Putra Renal Intervention Academy (PRINCE)

PRINCE Interventional Nephrology (IN) Curriculum

What trainees will learn

  1. You will learn how to diagnose and manage complex vascular access and kidney-related interventional problems.
  2. You will learn the procedures performed in the management of dialysis access dysfunction, central venous obstructions, catheter-related issues, and kidney biopsies.
  3. You will develop an understanding of indications, contraindications, complications and interpretation of imaging, hemodynamic assessments, and interventional strategies commonly used by Interventional Nephrologists.

IN training comprises:

  1. Didactic lectures covering vascular access physiology, imaging, and procedural principles.
  2. Hands-on training using high-fidelity vascular access simulators.
  3. Observation of live cases.
    4. (in selected cases, trainees maybe able to perform cases under strict supervision)

IN trainees are expected to gain a comprehensive knowledge of the following core topics during the course of their training:

  1. Vascular Access Imaging & Ultrasound
  2. Dialysis Catheter Procedures
  3. Kidney Biopsy
  4. Endovascular Therapies for AV Access: – Diagnostic fistulogram and graftogram – Thrombolysis and mechanical thrombectomy – Stent placement (bare metal and covered)
  5. Creation & Management of AV Access
  6. Complication Management

In addition to expanding their clinical experience in Nephrology, IN trainees are expected to develop, refine, and demonstrate an interest in clinical audit, quality improvement, and publication in the field of vascular access and interventional nephrology.

Participant’s Supervisory and Patient Care Responsibilities

IN trainees are expected to attend outpatient vascular access and renal clinics on weekdays, where they will participate in the consultative care of referred patients—both inpatient and outpatient under the direct personal supervision of staff Interventional Nephrologists.

Procedural Requirements

IN trainees are expected to develop competence in procedures essential to the diagnosis and management of dialysis access dysfunction, renal biopsy, and catheter-related complications.

In addition to developing technical skills, trainees must gain expertise in:

  • procedural indications and contraindications,
  • recognition and management of complications,
  • interpretation of imaging and test results, and
  • decision-making pathways for access-related interventions,

to achieve mastery in Interventional Nephrology.

Evaluation

IN trainees will be evaluated by the supervising faculty at the conclusion of each rotation.

To provide meaningful feedback, faculty members will verbally review trainee performance during and at the end of each rotation, focusing on:

  • procedural competency,
  • clinical decision-making,
  • professionalism,
  • imaging interpretation, and
  • patient management.