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dc.contributor.authorYaxley, Julian
dc.contributor.authorCampbell, Scott B
dc.contributor.authorGray, Nicholas A
dc.contributor.authorViecelli, Andrea K
dc.date.accessioned2021-09-30T03:28:04Z
dc.date.available2021-09-30T03:28:04Z
dc.date.issued2021
dc.identifier.issn1444-0903
dc.identifier.doi10.1111/imj.15535
dc.identifier.urihttp://hdl.handle.net/10072/408474
dc.description.abstractBACKGROUND: There has been considerable growth in nephrology advanced trainee numbers in Australia and New Zealand, with uncertain effects on clinical experience, competence and employment outcomes. AIM: To review the perceived adequacy and temporal trends of advanced training in nephrology in Australia and New Zealand by evaluating training experiences, personal views on important aspects of training and nephrology, career paths and early employment outcomes. METHODS: An online survey was distributed to members of the Australian and New Zealand Society of Nephrology via email in December 2020. Responses were sought from current trainees and from nephrologists qualifying since 2014. Likert scale proportions were calculated and group comparisons made using the Chi-square test. RESULTS: A total of 88 participants returned the survey yielding a response rate of 32%, with a representative sample of trainees and consultants from across Australia and New Zealand. Training was reported as adequate in most aspects of clinical nephrology, although 88% of respondents felt poorly prepared for entering private practice and 61% reported inadequate training in kidney histopathology. Exposure to clinical procedures was variable, with adequate training in percutaneous kidney biopsy but mostly inadequate training in dialysis access insertion. Sixty-nine percent of nephrologists completed their advanced training entirely in large urban centres and 85% worked in an urban area after training. Only 23% of consultants were engaged in full-time clinical employment in their first year post-training and 78% were undertaking at least one of dual specialty training or a higher degree by research. Demand for subspecialty fellowships was high. CONCLUSION: Trainees and nephrologists in Australia and New Zealand are currently satisfied with their training in most aspects of nephrology, however some clinical experiences are perceived as inadequate and early career paths after advanced training are increasingly diverse. This article is protected by copyright. All rights reserved.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherWiley
dc.relation.ispartofjournalInternal Medicine Journal
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchNephrology and urology
dc.subject.fieldofresearchCardiovascular medicine and haematology
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode320214
dc.subject.fieldofresearchcode3201
dc.titleA Survey Study of Trends in Adult Nephrology Advanced Training in Australia and New Zealand
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationYaxley, J; Campbell, SB; Gray, NA; Viecelli, AK, A Survey Study of Trends in Adult Nephrology Advanced Training in Australia and New Zealand, Internal Medicine Journal, 2021
dcterms.dateAccepted2021-09-10
dc.date.updated2021-09-29T04:35:37Z
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2021 Royal Australasian College of Physicians. This is the peer reviewed version of the following article: A Survey Study of Trends in Adult Nephrology Advanced Training in Australia and New Zealand, Internal Medicine Journal, 2021, which has been published in final form at https://doi.org/10.1111/imj.15535. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
gro.hasfulltextFull Text
gro.griffith.authorYaxley, Julian P.


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