PGY4/5 Adult Nephrology Residency Training Program
CONSULT SERVICE
Rotation-Specific Training Objectives
Overview
During this rotation, trainees must couple their medical knowledge of renal diseases
with their clinical skills to show their overall competency as a consulting
nephrologist. Trainees will be exposed to a wide variety of renal disorders on a highly
rated nephrology consultation service. Trainees will learn how to be an effective
teacher on a nephrology consultation service.
Trainees will also improve their confidence as a clinical teacher and team leader of
residents and be shown practical teaching tips to enhance their teaching
effectiveness.
Trainees must show an acceptable level of proficiency in the following
areas: acute kidney injury and intensive care unit nephrology; chronic kidney
disease and acute on chronic kidney disease; management of patients with endstage renal disease and concurrent medical issues; acid-base disorders, fluid and
electrolyte disorders and disorders of divalent cation and mineral metabolism;
glomerular diseases, diabetic nephropathy and tubulointerstitial disease; cystic and
inherited diseases of the kidney; urinary tract infection and post-obstructive renal
disease; hypertension; renal disease in pregnancy; renal function and renal biopsy
interpretation; and pharmacology of drugs in renal disease.
At the end of this rotation, the trainee will be able to:
Medical Expert

Complete accurate and well-organized history and physical examinations
and recognize all major significant findings.

Assimilate all pertinent information to arrive at complete and accurate
clinical decisions; order the appropriate investigations and develop an
appropriate therapeutic plan that reflects current standards of practice.

Recognize and manage emergency conditions, including need for acute
dialysis, resulting in prompt and appropriate treatment.

Demonstrate the basic scientific and clinical knowledge relevant to issues
seen on a nephrology consult service and generally relate it appropriately
to patient care.

Integrate the management of nephrology issues into the care of patients
with complex multi-system diseases.
Communicator

Rev07.21.15
Exhibit effective and timely verbal and written communication skills,
including: communicating with patients and families, verbal presentation
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PGY4/5 Adult Nephrology Residency Training Program
of consultations, documentation and consult letters, and use of EMR
systems.
Collaborator

Independently consult with the appropriate health care professionals.

Create management plans that reflect recognition of the value of other
health care professionals.

Effectively coordinate comprehensive or complex patient care with the
referring physician, family physician and other consultants
Leader

Effectively lead or contribute to the health care team; delegate and
distribute tasks fairly; use time wisely.

Make cost effective use of health care resources based on sound
judgment, balancing resources to maximize benefits to all patients,
including managing waiting lists.

Set agenda and provide structure to team meetings. Take on extra tasks if
necessary.
Health Advocate

Demonstrate awareness of the costs of tests and demonstrate sensitivity
to inconvenience and discomfort to patient.
Scholar

Maintain and enhance professional activities through ongoing learning.
Critically evaluate medical information and its sources, and apply this
appropriately to practice domains.
Professional

Demonstrates professional behaviour, including timeliness, honesty,
compassion and reliability.
Consult Service Curriculum
Please see Appendix A for a comprehensive rotation curriculum
Reviewed & approved by RPC
Date
Rev07.21.15
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