COMPETENCY GAPS IN ACUTE PERITONEAL DIALYSIS AND CATHETER INSERTION AMONG THAI NEPHROLOGY GRADUATES: A NATIONAL SURVEY

 

Certificate Output Instructions

For best output, select "Paper Size" as "A4" and "Margin" as "0" or "None".

To save or print to PDF, please select Print Destination > Save as PDF, enable Background Graphics under "More Settings", then click "Save".

 


 

Certificate Background

   

Presented the abstract " "
(Abstract co-author(s):  )

 

 

E-Poster Presentation

During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center. 

Preparing your E-Poster

Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.

​E-Poster Submission Deadline

Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.​

E-Poster Format Requirements
  • PDF file
  • Layout: Portrait (vertical orientation)
  • One page only (Dim A4: 210 x 297mm or PPT)
  • E-Poster can be prepared in PowerPoint (one (1) PowerPoint slide) but must be saved and submitted as PDF file.
  • File Size: Maximum file size is 2 Megabytes (2 MB)
  • No hyperlinks, animated images, animations, and slide transitions
  • Language: English
  • Include your abstract number
  • E-posters can include QR codes, tables and photos
https://storage.unitedwebnetwork.com/files/1099/6e3266ffa9e1437371f1703fc9fbdc12.pdf
COMPETENCY GAPS IN ACUTE PERITONEAL DIALYSIS AND CATHETER INSERTION AMONG THAI NEPHROLOGY GRADUATES: A NATIONAL SURVEY

Please follow the instructions below to input your abstract title.

Abstract titles should be brief and reflect the content of the abstract.

  • The title will not be accepted if it exceeds 25 words.
  • Type in CAPITAL LETTERS.
  • Lowercase may be used for abbreviations only, for example, mRNA.
Talerngsak
Kanjanabuch
Talerngsak Kanjanabuch golfnephro@hotmail.com Center of Excellence in Kidney Metabolic Disorders Faculty of Medicine, Chulalongkorn University Bangkok Thailand * Division of Nephrology Department of Internal Medicine, Faculty of Medicine, Chulalongkorn University Bangkok Thailand CAPD Excellence Center King Chulalongkorn Memorial Hospital Bangkok Thailand
Sarinya Boongird boongird@gmail.com Division of Nephrology Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University Bangkok Thailand -
Warangkana Pichaiwong wpichaiw@yahoo.com Nephrology Division Department of Medicine, Rajavithi Hospital, College of Medicine, Rangsit University Bangkok Thailand -
Paweena Susantitaphong pesancerinus@hotmail.com Division of Nephrology Department of Internal Medicine, Faculty of Medicine, Chulalongkorn University Bangkok Thailand -
Bancha Satirapoj satirapoj@yahoo.com Division of Nephrology Department of Medicine, Phramongkutklao Hospital and College of Medicine Bangkok Thailand -
Vuddhidej Ophascharoensuk vuddhidej@yahoo.com Division of Nephrology Department of Medicine, Faculty of Medicine, Chiang Mai University Chiang Mai Thailand -
-
-
-
-
-
-
-
-
-

Thailand’s global leadership in peritoneal dialysis (PD) underscores the need for every nephrology fellow to graduate proficient in PD-based care. However, no nationwide evaluation has examined Thai nephrologists’ confidence across core competencies, particularly acute PD and PD catheter insertion. This study assessed self-perceived competency among fellowship graduates, identified key training gaps, and provided evidence to guide competency-based reform in nephrology education.

A descriptive, cross-sectional survey was conducted among Thai nephrologists who completed fellowship training between 2007–2024. A structured, anonymous questionnaire adapted from a validated CJASN (2010) instrument was distributed via email and the professional networks of the Nephrology Society of Thailand. Data were collected through a secure online platform. Descriptive statistics summarized competency levels across clinical and procedural domains, while comparisons by training site and graduation year used chi-square and t-tests, with significance set at p < 0.05.

Among 196 respondents (56% response rate), clinical confidence was high, but procedural competency lagged—particularly in acute PD (71% felt inadequately trained) and PD catheter insertion (78%). Whilst, confidence was moderate for kidney biopsy (59%) and tunneled hemodialysis catheter insertion (43%). Fellows described limited hands-on exposure, scarce procedural opportunities, and reliance on observation rather than first-operator experience. Many lacked confidences managing urgent-start PD or AKI-PD cases despite PD’s central role in national renal policy. Respondents called for simulation-based workshops, ultrasound-guided procedural modules, and structured mentorship to ensure competency. They urged less emphasis on research and exams and more on practical, protocol-driven, and equitable training, with itinerant programs to support non-university centers.

Thai nephrology graduates demonstrate strong cognitive readiness but significant gaps in acute PD and PD catheter insertion—core skills vital to Thailand’s PD-first legacy. Implementing a standardized, competency-based curriculum emphasizing ultrasound-guided, hands-on acute PD training is essential to build procedural confidence and sustain Thailand’s leadership in accessible, high-quality renal care.

Kewords