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Palliative Care in Nephrology: The Work and the Workforce
Samantha L Gelfand1, Jane Schell2, Nwamaka D Eneanya3
1Division of Palliative Care & Geriatric Medicine, Massachusetts General Hospital, Boston, MA; Department of Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute, Boston, MA; Harvard Medical School, Boston, MA.
Advances in Chronic Kidney Disease
|November 2, 2020
Summary
Kidney palliative care is crucial for advanced kidney disease patients facing significant symptoms and limited life expectancy. Enhancing nephrologist training in palliative care is vital to meet these complex patient needs.
Area of Science:
- Nephrology
- Palliative Care
- Medical Education
Background:
- Kidney palliative care is an expanding field within nephrology.
- It addresses the needs of patients with advanced kidney disease, characterized by high symptom burden, complex communication requirements, and short life expectancies.
- Current training pathways for nephrologists in palliative care are varied but often insufficient.
Purpose of the Study:
- To explore the current landscape of kidney palliative care training for nephrologists.
- To identify opportunities and challenges in developing a workforce skilled in palliative care for advanced kidney disease patients.
Main Methods:
- Review of existing training models in nephrology and palliative care.
- Discussion of workforce development strategies.
Main Results:
- Training options include integrated curricula in nephrology fellowships and dedicated palliative care fellowships.
- A small proportion of nephrologists currently complete formal palliative care fellowship training.
- Significant opportunities exist to expand and improve palliative care education within nephrology.
Conclusions:
- There is a need to increase the number of nephrologists trained in palliative care.
- Addressing workforce challenges is essential to improve care for patients with advanced kidney disease.
- Further development of educational programs is required to meet the palliative needs of this population.
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