Choose 2 Half-Day Workshops to Attend
Four half-day workshops will be offered in 2017, and attendees can choose two of them to attend on Friday. 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.
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:
1) Renal ultrasound simulation using SonoSim® Ultrasound Training
2) Real time ultrasound of kidneys in simulated, live human subjects
3) Kidney anatomy with plasticine-embedded torso sections from human cadavers
4) Kidney anatomy with dissected cadavers
5) US-based PKB simulation with mannequin (Blue Phantom™)
6) US-based renal biopsy in lightly-embalmed cadavers
7)Tissue retrieval adequacy examination by microscope and smartphone camera
The 2016 KBA was attended by twenty-one physicians. 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 will be run by Drs. Vandana Niyyar from Emory University, Juan Carlos Velez from the Ochsner Clinic, Shree Sharma from Arkana laboratories, and Manisha Singh, Diane Bricco and Kevin Phelan from UAMS.
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 J. Terrill Huggins of MUSC and Nithin Karakala of UAMS.
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.
HOW TO USE SOCIAL MEDIA
The use of social media in medicine is rapidly growing and provides an avenue for rapid dissemination of information. Social media provides practicing nephrologists a way to distinguish themselves in a competitive environment and academic physicians a means to advance their reputation. This course will provide a hands-on approach for appropriate use of social media for residents, fellows, and nephrologists.
This course will be led by Drs. Matthew Sparks (@nephro_sparks) of Duke University, Joel Topf (@kidney_boy) of St. Clair Nephrology, Detroit, MI and Swapnil Hiremath (@hswapnil) from the University of Ottawa, as well as Kevin Fowler (@gratefull080504) from Elmhurst, IL. Kevin is a leading patient advocate, having had a preemptive kidney transplant in August 2004. He is President of his company, "The Voice of the Patient, Inc." where he provides patient advocacy and patient engagement consulting services. He serves on the Board of Directors, American Association of Kidney Patients, and is a member of the Kidney Health Initiative, Patient Family Partnership Council.