Table 2.

University of Alabama at Birmingham Nephrology Fellowship home dialysis curriculum

Home Dialysis Curriculum
Objectives: First year of training	Objectives: Second year of training
Understand home dialysis prescription	Training patients on home dialysis
Introduction to urgent start PD	Independently prescribing PD and HHD
Manage PD patients undergoing abdominal surgery	Access evaluation in PD and HHD
Importance of residual renal function	Independently manage complications
Management of complications	Understand social aspects of home modalities
Peritonitis	Learn team-based approach
Catheter-related infections	Understand the role of medical director
Catheter dysfunction
Structured learning
1–2 mo rotations in both years of fellowship
Twice weekly clinics while on rotation; evaluate 6–8 patients a day
Participate in a home visit with the nurse
Coordinate patient care using access coordinators, dietician, social worker with dialysis attendings
Annual Home Dialysis Academy, one-on-one teaching, and independent reading
Active participation in monthly multidisciplinary quality meeting
Competency milestones
Patient care: independent assessment and management of home dialysis patients
Medical knowledge: develop a knowledge base of HHD and PD pathophysiology and prescription management, and formulate treatment strategies in challenging situations
Problem-based learning and improvement: integrate evidence-based medicine in evaluation and management of patient problems
Interpersonal and communication skills: work as a part of the dialysis team, understand role of medical director, including quality and safety
Problem-based practice: effectively use team-based resources to accomplish patient-centered care in an effective manner

PD, peritoneal dialysis; HHD, home hemodialysis.