Table 2.

University of Alabama at Birmingham Nephrology Fellowship home dialysis curriculum

Home Dialysis Curriculum
Objectives: First year of trainingObjectives: Second year of training
 Understand home dialysis prescription Training patients on home dialysis
 Introduction to urgent start PD Independently prescribing PD and HHD
 Manage PD patients undergoing abdominal surgery Access evaluation in PD and HHD
 Importance of residual renal function Independently manage complications
 Management of complications Understand social aspects of home modalities
  Peritonitis Learn team-based approach
  Catheter-related infections Understand the role of medical director
  Catheter dysfunction
Structured learning
 1–2 mo rotations in both years of fellowship
 Twice weekly clinics while on rotation; evaluate 6–8 patients a day
 Participate in a home visit with the nurse
 Coordinate patient care using access coordinators, dietician, social worker with dialysis attendings
 Annual Home Dialysis Academy, one-on-one teaching, and independent reading
 Active participation in monthly multidisciplinary quality meeting
Competency milestones
 Patient care: independent assessment and management of home dialysis patients
 Medical knowledge: develop a knowledge base of HHD and PD pathophysiology and prescription management, and formulate treatment strategies in challenging situations
 Problem-based learning and improvement: integrate evidence-based medicine in evaluation and management of patient problems
 Interpersonal and communication skills: work as a part of the dialysis team, understand role of medical director, including quality and safety
 Problem-based practice: effectively use team-based resources to accomplish patient-centered care in an effective manner
  • PD, peritoneal dialysis; HHD, home hemodialysis.