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Nidhi Aggarwal, Harshitha Kota, Natasha N. Dave, and Ankur Shah

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