Abstract: SA-PO002
Survey-Based Evaluation of Home Dialysis Education During Nephrology Fellowship in United States
Session Information
- Educational Research
November 09, 2019 | Location: Exhibit Hall, Walter E. Washington Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Educational Research
- 800 Educational Research
Authors
- Gupta, Nupur, Indiana University, Indianapolis, Indiana, United States
- Taber-Hight, Elizabeth, Indiana University, Indianapolis, Indiana, United States
- Miller, Brent W., Indiana University School of Medicine, Carmel, Indiana, United States
Background
Home Dialysis seems to be an underutilized modality for many reasons, one of which includes physician unfamiliarity with the practical aspects in both Peritoneal Dialysis (PD) and Home Hemodialysis (HHD). Previous surveys have suggested suboptimal exposure and confidence amongst fellows.The goal was to identify gaps in knowledge and evaluate possible areas of improvement in Home Dialysis
Methods
A 23 question survey on education during fellowship training was developed and distributed at 3 Home Dialysis University Symposia in 2019. Survey assessed core competencies, clinical experience and overall preparedness of Home based renal therapies amongst graduating fellows.
Results
76 out of 250(30%) graduating fellows completed the survey. Nearly all the respondents (98.7%) desired more teaching focused on both Home Therapies. Assessing the core competencies of PD, majority (55.6%) of them were “somewhat confident” and 26.2 % selected “no confidence”. A larger portion of respondents (31.8%) felt “Not at all confident” regarding HHD key competencies. Most of the participants believed fewer than national average (< 10%) patient population were on Home Therapies in their Academic practice. A large number of fellows (71.7%) reported that patients followed in Home Continuity clinic were on PD but fewer on HHD. Approximately half the fellows have opportunity of continuity clinic with Faculty mentorship.
Conclusion
Nephrology fellows felt significantly more prepared for PD than HHD but moderate overall preparedness. Implementation of well-structured curriculum integrated with robust clinical experience would improve utilization of Home Therapies with preparedness of fellows.