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Understanding MOC Requirements
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The word nephrology comes from the word nephros, the
Greek word for kidney. Nephrology involves the diagnosis and
management of diseases of the kidneys, the contiguous collecting
system, and the associated vasculature.
The commonly encountered conditions in nephrology include
disorders of fluid, electrolyte, and acid-base balance. Other
problems include disorders involving the glomerulus, asymptomatic
urine abnormalities, tubulointerstitial disorders, renal vascular
diseases, renal failure, nephrolithiasis, tubular defects, and
infections and neoplasms of the kidney, collecting system, and
bladder. The nephrologist must understand how systemic diseases
affect the kidneys, and recognize the potential toxicities of
various therapeutic and diagnostic agents.
Important procedural skills for the nephrologist include
peritoneal dialysis, percutaneous kidney biopsy, and temporary
placement of vascular access for hemodialysis. In addition, the
nephrologist is expert at interpreting 24-hour urine excretion of
minerals and electrolytes, serological tests for evaluating
glomerulopathies, acid-base studies, and studies of sodium and
Nephrology fellowship training requires two years of accredited
training beyond general internal medicine residency. Of the two
years, a minimum of 12 months must include clinical training in the
diagnosis and management of a broad spectrum of renal diseases.
The American Board of Internal Medicine, ABIM, offers certification in
For the 2012-2013 academic year, there are 147 ACGME-accredited
training programs in Nephrology with 903 active positions.
November 2012 Issue of IMpact
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