Table 4.

Comparison of the eight roles of the nephrologists as educator

	Inpatient Medicine Attending	Renal Inpatient Consult Attending	ESRD Inpatient Service Attending	Outpatient Nephrology Clinic Attending	Transplant Attending	Outpatient ESRD unit Attending	Classroom Teacher	Research Mentor
Location	Hospital	Hospital	Hospital	Clinic	Hospital and clinic	Dialysis unit (ambulatory)	Hospital, medical school	Laboratory, office
Patient care	General medicine patients with nephrology-related problems and illnesses	Nephrology consultation requested for hospitalized patients	Hospitalized patients with ESRD (during dialysis); other medical issues related to kidney disease	Nephrology consultation is requested; established chronic renal disease diagnosis	Pre- and postrenal transplant including new transplant and complications	ESRD for chronic dialysis care (in center, hemodialysis, peritoneal dialysis, home hemodialysis)	NA	NA
Teaching setting	Bedside, Conference room	Bedside, conference room	Bedside, dialysis chair/bed, conference room	Examination room, Staff room	Bedside, examination room, conference room	Dialysis chair, team huddle, conference room	Classroom, lecture hall, grand rounds	Laboratory, office
Learners involved, typical rotation length
Third-year student	4–6 wk block	2–4 wk elective	Not standard but may be part of renal elective	2–4 wk elective	Not standard but available as an elective	Not standard but may be part of renal elective	Entire year	Entire year
Fourth-year student		2–4 wk elective	Not standard but may be part of renal elective	2–4 wk elective	Not standard but available as an elective	Not standard but may be part of renal elective	Entire year	Entire year
PGY 1 resident	2–4 wk block	2–4 wk elective	Not standard but may be part of renal elective	2–4 wk elective	Not standard but may be part of renal elective	Not standard but may be part of renal elective	Variable	Variable
PGY 2 and 3 resident	2–4 wk block	4 wk elective	Not standard but may be part of renal elective	2–4 wk elective	Not standard but may be part of renal elective	Not standard but may be part of renal elective	Variable	Variable
First-year fellow	NA	4 wk	4 wk	Continuity clinic	4–8 wk	4 wk	Entire year	Variable
Second-year fellow	2–4 wk block (some centers)	4 wk	4 wk	Continuity clinic	4–8 wk	4 wk	Entire year	Variable
Others involved during teaching
Primary nurse	Yes	Sometimes	Yes	No	Yes	Yes	NA	NA
NP or PA	Yes	Yes	Yes	Yes	Yes	Yes	NA	NA
Social worker	Yes	Yes	Yes	Yes	Yes	Yes	NA	NA
Pharmacist	Yes	Yes	Sometimes	Sometimes	Yes	Sometimes	NA	NA
Nutritionist	Yes	Sometimes	Yes	Sometimes	Yes	Yes	NA	NA

PGY, postgraduate; NA, not applicable; NP, nurse practitioner; PA, physician assistant.