Key result
UHN/SMH Home Dialysis Fellowship exposes trainees to ~300 patients to improve clinical competency.
Why the study?
Home dialysis remains variable and underused globally, and low patient volumes in many centers make it challenging for nephrology trainees to gain adequate clinical exposure to achieve competency and comfort.
The UHN/SMH Home Dialysis Fellowship provides an educational model combining high patient volume and evidence-based medical education to train future home dialysis experts.
Offers a high-volume home dialysis training model; leaves open effects on competency and requires prospective validation before adoption.
PURPOSE OF REVIEW: Home dialysis remains variable and underused globally despite clinical and quality of life benefits for patients. Due to low patient volumes in many centers, it is challenging for nephrology trainees to gain adequate clinical exposure to achieve competency and comfort in patient management. In this review, we highlight the University of Toronto-affiliated University Health Network (UHN) and St. Michael's Hospital (SMH) Home Dialysis Fellowship as an educational model to improve competency and comfort in home dialysis. RECENT FINDINGS: The UHN/SMH Home Dialysis Fellowship offers diverse clinical exposure with over 300 patients on peritoneal dialysis and home hemodialysis. Trainees achieve competency through repetitive exposure to a large volume of patients. The fellowship leverages continuity and longitudinal follow-up across all stages of a patient's chronic kidney disease journey. The program fosters interprofessional collaboration to develop comprehensive patient management plans. The attending physicians are leading world experts and support the varied trainee academic and career goals through mentorship and sponsorship. SUMMARY: The UHN/SMH Home Dialysis Fellowship program combines evidence-based medical education principles with high volume, diverse, and complex patient populations to offer trainees an exceptional learning experience and the foundations to become the next generation of home dialysis experts.
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Ye et al. (2025) conducted a review in Chronic kidney disease requiring home dialysis. UHN/SMH Home Dialysis Fellowship was evaluated. The UHN/SMH Home Dialysis Fellowship program provides trainees with diverse clinical exposure to over 300 patients on peritoneal dialysis and home hemodialysis to improve clinical competency.
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