PGY4/5 Adult Nephrology Residency Training Program
Ambulatory Rotation
GN, Stones/Hypertension/Diabetes & Transplant
Rotation-Specific Training Objectives
Overview
During this rotation, the trainee must demonstrate competence in managing
problems commonly seen by nephrologists in the outpatient setting. Medical expert
knowledge must be coupled with: appropriate use of clinic time; communication with
referring physicians and consultants; and an understanding of the role of different
health care professionals in the multi-disciplinary management of patients with
complex problems.
At the end of this rotation, the trainee will be able to:
Medical Expert

Demonstrate knowledge of pathophysiology of common renal disorders seen
in the ambulatory setting (chronic kidney disease, diabetes, glomerular
disease, hypertension, stones and genetic disorders).

Complete an accurate and well-organized history-taking and physical
examination of the patient with renal disease, and recognize all major
significant findings.

Formulate an appropriate diagnosis and differential diagnosis, plan of
investigation and plan of treatment.

Identify emergency situations in the outpatient setting and suggest
appropriate management, including need for admission or close follow up.

Demonstrate proficiency in urine microscopy.

Order renal biopsy in appropriate circumstances.

Interpret results of a renal biopsy in clinical context.

Demonstrate awareness of the natural progression of common renal disorders
and the side effects of treatment.

Prioritize patients’ acuity and corresponding management appropriately.
Communicator

Establish a therapeutic relationship with patients and communicates well with
family. Provides clear and thorough explanations of diagnosis, investigation
and management in a professional manner.

Demonstrate empathy and sensitivity to racial, gender and cultural issues.

Complete clinic letters that are accurate, complete, organized and timely.

Maintain clinical notes that meet practice standards and capture the key
points of the patient care, and can adhere to departmental and CPSO
standards
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Collaborator

Communicate effectively with multidisciplinary team.

Demonstrate knowledge of and respect for the individual team members’
contributions and roles in the care of patients with ESRD/CKD.
Leader

Allocate health care resources for optimal patient care.

Set priorities and manage time to integrate practice and personal life.

Carry out appropriate clinical services in the context of limited resources,
limited expected lengths of stay, and limited time available for the resident.
Health Advocate

Demonstrate awareness of the costs of tests and demonstrate sensitivity to
inconvenience and discomfort to patient.

Intervene on behalf of patients or the community with respect to the social,
economic and biologic factors that may impact on their health
Scholar
 Develop a plan for self-improvement
 Maintain and enhance professional activities through ongoing learning.
 Critically evaluates medical information and its sources, and applies this
appropriately to practice domains.
Professional

Carry out duties in a professional manner

Demonstrate a commitment to patients and their families, as well as to their
profession and to society, through ethical practice.

Demonstrate professional behaviour including timeliness, honesty,
compassion and reliability.

Respect personal/professional boundaries with patients, residents, faculty.

Demonstrate a commitment to excellence in clinical care and personal ethical
conduct.

Exhibit proper professional behaviour, including adhering to legal and ethical
codes of practice
Ambulatory Rotation Curriculums
Please see Appendix A for a comprehensive GN rotation curriculum
Please see Appendix B for a comprehensive
Stones/Hypertension/Diabetes rotation curriculum
Please see Appendix C for a comprehensive Transplant rotation
curriculum
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Reviewed & approved by RPC
Date
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