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Kidney involvement is a major complication of anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), manifesting clinically as rapid decline in glomerular filtration rate and histologically by Pauci-immune crescentic (
Cellular crescents
Glomerular fibrinoid necrosis at Jones methenamine silver (JMS) staining
The past year has been an arduous one. Amid the pandemic, we swiftly evolved in delivering our primary mission: patient care and education. The need for physical distancing did not culminate into any separation of trainees from education, with the majority of trainees agreeing that the educational endeavors of their programs were unaffected as a result of the pandemic (
SARS-CoV-2 infection, the causative agent of coronavirus disease 2019 (COVID-19), was declared a pandemic on March 11, 2020, with more than 1.4 million people afflicted by April 8, 2020, and more than 80,000 deaths (
For many years to come, just thinking of the year 2020 will put most of us into sympathetic overdrive. Coronavirus infectious disease 2019 (COVID-19) has dominated every part of our practice and continues to do so as we enter 2021. But if we track the arc of time, each tumultuous period has also spurred strides of innovation. Despite the odds, we have witnessed and continue to look forward to new landmark trials in nephrology that will have a lasting impact on our clinical practice. As our foray into the inaugural Fellows First column, we recap highlights of 2020 and anticipate
Medical education, like medicine itself, has evolved over time—from the days of professional guilds and apprenticeships to the establishment of structured postgraduate residency training to duty-hours’ restrictions, changes in licensing exams, and the growth of innovative educational resources (
In a field like medicine, interwoven as it is with the science and humanity of
COVID-19 has necessitated a transformation in how medical education is delivered to trainees, presenting new opportunities, but also concerns for the adequacy of ongoing instruction. Education during the pandemic must “balance education with safety,” state Sam Kant, MD, and C. John Sperati, MD, in a Perspective to appear in the June Kidney News. Here, we look at four areas that require the attention of educators and fellows in caring for patients with COVID-19. Sam Kant, MD, is a nephrology fellow at Johns Hopkins Hospital. C. John Sperati, MD, MHS, is associate professor of medicine and fellowship program director at Johns Hopkins Hospital.
