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Am J Kidney Dis. 2017 Sep;70(3):415-421. doi: 10.1053/j.ajkd.2017.03.022. Epub 2017 Jun 2.

An Interactive Ambulatory Nephrology Curriculum for Internal Medicine Interns: Design, Implementation, and Participant Feedback.

Author information

1
Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
2
Nephrology Division, University of Virginia, Charlottesville, VA.
3
Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; Geriatrics Division, University of Pennsylvania, Philadelphia, PA.
4
Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; Renal-Electrolyte and Hypertension Division, University of Pennsylvania, Philadelphia, PA.
5
Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; Renal-Electrolyte and Hypertension Division, University of Pennsylvania, Philadelphia, PA. Electronic address: jco@mail.med.upenn.edu.

Abstract

While diminishing nephrology fellow recruitment is a known issue, more work is needed to evaluate possible interventions to reverse this trend. We designed and implemented a curriculum to increase exposure to ambulatory nephrology among internal medicine interns. The curriculum focused on key aspects of outpatient nephrology practice, including supervised clinic visits, formal themed didactic content, and an online interactive forum with assigned evidence-based readings and small-group responses to relevant cases. We obtained postcourse surveys from all participating interns. Of the 43 interns who took part in the first year of the ambulatory nephrology curriculum, 100% reported a positive didactic experience and 91% reported a positive interactive online experience. 77% reported an improvement in their familiarity with clinical nephrology practice (median 2-point increase in familiarity score on a 7-point scale, P<0.001 by signed rank testing). Qualitative feedback included praise for the high-yield topics covered by the lectures and energizing teachers. In conclusion, we successfully implemented an ambulatory nephrology curriculum using a framework that integrated formal didactics, interactive online learning, and key clinical components of outpatient nephrology care. Future investigation will evaluate whether early implementation of this curriculum is associated with increased pursuit of nephrology as a career.

KEYWORDS:

Nephrology fellow recruitment; ambulatory nephrology; formal didactics; interactive online learning; internal medicine residency; medical education; medical teaching; nephrology curriculum; nephrology teaching; outpatient nephrology practice; renal medicine

PMID:
28579421
PMCID:
PMC5572309
[Available on 2018-09-01]
DOI:
10.1053/j.ajkd.2017.03.022
[Indexed for MEDLINE]
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