Nephrology

doi: 10.1111/nep.13897pmid: N/A

McIsaac, Mark; Chan, Christopher T.; Auguste, Bourne L.

doi: 10.1111/nep.14040pmid: 35315965

Patients have varied learning styles and this has implications for home haemodialysis (HHD). Assessment tools directed toward understanding these styles remains understudied. As a consequence, this may lead to substandard retention rates or adverse events in HHD programs. As part of a continuous quality improvement initiative we have aimed to improve our understanding of patient learning styles and consequently tailor home dialysis training to individuals. To objectively determine knowledge translation and comprehension, irrespective of learning styles, we have introduced an objective structured clinical examination (OSCE). This assessment tool allows for further refinement of educational priorities by highlighting both deficiencies and strengths. Thereafter, an exit OSCE ensures patients attain an acceptable standard to complete home haemodialysis independently. We hope this tool will help shape future training criteria for HHD programs and consequently reduce adverse event rates.

Tan, Jackson; Liew, Adrian; Koh, David

doi: 10.1111/nep.14070pmid: 35661340

Tsuji, Kenji; Kitamura, Shinji; Uchida, Haruhito A.; Wada, Jun

doi: 10.1111/nep.14079pmid: 35762140

Real‐time ultrasound‐guided renal biopsy is generally applied to diagnose multiple kidney diseases. A practical simulation model is desired since it is an invasive technique with higher risks of complications such as bleeding. We developed a simple simulation tool for ultrasound‐guided renal biopsy using boiled eggs. Boiled chicken eggs were embedded in the agar, and a biopsy simulation was performed using a real‐time ultrasound‐guided technique as the renal biopsy simulator by trainees and biopsy‐proficient nephrologists, and the feedback from the participants was obtained. The ultrasonographic evaluation revealed a clear contrast between egg yolk and white, which clearly mimicked the kidney cortex and medulla region. In addition, we observed the needle entering the egg white under needle penetration, and we obtained the biopsy core consisting of egg white. As for the simulations, all the participants succeeded in obtaining the appropriate samples. A total of 92% of the trainees agreed that the simulation could reduce their fears of performing renal biopsies in patients. In addition, all the trainees and biopsy‐proficient nephrologists recommend using the simulator for trainees before conducting renal biopsies on patients. The total cost of the simulator was low (<USD 1/simulator). Collectively, our simulation tool using boiled eggs may be a good candidate for practical simulation models of renal biopsy.

Sharma, Sonia; Kalra, Suprita; Shukla, Shubham; Sharma, Peeyush

doi: 10.1111/nep.14067pmid: 35619554

Hashimoto, Yusaku; Kato, Sawako; Kuro‐o, Makoto; Miura, Yutaka; Itano, Yuya; Ando, Masahiko; Kuwatsuka, Yachiyo; Maruyama, Shoichi

doi: 10.1111/nep.14081pmid: 35749253

Barraclough, Katherine A.; Metz, David; Staatz, Christine E.; Gorham, Gillian; Carroll, Robert; Majoni, Sandawana William; Cherian, Sajiv; Swaminathan, Ramyasuda; Holford, Nick

doi: 10.1111/nep.14080pmid: 35727904

Tang, Arthur H. C.; Li, Victor; Tang, Sydney C. W.

doi: 10.1111/nep.14050pmid: 35577346

Cohen, Adrienne; Chacko, Bobby

doi: 10.1111/nep.14078pmid: 35746864