Topics list
Essential Renal Anatomy and Physiology Dr Zohair
Investigation of Renal Disease Dr Zohair
Fluid and Electrolyte Disorders Dr Haq Nawaz
Glomerular Disease Dr Taimoor
Diabetic Kidney Disease Dr Awais
Hypertension and Renovascular Disease Dr Hammad
Pregnancy and Renal Disease Dr Nabeel
Hereditary and Congenital Diseases of the Kidney Dr Aroona
Infectious Diseases and the Kidney Dr Ifra
Urologic Disorders Dr Nabila
Tubulointerstitial and Vascular Diseases Dr Abira
Renal Disease and Cancer Dr jamshaid
Acute Kidney Injury Dr Tehreem
Drug Therapy in Kidney Disease Dr Nabila
Chronic Kidney Disease and the Uremic Syndrome Dr Husnain
Geriatric Dr Abira
and Palliative Nephrology
Dialytic Therapies Dr Jamshaid Iqbal
GERIATRIC NEPHOLOGY.
Educational Purpose:
To give residents formal instruction, clinical experience, and the opportunity to evaluate and manage renal diseases in geriatric population.
General objectives of Nephrology course:
The resident should develop following competencies after completing this course.
1. Have thorough understanding of age related structural changes in glomeruli, tubules, interstitium and vessels.
2. The resident should have understanding of aging associated functional changes in GFR and renal plasma flow.
3. Should be able to know how to evaluate kidney function in elderly people.
4. Should possess knowledge of various risk factors for development of chronic kidney disease in elderly.
5. Should possess knowledge about fluid and electrolytes in elderly people.
6. Should be able to understand different clinical manifestations of kidney disease in elderly patients.
7. Should have knowledge of increased toxicity and drug dosage in elderly population.
Contents of required knowledge:
Normal renal physiology in elderly patients.
Clinical Manifestations of different renal diseases in elderly population.
Normal fluid and electrolytes in elderly patients.
Evaluation of renal functions in elderly population.
Procedure Skills
Temporary Double Lumen Placement
Tunneled catheter placement
Kidney Biopsy.
Ordering and Understanding Tests
Urine R/E
24 hours urine proteins
2D Echo
Usg KUB
Serum electrolytes.
ATTRIBUTES REQUIRED
System based learning Professionalism Interpersonal Communication Practice Based Evaluation of
Skills Learning & Medical Knowledge
Improvement
Residents should gain insight into Development of ethical Residents should be able to decide Use feedback and Answer specific
and appreciation of the psychosocial behavior and humanistic when to call specialist for evaluation
self- evaluation to questions and to
effects of disease on the patient. qualities of respect, and management on a patient with a improve performance participate in didactic
Residents should enhance their compassion, integrity, and renal disease in pregnancy. sessions
utilization of communication with honesty. Read the required
many health services and Residents should be able to clearly material from Properly present
professionals such as nutritionists, Willing to acknowledge present the problem to the consultant textbook, journals assigned topics (these
nurse clinicians, physician assistants, errors and determine how and ask a precise question to the and handouts will be examined for
social workers, physical therapist, to prevent them in the consultant. completeness, accuracy,
urologist, vascular surgeon and future. Use medical organization and
radiologist. Responsibility and Residents should continue to develop literature search tools resident’s understanding
reliability at all times. their ethical behavior and the at the library and of the subject).
Residents should learn the humanistic qualities of respect, through On-line to
importance of preventive medicine Consideration of needs compassion, empathy, and rapport find appropriate Apply the learned
in routine health care and specifically from patients, families, with patients and family to promote articles that apply to information on patients
in the area of kidney diseases in colleagues and support the patient’s welfare. interesting cases. care setting.
pregnancy. staff.
Residents should provide effective Give more than their
Residents should be knowledgeable Professional appearance at education and counseling to patients. share and demonstrate
on the use of cost-effective all times. interest, and enthusiasm
medicine. Residents must write organized and in learning.
legible notes.
Residents will assist in development Residents must communicate to the
of systems of improvements to staff in a timely fashion any problem or
correct identified problems. conflict that arouse during interaction
with the patients.
Teaching Strategies:
Residents will evaluate outpatients and discuss findings with Nephrology Consultants. Residents must complete a thorough progress note on every outpatient
and this must be countersigned by the Nephrology faculty or professor in-charge.
Residents will provide indigent care and will examine patients referred to Nephrology from other departments. This will allow the residents to see a wide
variety of patients from various ages, social economic, educational, and cultural backgrounds.
Residents will see the inpatient consults, and gather information from chart, radiology, and laboratory reports. Residents then will discuss all this information
with Nephrology Consultants as part of the bedside teaching round.
Residents will follow their assigned admitted patients as their own until patients are discharged.
Didactic lectures
Case based learning
Problem based learning
Interactive seminars
Small group discussion
Clinico- pathological conference
Nephrology Grand Round given by visiting professors.
Short presentation by the residents on one general Nephrology topic per week.
Follow up clinics
Other responsibilities include providing continuity of care for Nephrology clinic patients seen by prior clinic residents. This consists of returning phone calls
and reviewing patient lab work. Any questions concerning this care will be discussed with the Nephrology staff.
Assessment:
OSCE
MCQs
SEQs
Long case
Short case
Evaluation/Feedback:
A. Residents Evaluation:
360-degree evaluation to judge the professionalism and ethics
The faculty will fill out the standard Evaluation Form using the criteria for evaluations to grade the
residents’ performance in required competencies.
B. Program Evaluation: The residents will fill out an evaluation of the Nephrology rotation at the end of the month. This will include constructive
criticism for improvement; or suggestions to further enhance training.
Suggested readings:
1. [Link]
2. Comprehensive Text Book of Nephrology
3.
