Should temporary hemodialysis catheter insertion remain a requirement of nephrology residency training?

Abstract

Purpose of review: Recently, there has been much debate about the practicality and utility of training nephrology fellows in temporary hemodialysis catheter insertion. Sources of information: Literature review along with the authors' opinion. Findings: This skill can be taught easily, in a controlled fashion to maximize success and minimize complications. In order to achieve this training centres should be required to teach using simulation based mastery learning and ultrasound guidance. Employing these strategies makes the inexperienced operator perform at the level of an experienced operator. As a specialty, nephrologists have a responsibility to provide hemodialysis in a timely fashion during emergencies, meaning nephrologists should be able to insert temporary hemodialysis catheters. We should take ownership over this skill and depend on no other specialty. Limitations: Limited data has been published on this subject. Implications: Temporary hemodialysis catheter insertion should be maintained as a core competency by the Royal College.