INSIGHTS FROM ONLINE FELLOWSHIP IN RENAL REPLACEMENT THERAPY AND BLOOD PURIFICATION: A SCALABLE MODEL FOR NEPHROLOGY TRAINING

 

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INSIGHTS FROM ONLINE FELLOWSHIP IN RENAL REPLACEMENT THERAPY AND BLOOD PURIFICATION: A SCALABLE MODEL FOR NEPHROLOGY TRAINING

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Fatima
AlKindi
Fatima AlKindi dr.fkendi@gmail.com Sheikh Tahnoon Bin Mohammed Medical City, Tawam Hospital, PureHealth Internal medicine department Al Ain United Arab Emirates * College of Medicine and Health Science, UAE University Department of Medicine Al Ain United Arab Emirates
Dina Abdellatif Dina.abdellatif@gmail.com Cairo University Hospital internal medicine and nephrology department Cairo Egypt -
Bernard Canaud canaudbernard@gmail.com Montpellier University School of Medicine Montpellier France -
Hesham El-Sayed Hesham.Elsayed@med.asu.edu.eg Faculty of Medicine, Ain Shams University Department of Internal Medicine & Nephrology Cairo Egypt -
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Renal Replacement Therapy (RRT) and extracorporeal blood purification techniques are essential in the management of acute and chronic kidney diseases. Despite their clinical importance, access to structured and high-quality training in these domains remains limited, particularly in low-resource settings. To address this gap, the World Kidney Academy (WKA) launched a fully online Fellowship in Renal Replacement Therapy and Blood Purification, aiming to deliver comprehensive, evidence-based education to  nephrologists worldwide. 

The fellowship was conducted over one year (October 2024–2025) and comprised three structured modules covering hemodialysis (HD), peritoneal dialysis (PD), and blood purification techniques. The curriculum was delivered via an integrated e-learning platform and included: pre-recorded lectures, live webinars and interactive Zoom sessions, journal clubs and case-based discussions, weekly multiple-choice question (MCQ) assessments and final summative examinations for each module. Descriptive analysis was used to evaluate the first year of implementation.

The fellowship was structured into three comprehensive modules, each delivered over 14–16 weeks. Module 1 covered foundational principles of renal replacement therapy, including HD, PD, continuous renal replacement therapy (CRRT), therapeutic plasma exchange, and strategies for establishing a dialysis unit. Module 2 focused on chronic kidney disease (CKD), vascular access planning and care, fundamentals of critical care nephrology, and complications associated with PD. Module 3 provided an up-to-date, in-depth approach to managing CKD and HD-related complications, glomerulonephritis, and introduced point-of-care ultrasound (POCUS) techniques relevant to nephrology practice.

 

A total of 65 lectures and 40 journal clubs were conducted. Over 100 nephrologists from multiple countries participated, reflecting broad international engagement. Participants were evaluated through weekly MCQs and final exams for each module. The passing rate for Modules 1 and 2 was 100%. Self-reported outcomes indicated increased confidence in managing RRT modalities and dialysis-related complications. Qualitative feedback highlighted the program’s flexibility, global accessibility, and clinical relevance, with participants valuing the case-based learning and expert-led discussions. Moreover, the fellowship fostered ongoing collaboration through regional meetings, virtual symposia, and hands-on workshops, strengthening professional networks and encouraging joint clinical and academic initiatives.

This online fellowship demonstrates the feasibility and impact of virtual nephrology education. By combining academic rigor with interactive learning, the program effectively bridges global training gaps and equips nephrologists with essential skills in dialysis and blood purification therapies. Its scalable structure offers a promising model for future digital medical education initiatives.

Kewords