Kidney Biopsy Should Remain a Required Procedure for Nephrology Training Programs: PRO

Obaidi, Zainab; Sozio, Stephen M.

doi:10.34067/kid.0007772021

Cited by 4 publications

(1 citation statement)

References 13 publications

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“…22 For years, the ABIM Nephrology Board, nephrology fellowship training program directors, nephrology fellows, and other stakeholders have debated this topic. [23][24][25][26] In January 2022, ACGME initiated its 10-year review of program requirements among the 17 internal medicine subspecialties, including nephrology. 27 As a part of this process, ACGME requested ASN's perspective on nephrology training program requirements.…”

Section: Process and Guiding Principlesmentioning

confidence: 99%

Reimagining Nephrology Fellowship Education to Meet the Future Needs of Nephrology

Rosenberg

Anderson

Farouk

et al. 2023

CJASN

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The American Society of Nephrology (ASN) Task Force on the Future of Nephrology was established in April 2022 in response to requests from the American Board of Internal Medicine and the Accreditation Council for Graduate Medical Education regarding training requirements in nephrology. Given recent changes in kidney care, ASN also charged the task force with reconsidering all aspects of the specialty's future to ensure that nephrologists are prepared to provide high-quality care for people with kidney diseases. The task force engaged multiple stakeholders to develop 10 recommendations focused on strategies needed to promote: (1) just, equitable, and high-quality care for people living with kidney diseases; (2) the value of nephrology as a specialty to nephrologists, the future nephrology workforce, the health care system, the public, and government; and (3) innovation and personalization of nephrology education across the scope of medical training. This report reviews the process, rationale, and details (the “why” and the “what”) of these recommendations. In the future, ASN will summarize the “how” of implementing the final report and its 10 recommendations.

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Section: Process and Guiding Principlesmentioning

confidence: 99%

Reimagining Nephrology Fellowship Education to Meet the Future Needs of Nephrology

Rosenberg

Anderson

Farouk

et al. 2023

CJASN

View full text Add to dashboard Cite

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Straightforward and immediate ultrasound-guided kidney biopsy using a guide needle technique to get adequate tissue with reduced procedural time

Komatsu,

Yamashita,

Osanami

et al. 2024

Clin Exp Nephrol

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Background A streamlined and effective renal biopsy technique is essential for all nephrologists, particularly those who are less experienced, such as residents. Herein, we report the efficacy of a Straightforward and Immediate ultrasound-guided kidney biopsy using a Guide Needle (SIGN) technique, which allows operators to insert a biopsy gun through a guide needle placed into the fascia of the posterior abdominal wall. Methods A retrospective cross-sectional study was conducted at a nephrology training institution to compare the time spent on the procedure and the number of glomeruli obtained between a group using the SIGN (n = 81) and a group using the conventional ultrasound-guided kidney biopsy technique with a needle guide device (n = 143). Results The median procedure time in the SIGN group (2 min, interquartile range [IQR]: 1–3 min) was significantly shorter than that in the conventional group (3 min, IQR: 2–4 min) (P < 0.001). Multivariable linear regression and logistic regression analyses adjusted for covariates, including operators (board-certificated nephrologists or nephrology residents), showed that the use of the SIGN technique was independently associated with a high number of glomeruli obtained and a procedure time above 2 min as the median value (odds ratio: 0.17, 95% confidence interval CI 0.09–0.34). The prevalence of complications was comparable between the two groups (P = 0.681). Conclusion The SIGN technique reduces the procedure time and obtains adequate biopsy tissue regardless of the operator’s experience. SIGN can be applied in nephrology training programs and used as a standard biopsy technique.

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Current Trends and Challenges in Nephrology Fellowship Training: Expansion of Education in Home Dialysis, Palliative Care, and Point-of-Care Ultrasound

Greenberg

Pourafshar

Choi

2022

Advances in Chronic Kidney Disease

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Kidney Biopsy Should Remain a Required Procedure for Nephrology Training Programs: PRO

Abstract: This is an Early Access article. Please select the PDF button, above, to view it. Be sure to also read the CON: 10.34067/KID.0007762021 and COMMENTARY: 10.34067/KID.0008872022.

Cited by 4 publications

References 13 publications

Reimagining Nephrology Fellowship Education to Meet the Future Needs of Nephrology

Reimagining Nephrology Fellowship Education to Meet the Future Needs of Nephrology

Straightforward and immediate ultrasound-guided kidney biopsy using a guide needle technique to get adequate tissue with reduced procedural time

Current Trends and Challenges in Nephrology Fellowship Training: Expansion of Education in Home Dialysis, Palliative Care, and Point-of-Care Ultrasound

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