Should Transplant Nephrology Pursue Recognition from the Accreditation Council for Graduate Medical Education (ACGME)?

Autor:	Singh N; John C. McDonald Transplant Center, Willis-Knighton Health System, Shreveport, Louisiana., Anand PM; Division of Nephrology, Department of Medicine, Lancaster Medical Center, Medical University of South Carolina, Lancaster, South Carolina., Gupta G; Division of Nephrology, Department of Medicine, Virginia Commonwealth University, Richmond, Virginia., Sawinski D; Division of Nephrology, Department of Medicine, Weill Cornell Medical College/New York-Presbyterian Hospital, New York, New York., Fix O; Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina, Chapel Hill, North Carolina., Adey D; Division of Nephrology, Department of Medicine, University of California San Francisco, San Francisco, California., Akalin E; Division of Nephrology, Department of Medicine, Montefiore Medical Center, Bronx, New York., Zayas C; Division of Nephrology, Department of Medicine, University of South Carolina, Greenville, South Carolina., Dadhania D; Division of Nephrology, Department of Medicine, Weill Cornell Medical College/New York-Presbyterian Hospital, New York, New York., Doshi M; Division of Nephrology, Department of Medicine, University of Michigan, Ann Arbor, Michigan., Cibrik D; Division of Nephrology, Department of Medicine, University of Kansas, Kansas City, Kansas., Gupta M; Division of Nephrology, Department of Medicine, University of Kansas, Kansas City, Kansas., Parsons R; Division of Transplantation, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia., Leca N; Division of Nephrology, Department of Medicine, University of Washington, Seattle, Washington., Santos RD; Division of Nephrology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri., Concepcion BP; Division of Nephrology, Department of Medicine, University of Chicago Medicine, Chicago, Illinois., Nishio Lucar AG; Division of Nephrology, Department of Medicine, University of Virginia, Charlottesville, Virginia., Ong S; Division of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama., Sridhar VS; Division of Nephrology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada., Parajuli S; Division of Nephrology, Department of Medicine, University of Wisconsin, Madison, Wisconsin., Zachariah M; Division of Nephrology, Department of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas., Mehta S; Division of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama., Soliman K; Division of Nephrology, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina.; Medical Services, Ralph H. Johnson VA Medical Center, Charleston, South Carolina., Shawar S; Division of Nephrology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee., Husain SA; Division of Nephrology, Department of Medicine, Columbia University, New York, New York., Preczewski L; Miami Transplant Institute, Miami, Florida., Friedewald J; Division of Nephrology, Department of Medicine, Northwestern University, Chicago, Illinois., Mohan S; Division of Nephrology, Department of Medicine, Columbia University, New York, New York., Wiseman A; Centura Transplant Institute, Denver, Colorado., Samaniego M; Division of Nephrology, Department of Medicine, Henry Ford Health System, Detroit, Michigan., Kumar V; Division of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama., Tanriover B; Division of Nephrology, Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson, Arizona., Bloom R; Division of Nephrology, Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Jazyk:	angličtina
Zdroj:	Clinical journal of the American Society of Nephrology : CJASN [Clin J Am Soc Nephrol] 2024 Aug 01; Vol. 19 (8), pp. 1051-1060. Date of Electronic Publication: 2024 Feb 06.
DOI:	10.2215/CJN.0000000000000441
Abstrakt:	Kidney transplant is not only the best treatment for patients with advanced kidney disease but it also reduces health care expenditure. The management of transplant patients is complex as they require special care by transplant nephrologists who have expertise in assessing transplant candidates, understand immunology and organ rejection, have familiarity with perioperative complications, and have the ability to manage the long-term effects of chronic immunosuppression. This skill set at the intersection of multiple disciplines necessitates additional training in Transplant Nephrology. Currently, there are more than 250,000 patients with a functioning kidney allograft and over 100,000 waitlisted patients awaiting kidney transplant, with a burgeoning number added to the kidney transplant wait list every year. In 2022, more than 40,000 patients were added to the kidney wait list and more than 25,000 received a kidney transplant. The Advancing American Kidney Health Initiative, passed in 2019, is aiming to double the number of kidney transplants by 2030 creating a need for additional transplant nephrologists to help care for them. Over the past decade, there has been a decline in the Nephrology-as well Transplant Nephrology-workforce due to a multitude of reasons. The American Society of Transplantation Kidney Pancreas Community of Practice created a workgroup to discuss the Transplant Nephrology workforce shortage. In this article, we discuss the scope of the problem and how the Accreditation Council for Graduate Medical Education recognition of Transplant Nephrology Fellowship could at least partly mitigate the Transplant Nephrology work force crisis. (Copyright © 2024 by the American Society of Nephrology.)
Databáze:	MEDLINE
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