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Thursday, 10 August 2017 09:05

Lessons in interventional nephrology

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Through bespoke courses, we are continuously building the capacity of healthcare professionals globally. We interviewed former Chair of the Interventional Nephrology Committee Miguel Riella to hear about the growing importance of strengthening interventional nephrology techniques across our community.

 Why is interventional nephrology training important?

MR: Nephrologists are now consultants and no longer perform procedures like placing central venous lines and peritoneal catheters. Most of them lack training in these areas. To perform kidney biopsies better, there is a need for training in ultrasound image or fluoroscopy. Maintenance hemodialysis is dominated by dialysis chains and in many centers, even acute dialysis is performed by intensivists. These facts reflect on the low income of nephrologists. Most of our young nephrologists in Brazil work in Intensive Care Units as intensivists.

How does ISN training stand out in this field?

MR: Very early on, ISN perceived the important role interventional nephrology plays within nephrology training. The American Society of Diagnostic and Interventional Nephrology was established in 2000, and in 2004 the ISN Executive Committee approved the Interventional Nephrology Committee which has since, at each World Congress of Nephrology (WCN), held a course with hands-on sessions. ISN is the only international scientific organization that has addressed this topic in a regular and continuous way.

What was the biggest achievement of the course at WCN 2017?

MR: The success of these ISN courses can be measured by the number of attendees, the diversity of countries they represent and the feedback we have had on site as well as later through email feedback from training centers.

MR: In general, we had 20 participants, learning about the peritoneal dialysis, central venous lines, angioplasty of AVF and ultrasonography, with two stations for hands-on training per module. This time around, we allowed more participants to try the procedure and had new training tools that truly improved the training possibilities.

What is coming up next for this committee?

MR: ISN’s idea of establishing Interventional Nephrology Training Centers located in South Korea, Kenya and Brazil will allow easier access and more opportunities for young nephrologists around the world.

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