Education and training

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) and acute care common stem (acute medicine) (ACCS-AM). There are opportunities for laboratory-based, clinical or epidemiological research.

The specialty training curriculum for renal medicine is available from the Joint Royal College of Physicians Training Board, and the Renal Association has further details.

Training and supervision of specialist registrars is vital to allow them to progress to future roles as consultants with adequate experience and confidence. Renal physicians will also be involved in training other more junior doctors, whether as their own trainees within the foundation and core medical programmes, or in a more general role in prevention and management of acute kidney injury. Many will also be involved in medical undergraduate education. In addition to contributing to medical profession education, renal physicians are often involved in education of the wider renal multiprofessional team to facilitate joined-up care. Primary and secondary care professionals also require education programmes to ensure that there is an understanding of referral pathways as well as processes of management of chronic kidney disease and acute kidney injury outside of renal unit care.

Renal physicians also play a vital role in ensuring that their unit has suitable and equitable patient education programmes. Activated, educated patients are essential for appropriate self-management of chronic disease.

Consultants need sufficient time to fulfil this wide-ranging educational role. Renal physicians also participate in appraisal and continuing professional development (CPD), and systems for mentoring new consultants are encouraged. 

The Academy of Medical Royal Colleges (AoMRC) has produced a cost of training document setting out the mandatory costs of training involved in college enrolment fees, examination costs and GMC fees. Published in October 2017, it has been compiled to help pre-specialty doctors make fully informed career selections, with a clear understanding of the mandatory costs of their future training pathway.