Renal Medicine is an exciting specialty offering the challenge of looking after both acutely ill patients and those with a chronic disease requiring long term care with the help of a multidisciplinary team. The majority of renal physicians receive training as specialist registrars in both Renal and General Internal Medicine, although not all renal physicians (particularly those in tertiary centres) will undertake acute general medical duties. However most general medical problems in renal patients are managed by the Renal team who have a close working relationship with many branches of medicine reflecting the various problems of co-morbidity present in most patients with chronic renal disease.
Most renal physicians will have responsibility for the care of patients with end stage renal failure requiring long term renal replacement therapy either by dialysis or transplantation They also manage patients with a wide variety of general nephrology problems and those with acute renal failure many of whom may require acute renal replacement therapy in the critical care setting. The majority of patients on chronic dialysis are managed in those District General Hospitals which have facilities for chronic haemodialysis and peritoneal dialysis; renal transplantation is performed in tertiary centres with most patients continuing long term follow up in the referring hospital. There are many opportunities for research either laboratory based (underlying mechanisms of renal disease, immunology of transplantation); clinical based (examining effects of treatment on various renal conditions), or epidemiological (looking at incidence of various renal diseases in different populations which impact on the planning and delivery of renal services).
Competence Based Curricula and Assessment - StRs (for trainees who commenced training from 1 August 2007 to present)
There are two versions of curricula for this training period:
StRs who commenced training between 1st August 2007 and 3rd August 2010 will follow the 2007 version of their specialty curriculum and the 2007 Generic curriculum. Please see the 2007 Curriculum section of this webpage.
StRs who commenced training from 4th August 2010 onwards will use the 2010 version of their specialty curriculum. There is no need to follow the previously known ‘Generic curriculum' as this has now been embedded into the specialty curriculum. Please see the 2010 Curriculum section of this webpage.
The Joint Royal Colleges of Physicians Training Board (JRCPTB) is pleased to announce the 2010 Renal Medicine curriculum which has been reviewed and rewritten to:
- meet the GMC's 6 new standards as detailed in their Standards for Curricula and Assessment systems
- keep up to date with medical advances and changes in the service and training
- incorporate the framework documents produced by the Academy of Medical Royal Colleges (AoMRC) detailing Common, Medical Leadership and Health Inequality competencies
- include 5 new assessment methods (Acute Care Assessment Tool, Case based Discussion, Patient Survey, Teaching Observation and Audit Assessment).
This new curriculum has improved content, design and usability compared to its predecessors, and reflects a great deal of hard work and time expended by specialty curriculum groups. This curriculum will become the training manual for all trainees entering ST3 from 4th August 2010.
For further information on the 2010 curriculum it is recommended that you read the Quick Start Curriculum Guide.
If you have any queries or problems regarding the 2010 curriculum please email ptb@jrcptb.org.uk.
Core Training Programmes
Entry into Renal Medicine training is possible following successful completion of both a foundation programme and a core training programme.
There are 2 core training programmes for Renal Medicine training:
Assessment
The following methods are used as part of the integrated assessment system:
The assessment blueprint, which is embedded in the clinical syllabus, shows the possible methods that can be used to assess each of the competencies in the curriculum. Trainees and trainers should refer to the blueprint for guidance on the appropriate assessment methods for each aspect of the curriculum, and so plan the training programme according to the criteria set by the ARCP Decision Aid. It is not expected that all competencies will be assessed by all methods, rather that there will be a sampling of competencies within a variety of settings, both within formal and workplace-based assessment, from which overall competence acquisition has to be determined.
The diagram below describes the training pathway:
Please view the 2010 curriculum for Renal Medicine for full details on the training routes and selection criteria.
Entry into Renal Medicine training is possible following successful completion of both a Foundation Programme and a core training programme.
Please view the 2007 curriculum for Renal Medicine for full details on the training routes and selection criteria.
Assessment
The assessment blueprints show the possible methods that can be used to assess each of the competencies in the curriculum. Trainees and trainers should refer to the blueprints for guidance on the appropriate assessment methods for each aspect of the curriculum, and so plan the training programme according to the criteria set by the ARCP/RITA Decision Aid. It is not expected that all competencies will be assessed by all methods, rather that there will be a sampling of competencies within a variety of settings, both within formal and workplace-based assessment, from which overall competence acquisition has to be determined.
Further information on the various methods of assessment can be viewed in the Assessment section of this website.
The diagram below describes the training pathways in general terms:
Competence Based Curricula - SpR (for trainees who commenced training between 1 Jan 2003 and 31 July 2007)
The JCHMT introduced revised curricula for all the medical specialties together with a generic curriculum that applied to all trainees back in 2003. These are competence-based and set out the knowledge, skills and attitudes to be acquired by trainees before they may be awarded a CCT.
Curricula - SpR (for trainees who commenced training before 1 Jan 2003)
The curricula for trainees enrolling pre 01/01/03 are no longer available on the website but can be obtained by request to ptb@jrcptb.org.uk.
Current members of the Renal Medicine Specialist Advisory Committee. Please contact the
Committee Manager for further details.