Table 1.

Major issues and needs confronting nephrology

Define the scope of practice of nephrology
 Assess the contribution of the nephrologist to clinical care
 Identify core skills necessary for all nephrologists
Right size the workforce
 Estimate workforce needs given the current workforce, future practice patterns, and available employment opportunities
 Align the number of training programs and positions with those needs and the available fellowship applicant pool
Enhance training standards
 Develop clear and specific training standards through collaborative efforts of the new ABIM Nephrology Subspecialty Board, ASN, and ACGME
 Develop methods to ensure that faculty meet enhanced educational demands
 Develop methods to ensure that faculty can rigorously assess trainees through new training standards (e.g., milestones)
 Establish training program oversight to complement existing ACGME program reviews
Own our field—scholarship is essential
 Ensure that nephrologists remain thought leaders in areas such as AKI and critical care nephrology, GN, acid–base disorders, electrolyte disorders, kidney stones, complex hypertension, etc.
 Incorporate scholarship by both faculty and trainees into all aspects of training
 Provide examples of scholarship opportunities to enhance the fellowship experience
 Increase research funding opportunities for international medical graduates
 Prepare trainees to understand and implement advances in biomedical research in nephrology
  • ABIM, American Board of Internal Medicine; ASN, American Society of Nephrology; ACGME, Accreditation Council for Graduate Medical Education.