理方面能力不足。在确保学员临床能力方面存在一些可识别的挑战，可能需要创造性的解决方案。培训项目主任评估所在机构的培训状况、识别其独特障碍并努力克服这些障碍非常重要，这有利于确保学员在肾脏病学的各个方面都得到培训。
