Peritoneal Dialysis Education

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Not all nephrology fellowship programs offer structured, in-house training in home dialysis modalities. Opportunities for extended third-year training focused on peritoneal dialysis (PD) are also limited. Even at institutions with robust PD programs, 24-hour on-site support staff are often unavailable. As a result, nephrology fellows—particularly first-year trainees—may feel uncertain about their ability to deliver timely and comprehensive care when managing PD patients overnight without access to specialized support.

In collaboration with the PD nursing team at the Icahn School of Medicine at Mount Sinai—and drawing on the real-world experiences of our fellows who frequently manage peritoneal dialysis issues during overnight calls—we identified three key technical skills that would significantly enhance trainee confidence and competence when managing PD patients independently during off-hours:

To facilitate accessible, repeatable, and practical training in these areas, we developed a series of instructional videos. We believe that video-based learning is particularly well-suited to technical procedures, allowing for broad dissemination and review as needed. Our goal is to hopefully enhance trainee familiarity with the hands-on aspects of PD and to contribute to greater confidence and readiness in acute care settings.

These instructional videos were developed under the guidance of experienced PD nurses at the Icahn School of Medicine at Mount Sinai.

Disclosure: We would like to disclose that the patients treated at our institution typically have Baxter (Vantive) peritoneal dialysis catheters, and when hospitalized, they are managed using the HomeChoice Automated Peritoneal Dialysis (APD) system. Given the technical specificity of these videos, their applicability may be limited in settings where different catheter types or dialysis systems are used.
Written by: Sungsoo Kim, M.D.
Edited by: Arrsh Bajaj, M.D. , Samira Farouk, M.D.

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