Advancing Continuous KRT Education: Simulation and Technology-Enhanced Learning in Contemporary Practice

Area of Science:

• Critical Care Medicine
• Medical Simulation
• Nephrology Education

Background:

• Continuous renal replacement therapy (CRRT) is complex, with frequent interruptions and failures due to inconsistent training and high staff turnover.
• Existing CRRT training and competency assessments are often inadequate, creating a gap between clinical needs and educational infrastructure.
• Variability in institutional practices and mentorship hinders consistent skill development among clinicians.

Purpose of the Study:

• To review the evidence for simulation-based education strategies in CRRT training.
• To explore traditional and technology-enhanced simulation modalities for CRRT skill acquisition.
• To propose principles for integrating simulation into a layered framework to improve CRRT competency and patient safety.

Main Methods:

• Narrative review synthesizing current literature on simulation-based CRRT training.
• Analysis of traditional (low- to high-fidelity) and virtual (screen-based, VR/AR) simulation approaches.
• Examination of emerging AI-enabled simulation technologies and learning analytics.

Main Results:

• Simulation offers safe, reproducible practice for rare, critical CRRT events and decision-making.
• Technology-enhanced simulations improve accessibility, scalability, and standardization of CRRT training across diverse settings.
• AI-driven simulations show potential for dynamic scenarios, personalized feedback, and realistic patient trajectories.

Conclusions:

• Simulation-based education is a vital strategy to bridge the CRRT training gap, enhancing skills and decision-making.
• Digital innovations in simulation can augment traditional methods, improving CRRT competency, standardization, and safety.
• A layered, competency-aligned framework integrating various simulation modalities is essential for global CRRT care improvement.