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Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

40
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
40
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

70
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...
70
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

53
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
53
Healthcare Agencies II01:17

Healthcare Agencies II

736
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
736
Renal Failure: Dose Adjustments01:11

Renal Failure: Dose Adjustments

140
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
140
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

132
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
132

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Related Experiment Video

Updated: Aug 24, 2025

Hydrodynamic Renal Pelvis Injection for Non-viral Expression of Proteins in the Kidney
08:26

Hydrodynamic Renal Pelvis Injection for Non-viral Expression of Proteins in the Kidney

Published on: January 8, 2018

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Nephrology Program Director Protected Time for Program Administration in the United States.

Christina M Yuan1, Brian Y Young2, Maura A Watson1

  • 1Nephrology Service, Department of Medicine, Walter Reed National Military Medical Center, Bethesda, Maryland.

Clinical Journal of the American Society of Nephrology : CJASN
|October 26, 2022
PubMed
Summary
This summary is machine-generated.

Nephrology program directors receive less protected time than needed for effective administration. Many directors spend over 20 hours weekly on patient care, impacting program oversight and faculty support.

Keywords:
didactic teachingfellowship programnephrologyprogram administrationprogram directorprotected time

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Area of Science:

  • Medical Education
  • Nephrology Fellowship Programs
  • Graduate Medical Education Administration

Background:

  • Accreditation Council for Graduate Medical Education (ACGME) mandates protected time for program directors.
  • Recent ACGME changes reduced required protected time for internal medicine subspecialties based on program size.
  • The majority of nephrology programs now fall under a reduced 8-hour weekly protected time requirement.

Purpose of the Study:

  • To assess the protected time received by US adult nephrology program directors.
  • To determine program directors' perceptions of necessary protected time for effective administration.
  • To analyze the division of professional time among nephrology program directors.

Main Methods:

  • An anonymous online survey was distributed to all 151 US adult nephrology program directors.
  • The survey included 20 questions regarding protected time, perceived needs, and time allocation.
  • Descriptive analysis was used to interpret the collected data from the 2021-2022 academic year.

Main Results:

  • A 66% response rate was achieved, with survey data representative of national program demographics.
  • Median protected time received was 10 hours/week, with programs having fewer than seven fellows receiving 8 hours/week.
  • Program directors estimated a need for 12 hours/week, indicating a shortfall of 5 hours/week, with 62% working over 20 hours in direct patient care.

Conclusions:

  • Nearly half of surveyed nephrology programs did not meet the ACGME's 10-hour minimum protected time.
  • Nephrology program directors require a median of 12 hours/week for optimal program management.
  • The study highlights a discrepancy between ACGME requirements and the practical needs of program directors.