Lessons learned from regional training of paediatric nephrology fellows in Africa
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Published:2023-06-06
Issue:11
Volume:38
Page:3757-3768
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ISSN:0931-041X
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Container-title:Pediatric Nephrology
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language:en
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Short-container-title:Pediatr Nephrol
Author:
McCulloch Mignon I.ORCID, Argent Andrew C., Morrow Brenda, Nourse Peter, Coetzee Ashton, Du Buisson Christel, Reddy Deveshni, Buckley Jonathan, Sinclair Paul J., Gajjar Priya, Semanska Lucie, Eddy Allison, Feehally John, Cano Francisco, Warady Bradley A.
Abstract
Abstract
Background
Access to care for children with kidney disease is limited in less well-resourced regions of the world and paediatric nephrology (PN) workforce development with good practical skills is critical.
Methods
Retrospective review of a PN training program and trainee feedback from 1999 to 2021, based at Red Cross War Memorial Children’s Hospital (RCWMCH), University of Cape Town.
Results
A regionally appropriate 1–2-year training program enrolled 38 fellows with an initial 100% return rate to their country of origin. Program funding included fellowships from the International Pediatric Nephrology Association (IPNA), International Society of Nephrology (ISN), International Society of Peritoneal Dialysis (ISPD), and the African Paediatric Fellowship Program (APFP). Fellows were trained on both in- and out-patient management of infants and children with kidney disorders. “Hands-on skills” training included examination, diagnosis and management skills, practical insertion of peritoneal dialysis catheters for management of acute kidney injury and kidney biopsies. Of 16 trainees who completed > 1 year of training, 14 (88%) successfully completed subspecialty exams and 9 (56%) completed a master’s degree with a research component. PN fellows reported that their training was appropriate and enabled them to make a difference in their respective communities.
Conclusions
This training program has successfully equipped African physicians with the requisite knowledge and skills to provide PN services in resource-constrained areas for children with kidney disease. The provision of funding from multiple organizations committed to paediatric kidney disease has contributed to the success of the program, along with the fellows’ commitment to build PN healthcare capacity in Africa.
Graphical abstract
Funder
University of Cape Town
Publisher
Springer Science and Business Media LLC
Subject
Nephrology,Pediatrics, Perinatology and Child Health
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