Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years

Ming-Yan Jiang¹, Rui Song², Rebecca Chen³, Andrew Cho⁴, Sirine Bellou⁴, Min Zhuo⁵, Jiahua Li⁴, Edward Krupat⁶, Suraj Sarvode Mothi⁴, Kavya Shah⁴, Jeremy Policht⁷, Andrew Rosenblatt⁸, Jeffrey Berns⁹, Delphine S Tuot¹⁰, Michael Heung⁷, Li-Li Hsiao¹¹

Affiliations

¹ Renal Division, Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; Renal Division, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
² Renal Division, Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; Division of Nephrology, Hypertension and Kidney Transplantation, Department of Internal Medicine, Lew Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, USA.
³ Renal Division, Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; Department of Medicine, University of California, San Francisco, California, USA.
⁴ Renal Division, Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
⁵ Renal Division, Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; Renal Division, Department of Internal Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
⁶ Department of Internal Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA; Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
⁷ Division of Nephrology, Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA.
⁸ Department of Biology, College of Arts and Sciences, Cornell University, Ithaca, New York, USA.
⁹ Graduate Medical Education, Perelman School of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
¹⁰ Department of Medicine, University of California, San Francisco, California, USA.
¹¹ Renal Division, Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. Electronic address: lhsiao@bwh.harvard.edu.

PMID: 34678335
PMCID: PMC8997363
DOI: 10.1016/j.kint.2021.10.007

Practice Guideline

Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years

Ming-Yan Jiang et al. Kidney Int. 2021 Dec.

. 2021 Dec;100(6):1174-1178.

doi: 10.1016/j.kint.2021.10.007. Epub 2021 Oct 20.

Authors

Affiliations

¹ Renal Division, Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; Renal Division, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
² Renal Division, Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; Division of Nephrology, Hypertension and Kidney Transplantation, Department of Internal Medicine, Lew Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, USA.
³ Renal Division, Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; Department of Medicine, University of California, San Francisco, California, USA.
⁴ Renal Division, Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
⁵ Renal Division, Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; Renal Division, Department of Internal Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
⁶ Department of Internal Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA; Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
⁷ Division of Nephrology, Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA.
⁸ Department of Biology, College of Arts and Sciences, Cornell University, Ithaca, New York, USA.
⁹ Graduate Medical Education, Perelman School of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
¹⁰ Department of Medicine, University of California, San Francisco, California, USA.
¹¹ Renal Division, Department of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. Electronic address: lhsiao@bwh.harvard.edu.

PMID: 34678335
PMCID: PMC8997363
DOI: 10.1016/j.kint.2021.10.007

No abstract available

Keywords: Kidney Disease Screening and Awareness Program (KDSAP); nephrology; pipeline program; undergraduate; workforce shortage.

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Conflict of interest statement

DISCLOSURE

All the authors declared no competing interests.

Figures

**Figure 1 |. The Kidney Disease Screening and Awareness Program (KDSAP) has a positive influence on nephrology-related career choices among alumni.**
Among the 112 alumni who responded to our survey, the primary career paths included medicine (94 individuals), another field of health care (8 individuals), nonmedical role (8 individuals), and undecided (2 individuals). Those who indicated that they were pursuing a career in medicine were stratified by their stage in medical education. When asked “Do you or will you perform work related to patients with kidney diseases or research of kidney diseases?,” 40 individuals (35.7%) answered “yes,” 27 (24.1%) answered “no,” and 45 (40.2%) answered “undecided.” (The 2 individuals who were “undecided” in their future career answered “no” to this question.) Filled buckets (dark blue indicating “yes”; blue indicating “undecided”; and light blue indicating “no”) are displayed for a visual reference of the breakdown of respondents pursuing work related to kidney diseases.

Figure 2 |. The Kidney Disease Screening and Awareness Program (KDSAP) has a positive impact on alumni perceptions toward kidney-related career choices and the nephrology specialty, likely due to their positive experiences during KDSAP activities.
(a) Alumni maintain positive perceptions of kidney-related knowledge and work. Using a 5-point Likert scale, an answer of “strongly agree” or “somewhat agree” to each of the 6 statements, which are based on respondents’ own perceptions before and after participating in KDSAP, is considered positive or agreeing to the question (displayed by percentage, n = 112). (b) Alumni report a favorable view of the nephrology specialty. Using a 5-point Likert scale, an answer of “strongly agree” or “somewhat agree” to each of the 5 statements, which are based on respondents’ own perception before and after participating in KDSAP, is considered positive or agreeing to the question (displayed by percentage, n = 112). (c) Alumni have positive perceptions toward KDSAP activities. Questions included “Which KDSAP activities, if any, did you find meaningful? Select all that apply.” and “Which part(s) of KDSAP strongly influenced your career choice? Select all that apply.” Answers included kidney health screenings (recruitment, organization, and volunteering), career development events (e.g., nephrologist talks and medical school application questions and answers [Q&A]), physician shadowing, and research (data collection and data analysis). Attendees of each activity served as each activity’s respective denominator. Each circle’s size corresponds to the magnitude of the percentage, with larger circles corresponding to higher percentages.

See this image and copyright information in PMC

References

1. Sharif MU, Elsayed ME, Stack AG. The global nephrology workforce: emerging threats and potential solutions! Clin Kidney J. 2016;9:11–22. - PMC - PubMed
1. Pivert K AY 2020 Nephrology Match Preliminary Analysis—ASN Data Brief. Available at: https://asndataanalytics.github.io/AY-2020-Nephrology-Match/. Accessed September 18, 2021.
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Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years

Affiliations

Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years

Authors

Affiliations

Conflict of interest statement

Figures

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical