Six Unique Workshops to Hone Your Skills
Choose 2 Half-Day Workshops to Attend
Six half-day workshops will be offered in 2018, and attendees may choose one to attend on Friday morning and one to attend on Saturday morning. The goal of the workshops is to provide a hands-on experience for residents, fellows, and practicing nephrologists that will improve their understanding of how and why interventions are done, increase their comfort with techniques, and help them understand their own level of interest in the tools. All the workshops are focused on providing a realistic experience with the techniques through combinations of overview talks, simulations, live human models, and cadavers. This direct hands-on approach will allow learners to better understand and apply the techniques learned in the workshops.
ONE: NephroTalk Communication Skills Workshop
2018 will feature the highly acclaimed nephrology communication skills workshop called NephroTalk. NephroTalk was developed by Jane Schell and has been featured in the ASN Kidney Week early program and a three-day course is offered yearly at the University of Pittsburgh. NephroTalk will also feature Robert Cohan from Beth Israel Deaconess Medicine Center in Boston, MD. This is a great opportunity to enhance your skills when discussing difficult topics with patients.
TWO: Kidney Biopsy Academy
Proficiency in percutaneous kidney biopsy is required for accreditation in nephrology. Medical practice trends have diminished the interest and exposure of nephrology fellows to kidney biopsies. Approximately 14% of renal biopsies are inadequate for diagnostic purposes because of technical reasons related to the biopsy. The goal of this course is to provide training in percutaneous renal biopsies to residents, fellows, and practicing physicians.
The hands-on course utilizes:
- Renal ultrasound simulation using SonoSim® Ultrasound Training
- Real time ultrasound of kidneys in simulated, live human subjects
- Kidney anatomy with plasticine-embedded torso sections from human cadavers
- Kidney anatomy with dissected cadavers
- US-based PKB simulation with mannequin (Blue Phantom™)
- US-based renal biopsy in lightly-embalmed cadavers
Tissue retrieval adequacy examination by microscope and smartphone camera.
Results from the 2016 workshop were presented as an abstract, "An Integrated Pathology and Ultrasonography-Based Simulation Is an Effective Educational Tool for the Performance of a Kidney Biopsy" during an oral presentation at the 2016 ASN meeting.
The KBA is directed by Juan Carlos Velez from the Ochsner Clinic and Vandana Niyyar from Emory University. They are assisted by Shree Sharma from Arkana Laboratories, John Duronville from Duke University, Manisha Singh, Diane Bricco, and Kevin Phelan, all from UAMS.
THREE: Vascular Ultrasound for Assessment of Volume Status
Assessment of intravascular volume status in critically ill patients is difficult but important to guide the management of clinical care. Recently, ultrasound based techniques like inferior vena cava diameter and collapsibility and echocardiographic techniques like velocity time index have emerged as useful tools in volume assessment. This course will demonstrate techniques to assess volume.
The objectives of this course are to:
1) Understand the fundamentals of bedside ultrasound
2) Learn ultrasonographic technique using SonoSim® Ultrasound Training
3) Identify the inferior vena cava from the subcostal view
4) Perform IVC measurement on standardized patients
The course will be directed by Drs. John "Terrill" Huggins of MUSC, Nithin Karakala of UAMS, Kenar Jhaveri of Northwell Health, Hofstra, New York, and Nathaniel Reisinger from Penn.
FOUR: Interventional Nephrology*
*Will be offered only on Saturday
Interventional Nephrology is a relatively new subspecialty of nephrology that improves patient care and outcomes by active management of dialysis access and other interventional techniques related to nephrology. The majority of procedures are performed by a trained interventional nephrologist in an outpatient setting and include endovascular procedures performed to manage dysfunction of arteriovenous fistulas or grafts, peritoneal dialysis catheter insertion, ultrasound-guided renal biopsy, and insertion and removal of tunneled dialysis catheters. The growing role of the nephrologist in performing these procedures has resulted in improved outcomes including timely management, fewer hospitalizations related to dysfunctional dialysis access, lower costs, and better outcomes. This course will provide an introduction to the field of Interventional Nephrology for residents, nephrology fellows and practicing nephrologists. This will also be a great educational opportunity for dialysis nurses and staff. The course is taught by Drs. Mukesh Sharma and Michael Gersch of the Arkansas Renal Group in Hot Springs, Arkansas, Dr. Bharat Sachdeva of Louisiana State University and Dr. Ishwinder Sidhu of Dialysis Associates in Fort Worth, Texas.
FIVE: Acid/Base Fluids and Electrolytes Workshop
This is a hands-on course focused on hands-on learning. Participants will go through cases and learn fundamental skills for evaluation and management of acid base disturbances and electrolyte derangements.
This course will be led by Joel Topf (@kidney_boy) of St. Clair Nephrology, Detroit, MI, John Asplin from Litholink, and David Goldfarb from NYU.
SIX: Renal Pathology Workshop
This will be an interactive workshop using multihead microscopes. A pathologist will present and discuss cases with attendees.
This workshop will be led by Shree Sharma of Arkana Laboratories in Little Rock, AR.