MedStar Georgetown University Hospital, Washington, DC.
MedStar Georgetown University Hospital, Washington, DC.
Adv Chronic Kidney Dis. 2022 Nov;29(6):510-515. doi: 10.1053/j.ackd.2022.07.006.
Nephrology education has changed significantly since the first nephrology fellowship programs were established in the United States in the 1950s and 1960s. The past several years have seen increased opportunities for subspecialization in areas such as interventional nephrology, onconephrology, and glomerular disease. Notable trends in fellowship curricula include the expansion of education in home dialysis and palliative care, driven by policy changes and focus on patient-centered care. In addition, point-of-care ultrasound has garnered significant interest due to its potential to provide diagnostic information that improves patient care. An important area that remains largely unaddressed appears to be education about the business and administrative aspects of nephrology. Meanwhile, the importance of training in hemodialysis catheter placement and kidney biopsy has come into question due to the small proportion of nephrologists performing these procedures today. Nephrology fellowship programs should strive to tailor their curriculum to meet the interests and needs of individual fellows.
肾脏病学教育自 20 世纪 50 年代和 60 年代在美国首次设立肾脏病学研究员项目以来发生了重大变化。在过去的几年中，介入肾脏病学、肿瘤肾脏病学和肾小球疾病等领域的亚专业培训机会有所增加。研究员课程中的显著趋势包括家庭透析和姑息治疗教育的扩大，这是由政策变化和以患者为中心的护理重点推动的。此外，由于即时护理超声有可能提供改善患者护理的诊断信息，因此它引起了极大的关注。一个重要的领域似乎仍然在很大程度上未得到解决，即肾脏病学的商业和管理方面的教育。与此同时，由于今天进行这些操作的肾脏病学家比例较小，因此在血液透析导管放置和肾脏活检方面的培训的重要性受到了质疑。肾脏病学研究员项目应努力根据个别研究员的兴趣和需求来调整课程。
