Renal Medicine offers 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 in both Renal and General Internal Medicine and 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.
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).
Entry into Renal Medicine training is possible following successful completion of both a foundation programme and a core training programme. There are two core training programmes for Renal Medicine training:
- Core Medical Training (CMT)
- Acute Care Common Stem - Acute Medicine (ACCS-AM)
The curriculum for each specialty defines the process of training and the competencies needed for the award of a certificate of completion of training (CCT). The curriculum includes the assessment system for measuring trainees’ progress comprising workplace based assessment and knowledge based assessment.
Information on the Specialty Certificate Examination (SCE) in Renal Medicine can be found on the MRCP(UK) website.
Previous versions of the curriculum are no longer available online but copies can be requested from firstname.lastname@example.org.
The ARCP decision aid for each specialty defines the targets that have to be achieved for a satisfactory ARCP outcome at the end of each training year. ARCP decision aids were revised to reflect the changes to the assessment and review process from August 2014 and replace all previous versions.