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The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
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Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
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Opportunities for Subspecialization in Nephrology.

Mala Sachdeva1, Ankur D Shah2, Harpreet K Singh3

  • 1Division of Kidney Diseases and Hypertension, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Great Neck, NY.

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|November 2, 2020
PubMed
Summary

Nephrology is expanding into new subspecialties like onconephrology and cardionephrology due to advances in cancer, cardiology, and other fields. This review covers their current state, training, and career paths.

Keywords:
CardionephrologyGlomerular diseasesObstetrics nephrologyOnconephrologyUronephrology

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Area of Science:

  • Nephrology
  • Internal Medicine
  • Medical Subspecialties

Background:

  • The field of nephrology is rapidly evolving, driven by innovations in related medical disciplines.
  • Emerging areas include cancer therapies, cardiac devices, women's health, glomerular diseases, and home dialysis.

Purpose of the Study:

  • To review the current landscape of emerging nephrology subspecialties.
  • To outline educational requirements, training opportunities, and career trajectories for these specialized fields.

Main Methods:

  • Literature review and synthesis of current practices and training paradigms.
  • Analysis of the scope and impact of novel medical advancements on nephrology.

Main Results:

  • Identified key subspecialties: onconephrology, cardionephrology, obstetric nephrology, uronephrology, glomerular disease specialization, and home-based dialysis.
  • Detailed the educational content, training duration, and available opportunities for each subspecialty.

Conclusions:

  • The expansion of nephrology necessitates specialized training pathways to address complex patient needs.
  • These emerging subspecialties offer promising career avenues for nephrologists equipped with specialized knowledge.