Once again, Kidney News brings together two outstanding clinicians, scientists, teachers, and leaders in nephrology and medicine in a “Distinguished Conversation.” Each has transformed the practice of nephrology with excellent examples of bed-to-bench problem-solving, bringing innovative care back to their own as well as to our patients.

Recertification is a significant and evolving issue for practicing nephrologists. In response to physician complaints, the American Board of Internal Medicine (ABIM) has proposed a number of recent modifications to its Maintenance of Certification (MOC) program.

Wildly waving a stack of paper records, budding nephrologist L.O. Henle and medical student Ms. Curious Tubule run down the hall toward Detective Nephron’s office.

Henle (with a smile): A case, a case!

The detective sits facing the window. He is silent for a moment, then quickly turns around.

We are all aware that the landscape for the practice of medicine in the United States is rapidly changing. For Nephrology in particular, how we practice currently will be very different from practice patterns 20, 10, or even 5 years from now. Three recent developments may have significant effects upon the practice of Nephrology:

The ongoing debate about maintenance of certification (MOC) among internists, nephrologists, and other subspecialists continued unabated after the American Board of Internal Medicine (ABIM) announced on May 5, 2016, that it would provide more details about the changes it is considering to its MOC program or “alternative assessment options” by the end of the year.

What is a glomerulus, and what does it do?