Request for Funding

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  • 1. Request for Funding This application is in reference to the recent request for applications announced by the Association of Specialty Professors (ASP) for projects that will “improve the quality of care delivered to the aging population” through “Integrating Geriatrics into the Specialties of Internal Medicine: Moving Forward from Awareness to Action,” an ASP project funded by the John A. Hartford Foundation. In 2008, the American Society of Nephrology (ASN) received a grant from ASP through the “Integrating Geriatrics into the Specialties of Internal Medicine: Moving Forward from Awareness to Action” project. ASN used this support to create an online curriculum in geriatric nephrology, which is publicly available at http://asn- online.org/education_and_meetings/geriatrics/. The online curriculum is intended to better educate nephrologists about treating kidney disease in elderly patients. The fastest-growing group of patients initiating dialysis is 75 years old and older, and providing the best care for this group of patients presents significant challenges. To help meet the needs of this growing population, ACGME has mandated that nephrology fellows receive formal training in the geriatric aspects of kidney disease. However, 25 percent of institutions with ACGME-accredited nephrology training programs do not have an accredited training program in geriatric medicine. The online curriculum seeks to fill that void. Based on the Accreditation Council for Graduate Medical Education’s six core competencies, this curriculum includes 38 chapters covering all aspects of caring for the elderly patient with kidney disease. Led by Dr. Dimitrios G. Oreopoulos, MD, PhD, and Jocelyn Wiggins, BM, BCh, this effort is a great success. Since its launch in mid-May, the online curriculum has had over one thousand unique visits. ASN is seeking funding to expand upon the technical aspects of the curriculum. Specifically, ASN would like to upgrade the website to track and monitor the progress of individual nephrology fellows. This enhancement would require nephrology fellows being recognized with a specific identification when they access the material, that their completion of an individual unit of material be recorded, and that fellows be able to take online tests on the material. Nephrology fellowship training program directors would then access their fellows’ scores on these tests; the program directors can use the scores as evidence to ACGME that they are teaching geriatric nephrology within their programs. Also, ASN is seeking funding to again record the In-Depth Nephrology Course (IDNC), “Geriatric Nephrology: An Epidemiologic and Clinical Challenge.” In 2008, this pre-course to ASN Renal Week (which is the largest annual meeting in the world focused on kidney disease) was taped and the audio is available on the ASN website, synched with the slides from the presentations.
  • 2. These presentations are publicly available at http://asn- online.org/education_and_meetings/media/geriatrics/. Since its launch last winter, this site has received over a thousand unique visits, and each presentation has been viewed at least two hundred times. For 2009, the speakers at this course will be the authors of the online curriculum, with their presentations being given in the same order as the chapters. ASN would like to replace the online presentations from 2008 with the 2009 versions to better serve the users of the geriatric nephrology curriculum. The curriculum and presentations are freely available to anyone who seeks to view them, and not limited only to ASN membership. The website also includes a comment box so that users can provide direct feedback to the producers of the curriculum. So far, all of the feedback has been extremely positive. ASN intends to keep the curriculum on the Society’s website indefinitely and will update it every three years to insure that the text is current and accurate. Other initiatives related to geriatric medicine at ASN include: T. Franklin Williams Scholars ASN has partnered with ASP to fund junior nephrologists have decided to focus their careers on addressing issues related to the geriatric aspects of nephrology. Since 2003, there have been ten recipients of this grant. Geriatric Nephrology Advisory Group Beginning at Renal Week 2009, ASN will have an advisory group devoted exclusively to the treatment of elderly patients with kidney disease. Additional NIH Funding for Geriatric Aspects of Nephrology In May of 2008, ASN and ASP collaborated with the National Institutes of Health (NIH) to organize the “ASN-ASP Workshop on Prediction, Progression, and Outcomes of Chronic Kidney Disease in Older Adults.” The National Institute on Aging and the National Institute of Diabetes and Digestive Kidney Diseases has subsequently issued two finding opportunities, an R01 and a R21, focused on “Renal Function and CKD in the Aging.”
  • 3. ASN Staff Contact: Susan E. Owens Senior Policy Coordinator 1725 I Street, NW Suite 510 Washington, DC 2006 (202) 416-0668 sowens@asn-online.org ASN Member Contact: Donald E. Kohan, MD, PhD, FASN ASN Education Director for Fellowship Training University of Utah Medical Center Division of Nephrology 30 North 1900 East 4R 312 Salt Lake City, UT 84132-2412 (801) 581-6709 Donald.kohan@hsc.utah.edu
  • 4. Proposed Budget Recording IDNC $5,000 Updating website $4,500 Aligning curriculum and IDNC $4,000 Providing staff support $3,500 Total Expenses: $15,000