Renal Fellowship

Execution of Competencies

s

Core Competency

How competency is taught to trainees

How achievement of competency is documented and evaluation given to trainees

Patient Care

1. To gain diagnostic and procedural competence and the ability to provide appropriate and effective nephrology services and clinical consultation.

1. Inpatient and outpatient supervised evaluations of clinical cases.

2. Discussion by faculty and fellows of formal case presentations made at Renal Grand Rounds at least 5 times per year by each clinical year trainee.

3. Supervised procedures (dialysis catheters and renal biopsy).

1. Formal verbal and written evaluations of monthly inpatient and twice yearly outpatient performance (discussed with and signed by trainees).

3.  Supervision of procedures documented in the chart and individual logs of procedures kept by each trainee.

2. To learn the principles of compassionate and cost-effective patient care.

1. By faculty example of inpatient and outpatient supervised evaluations of clinical cases.

1.  Formal verbal and written evaluations of monthly inpatient and twice yearly outpatient performance (discussed with and signed by trainees).

Medical Knowledge

1. To gather and consolidate knowledge about established and evolving basic biological and clinical sciences and clinicopathologic correlations, and the application of the information to patient care.

1. Inpatient and outpatient supervised evaluations of clinical cases.

2. Discussion by faculty and fellows of formal case presentations made at Renal Grand Rounds at least 5 times per year by each clinical year trainee.

3. Renal conferences: Renal Grand Rounds, Journal Club, and weekly Fellows’ Core Curriculum lecture series.

1. Formal verbal and written evaluations of monthly inpatient and twice yearly outpatient performance (discussed with and signed by trainees).

2. To gain analytical and problem-solving skills and their application to nephrology.

1. Inpatient and outpatient supervised evaluations of clinical cases.

2. Discussion by faculty and fellows of formal case presentations made at Renal Grand Rounds at least 4 times per year by each clinical year trainee.

1. Formal verbal and written evaluations of monthly inpatient and twice yearly outpatient performance (discussed with and signed by trainees).

Practice-based learning

1. To locate, appraise, and use scientific data to improve patient care.

1. Inpatient and outpatient supervised evaluations of clinical cases.

2. Discussion by faculty and fellows of formal case presentations made at Renal Grand Rounds at least 5 times per year by each clinical year trainee.

1. Formal verbal and written evaluations of monthly inpatient and twice yearly outpatient performance (discussed with and signed by trainees).

2. To apply knowledge of rigorous scientific principles, study design and statistical methods to evaluate published clinical studies and do clinicopathologic investigations.

1. Renal Journal Club presentations and discussions.

2. Renal Grand Rounds case presentations, some of which will be formally written up and submitted for publication as case reports.

3. Direct clinical and/or translational research experience during research years.

1. Verbal feedback and discussion at Journal Club.

2. Evidence of case report or research publications will be documented and shared with the Renal Division members.

Interpersonal and Communication Skills

1. To acquire and use interpersonal and communication skills that result in effective information exchange and collaboration with patients and their families.

1. Inpatient and outpatient supervised evaluations of clinical cases.

1. Formal one-to-one evaluation by program director twice per year.

2. Formal verbal and written evaluations of monthly inpatient and twice yearly outpatient performance (discussed with and signed by trainees).

2.  To communicate and work effectively with other professional and non-professional staff.

1. Daily interactions with other hospital staff.

1. Formal one-to-one evaluation by program director twice per year.

2. Formal verbal and written evaluations of monthly inpatient and twice yearly outpatient performance (discussed with and signed by trainees).

Professionalism

1. To maintain a commitment to excellence in carrying out professional responsibilities, adherence to ethical principles, and sensitivity to diversity in the workplace.

1.  Required attendance at BWH Professionalism course.

2.  Faculty teach by example

1. Documented attendance at BWH Professionalism course.

2. Formal verbal and written evaluations of monthly inpatient and twice yearly outpatient performance (discussed with and signed by trainees).

3. Formal one-to-one evaluation by program director twice per year.

2. To maintain respect, compassion and integrity; responsiveness to patients that supercedes self-interest; accountability to patients, colleagues, and the profession and discipline of nephrology; and a commitment to on-going professional development

1.Required attendance at BWH Professionalism course.

2. Faculty teach by example

1. Documented attendance at BWH Professionalism course.

2. Formal verbal and written evaluations of monthly inpatient and twice yearly outpatient performance (discussed with and signed by trainees).

3. Formal one-to-one evaluation by program director twice per year.

Systems-based Practice

1.  To develop and understanding of the principles of cost-effective health care and resource allocation that enhances but does not compromise quality of service and patient care.

1. Inpatient and outpatient supervised evaluations of clinical cases.

2. Minimum of one annual lecture about health care delivery systems and medical insurance

1. Formal verbal and written evaluations of monthly inpatient and twice yearly outpatient performance (discussed with and signed by trainees).

2. To understand how nephrology services affects other health care professionals, organizations and systems.

1. Inpatient and outpatient supervised evaluations of clinical cases.

2. Minimum of one annual lecture about health care delivery systems and medical insurance

1. Formal verbal and written evaluations of monthly inpatient and twice yearly outpatient performance (discussed with and signed by trainees).