Dialysis Fellowship - Curriculum

Objectives

  • To improve advanced research in the field of dialysis.
  • To provide practical experience in the interpretation and implementation of the regulatory issues and roles and obligations of a medical director of a dialysis unit.
  • To provide advanced educational opportunities in clinical research methods.
  • To provide advanced training in dialysis technologies to encourage innovation and improvement in patient care.
  • To provide the professional training necessary to excel as a clinician educator in an academic position.
  • To provide teaching methods necessary to improve essential educational skills.
  • To provide exposure to placement of both vascular and peritoneal access.
  • The program is expected to raise the level of technical expertise in the field of dialysis, along with generating innovative research advances in the field. It is our hope that fellows will disseminate novel approaches to the care of dialysis patients, and become leaders in academic, clinical and administrative fields.

Training

  • Rounding on dialysis patients with the teachers/mentors
  • Caring for both acute and chronic dialysis patients
  • Following dialysis patients in clinic (at least 15 hemodialysis, both center and home, and 5 peritoneal dialysis patients, for a minimum of 6 months)
  • Getting advanced training in all dialysis techniques incuding hemofiltration, hemodialfilatration, SLED, and all forms of home dialysis techniques and technologies
  • Attending all relevent patient care and dialysis unit meetings
  • Selecting and undertaking a research topic and having the fellow's work approved by an appropriate thesis committee

Meetings/Committees

  • Northwest Kidney Center Medical Staff meetings
  • Northwest Kidney Center Medical Staff Executive Committee meetings
  • Northwest Kidney Center Medical Directors meetings
  • Northwest Kidney Center Peritonitis CQI Committee meetings
  • Scribner Kidney Center Long Term Care Plan meetings
  • Scribner Kidney Center Research meetings
  • University of Washington Vascular Access Committee

Research Topics

  • Liver dialysis: involved in the design and initial testing of a new system for albumin based liver dailysis (thesis project of former dialysis fellow).
  • Hemodiafiltration: involved in the design and early testing of a novel hemodiafiltration system to be used with slow low-efficiency dialysis (SLED).
  • Hemofiltration in patients post out-of-hopstial cardiac arrest and in trauma patients: involved in early study design to look at outcomes in trauma patients, and those with out-of-hospital cardiac arrest, when treated with high-volume hemofiltration.
  • Nicotinic Acid for phosphate binding.
  • Variable dialysate dextrose concentrations affect on glycemic control in diabetic ESRD patients.
  • Intra-operative dialysis with citrate dialysate during orthotopic liver transplant.
  • Slow Low Efficiency Dialysis Data Repository.
  • EVOLVE study, Evaluating Cinaclcet HCL Therapy in Lowering Cardiovascular Events.
  • ENCYSIVE study, A Phase 2, Multi-Center, Randomized, Double-blind, Placebo-Controlled Dose Ranging Study of TBC3711 in Subject with Resistant Hypertension.
  • TROPICS study, Study of Tenecteplase for Restoration of Function in Dysfunctional HD Catheters.

Conferences

  • American Society of Nephrology Annual Convention, including "Maintenance Dialysis" pre-course. San Francisco, Califronia (2007).
  • Peritoneal Dialysis University. Nashville, Tennessee. Annual
  • European Dialysis And Transplant Association Annual Congress. Stockholm, Sweden (2008).