PGY4/5 Adult Nephrology Residency Training Program
COMMUNITY
Rotation-Specific Training Objectives
Overview
During this rotation, trainees must demonstrate their ability to function at the level
of a consultant nephrologist in the setting of a community health centre. This entails
recognizing the similarities and differences between the structures of academic and
community health centres and adjusting one’s practices accordingly.
Areas of medical expertise include: acute kidney injury and intensive care unit
nephrology; chronic kidney disease and acute on chronic kidney disease;
management of patients with end-stage 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 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 recognizes all major significant findings.

Use all of the 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 service and generally be able to relate it
appropriately to patient care.

Integrate the management of nephrology issues into the care of patients
with complex multi-system diseases in both ambulatory and inpatient
settings.
Communicator

Establish a therapeutic relationship with patients and communicate 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.

Communicate effectively with patients and families. Use voice, body
language, translators to good effect.

Ensure written orders, progress notes and consult notes are well
organized, timely and legible. Notes meet standards and capture the key
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PGY4/5 Adult Nephrology Residency Training Program
points of the patient care, and can are consistent with departmental and
CPSO standards.
Collaborator

Demonstrate knowledge of and respect for the individual team members’
contributions and roles in the care of patients with ESRD/CKD.

Effectively communicate plans for patient care with other physicians and
health-care professionals.

Establish good relationships with peers and other health professionals.
Effectively provides and receives information.
Leader

Effectively lead or contribute to the health care team; delegate and
distribute tasks fairly.

Demonstrate knowledge of health care systems and allocations of
provincial resources.

Make cost effective use of health care resources based on sound
judgment, balancing resources to maximize benefits to all patients,
including managing waiting lists.

Demonstrate time management skills to reflect and balance priorities for
patient care, sustainable practice, and personal life.

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

Demonstrate professional behaviour including timeliness, honesty,
compassion and reliability.
Community Curriculum
Please see Appendix A for a comprehensive rotation curriculum
Reviewed & approved by RPC
Date
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