Diagnostic and Interventional Nephrology in Spain: A snapshot of current situation

Barrios, R Haridian Sosa; Ibeas, José; Roca-Tey, Ramón; Guerrero, Manuel Ceballos; Bars, Àngels Betriu; Delgado, Ignacio Cornago; Luengo, Manuel Lanuza; Cuevas, Vicente Paraíso; Ganga, Pedro Luis Quirós; Gorrín, Maite E. Rivera

doi:10.1177/1129729818783965

Cited by 6 publications

(3 citation statements)

References 35 publications

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“…The data collected are subjective and vulnerable to recall bias. The survey's small sample size limits generalisability, while it is also subject to selection bias and participation bias by not representing views of those who did not participate 17–19 . Full‐time employment figures may have been distorted by excluding physicians with greater clinical workloads and hence less time to participate in our survey.…”

Section: Discussionmentioning

confidence: 99%

“…The survey's small sample size limits generalisability, while it is also subject to selection bias and participation bias by not representing views of those who did not participate. [17][18][19] Full-time employment figures may have been distorted by excluding physicians with greater clinical workloads and hence less time to participate in our survey. The response rate of 32% is commensurate with other studies of this type albeit suboptimal, and although the questionnaire was limited to ANZSN members, 84% of nephrologists and trainees are subscribed members and therefore most are accounted for.…”

Section: Discussionmentioning

confidence: 99%

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Survey study of trends in adult nephrology advanced training in Australia and New Zealand

Yaxley

Campbell

Gray

et al. 2022

Internal Medicine Journal

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Background There has been considerable growth in nephrology advanced trainee numbers in Australia and New Zealand, with uncertain effects on clinical experience, competence and employment outcomes. Aims To review the perceived adequacy and temporal trends of advanced training in nephrology in Australia and New Zealand by evaluating training experiences, personal views on important aspects of training and nephrology, career paths and early employment outcomes. Methods An online survey was distributed to members of the Australian and New Zealand Society of Nephrology through email in December 2020. Responses were sought from current trainees and from nephrologists qualifying since 2014. Likert scale proportions were calculated and group comparisons made using the Chi‐squared test. Results A total of 88 participants returned the survey yielding a response rate of 32%, with a representative sample of trainees and consultants from across Australia and New Zealand. Training was reported as adequate in most aspects of clinical nephrology, although 88% of respondents felt poorly prepared for entering private practice and 61% reported inadequate training in kidney histopathology. Exposure to clinical procedures was variable, with adequate training in percutaneous kidney biopsy, but mostly inadequate training in dialysis access insertion. Sixty‐nine percent of nephrologists completed their advanced training entirely in large urban centres and 85% worked in an urban area after training. Only 23% of consultants were engaged in full‐time clinical employment in their first‐year post‐training and 78% were undertaking at least one of dual specialty training or a higher degree by research. Demand for subspecialty fellowships was high. Conclusion Trainees and nephrologists in Australia and New Zealand are currently satisfied with their training in most aspects of nephrology; however, some clinical experiences are perceived as inadequate and early career paths after advanced training are increasingly diverse.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Survey study of trends in adult nephrology advanced training in Australia and New Zealand

Yaxley

Campbell

Gray

et al. 2022

Internal Medicine Journal

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“…Our work has limitations. Although the response rate is comparable to other unincentivized, non-mandatory HCP surveys, it only accounted for 31% of UK nephrology trainees [ 25 – 28 ]. We opted for this approach to foster open and honest responses, uninfluenced by external pressures and reassuringly, respondent demographics broadly matched that of the UK nephrology training cohort.…”

Section: Discussionmentioning

confidence: 68%

Regional variations in nephrology trainee confidence with clinical skills may relate to the availability of local training opportunities in the UK: results from a national survey

2022

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Background The United Kingdom offers a standardised training program for nephrology fellows. However, local training opportunities vary resulting in mismatches between trainee interests and accessible opportunities. This may impact trainee confidence, satisfaction, and future service provision. Methods A survey assessing confidence with key procedures and sub-specialities was disseminated. Associations with region of training were probed using Chi square tests, with significance set at p < 0.0008 following a Bonferroni correction. Results were compared to trainee views on available opportunities for development. Results 139 responses were received (32% response rate, demographics representative of the UK nephrology trainee cohort). Procedural independence varied from 98% for temporary femoral vascular catheters to 5% for peritoneal dialysis catheters (PDIs). Independence with inserting tunnelled vascular catheters varied with region (p < 0.0001). Trainees expressed a desire for formal training in kidney ultrasound scanning and PDIs, corresponding with procedures they had least opportunity to become independent with. Trainees felt least confident managing kidney disease in pregnancy. Suggestions for improving training included protected time for garnering sub-speciality knowledge, developing procedural skills and for experiencing practice in other nephrology units. Conclusions A mismatch between trainee interests and professional development opportunities exists, which may threaten trainee autonomy and impact patient care particularly with regards to peritoneal dialysis. Provisions to facilitate trainee directed development need to be made while balancing the rigors of service provision. Such measures could prove critical to promoting trainee well-being and preventing attrition within the nephrology workforce.

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Nephrology in Spain

Marrón¹,

Alcaide

Marrero

et al. 2021

Nephrology Worldwide

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Diagnostic and Interventional Nephrology in Spain: A snapshot of current situation

Cited by 6 publications

References 35 publications

Survey study of trends in adult nephrology advanced training in Australia and New Zealand

Survey study of trends in adult nephrology advanced training in Australia and New Zealand

Regional variations in nephrology trainee confidence with clinical skills may relate to the availability of local training opportunities in the UK: results from a national survey

Nephrology in Spain

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