• 1.

    Ledebo I, Ronco C. The best dialysis therapy? Results from an international survey among nephrology professionals. NDT Plus 2008; 1:403408. doi: 10.1093/ndtplus/sfn148

    • Search Google Scholar
    • Export Citation
  • 2.

    Berns JS. A survey-based evaluation of self-perceived competency after nephrology fellowship training. Clin J Am Soc Nephrol 2010; 5:490496. doi: 10.2215/CJN.08461109

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    Gupta N, et al. Perceptions of home dialysis training and experience among us nephrology fellows. Am J Kidney Dis 2021; 77:713-718.e1. doi: 10.1053/j.ajkd.2020.09.014

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Wadhwa NK, et al. Does current nephrology fellowship training affect utilization of peritoneal dialysis in the United States? Open J Nephrol 2013; 3:109114. https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.1023.1825&rep=rep1&type=pdf

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5.

    Mehrotra R, et al. An analysis of dialysis training in the United States and Canada. Am J Kidney Dis 2002; 40:152160. doi: 10.1053/ajkd.2002.33924

  • 6.

    Golper TA, et al. Systematic barriers to the effective delivery of home dialysis in the United States: A report from the Public Policy/Advocacy Committee of the North American Chapter of the International Society for Peritoneal Dialysis. Am J Kidney Dis 2011; 58:879885. doi: 10.1053/j.ajkd.2011.06.028

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7.

    Chan CT, et al. Overcoming barriers for uptake and continued use of home dialysis: An NKF-KDOQI conference report. Am J Kidney Dis 2020; 75:926934. doi: 10.1053/j.ajkd.2019.11.007

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Accreditation Council for Graduate Medical Education. ACGME Program Requirements for Graduate Medical Education in Nephrology. July 1, 2020. Accessed May 25, 2021. https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/148_Nephrology_2020.pdf?ver=2020-06-29-162357-583

    • Search Google Scholar
    • Export Citation
  • 9.

    American Board of Internal Medicine. Nephrology Certification Examination Blueprint. Accessed May 25, 2021. https://www.abim.org/Media/iohh2ahg/nephrology.pdf

    • Search Google Scholar
    • Export Citation
  • 10.

    American Board of Internal Medicine. Nephrology Policies-Training and Procedure Requirements. Accessed May 25, 2021. https://www.abim.org/certification/policies/internal-medicine-subspecialty-policies/nephrology/

    • Search Google Scholar
    • Export Citation

Education in Home Dialysis: The Time Is Now

  • 1 Nidhi Aggarwal, MD, is an Assistant Professor at Baylor College of Medicine in Houston, TX. Harshitha Kota is a Nephrology Fellow at the Warren Alpert Medical School of Brown University in Providence, RI. Natasha N. Dave, MD, is a Medical Director with Strive Health in Miami, FL. Ankur Shah, MD, is an Assistant Professor at The Warren Alpert Medical School of Brown University in Providence, RI.
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Most nephrologists consider peritoneal dialysis (PD) to be the best therapy for planned initiation of dialysis and frequent home-based hemodialysis (HD) as the best long-term therapy not only for patients with end stage kidney disease (ESKD) but also for themselves (1). A major barrier to increasing home dialysis therapies is the limited training in most US nephrology fellowship programs. Based on multiple national surveys, graduating trainees do not feel well trained and competent in either form of home dialysis (2, 3). Another survey of nephrology fellowship program directors identified lack of sufficient patients on

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