Abstract: SA-PO920

Improvement in Self-Perceived Clinical Competence among Indiana University Nephrology Fellows after Intersession

Session Information

  • Educational Research
    November 04, 2017 | Location: Hall H, Morial Convention Center
    Abstract Time: 10:00 AM - 10:00 AM

Category: Nephrology Education

  • 1301 Educational Research

Authors

  • Hallab, Ayman, Indiana University School of Medicine, Indianapolis, Indiana, United States
  • Eadon, Michael T., Indiana University School of Medicine, Indianapolis, Indiana, United States
  • Moorthi, Ranjani N., Indiana University School of Medicine, Indianapolis, Indiana, United States
  • Decker, Brian S., Indiana University School of Medicine, Indianapolis, Indiana, United States
Background

The first year of Nephrology fellowship training is a clinically intensive experience in the USA. Our Nephrology fellowship program introduced an Intersession for first-year fellows during the academic year 2016-2017. We hypothesized that an intersession will improve fellows’ self-perceived competence in core nephrology disciplines.

Methods

A 2-week intersession included hands-on training in home hemodialysis, peritoneal dialysis, and temporary catheter placement. Instruction in acute kidney injury management, hypo/hypernatremia, acid-base disorders and resistant hypertension was conducted via didactics, independent readings, and case-based discussions. Small-group workshops emphasized consultant professionalism. Fellows were exempt from clinical duties with the exception of their once weekly continuity clinic. An anonymous survey of 8 questions was conducted before and two weeks after the intersession to rate self-perceived competence. A scale of 1 to 5 was used to assess self-competence.

Results

All five first-year fellows participated in the Intersession. Five pre-surveys and 4 post-surveys were collected. One pre-survey was not adequately filled and excluded from the analysis. The average competence pre- and post-intersessions are shown in table 1. There was an increase in competence in AKI, acid-base, hypertension, and home hemodialysis management (p<0.05 for all). There was an increase in overall competence (p<0.05).

Conclusion

An intersession for first-year nephrology fellows significantly improves self-reported competence. It is expected that intersessions will be continued in the following years in the Nephrology fellowship program and longer term outcomes will be available.

Table 1- Self-reported competence pre- and post-intersession
 PrePostp-value
Acute Kidney Injury3.254.330.045
Hypo/hypernatremia3.253.750.390
Acid-base disorders2.753.750.030
Temporary catheter insertion3.504.500.356
Hypertension2.504.250.004
Home hemodialysis1.753.000.002
Peritoneal Dialysis2.753.250.207
Consultant Professionalism4.254.750.207
Overall Competency3.003.950.010