The work lives of most pediatric nephrologists differ significantly from those of our internal medicine colleagues in all aspects of the career pathway. Changing patient and trainee demographics and expectations have spurred a renewed interest in evaluation of our current training processes with an eye toward the future.
Pediatric nephrology patient volumes are increasing. Improved survival of children with a wide variety of congenital or acquired diseases that were routinely fatal in the past is contributing to a higher number of patients with CKD associated with other complex medical needs. At the other end of the spectrum, the nation’s obesity crisis is dramatically increasing the incidence of hypertension in the pediatric age range. And many general practice pediatricians have less time to manage children with chronic disease of any form, driving larger numbers of patients with relatively mild disease into ongoing follow-up with pediatric specialists.