SECOND LEVEL MASTER’S DEGREE IN
DIALYTIC TREATMENT OF RENAL FAILURE
Fifth Edition 2009/2010
Nephrology Division of the Department of Internal Medicine at Pisa Medical School and Hospital, Italy.
The course is proposed to young physicians who are interested to practise clinical Nephrology.
-To provide the basic knowledge in nephrology science and practice, oriented to diagnosis and treatment of
acute and of chronic kidney disease, particularly those with more severe impairment of renal function.
-To give advanced knowledge and skills in all dialysis techniques.
Participants will be also trained in the preparation of temporary and permanent accesses for the dialytic
treatment and related complications. Medical, cardiac and endocrine complications of dialysis and their
prevention and treatment will be focused.
-To give the adequate competence to organize a dialysis program and to manage hospital based dialytic
facilities, dialysis clinics, and home dialysis.
Length of the course:
One year. Candidates who are already post-graduated in Nephrology, in Internal Medicine or Anesthesiology
and Intensive care, may ask for a shortening of the length of the course.
The course will start on November 9, 2009. Full-time participation is required. Vacations for a maximum
length of one month are allowed.
The course will be held at the Division of Nephrology of the Department of Internal Medicine of Pisa
University, at Cisanello Hospital.
DIDACTIC ACTIVITY AND PROFESSIONAL TRAINING
General Aspects. The course provides a total of 62 credits, which are roughly equivalent to 300 hours of
lessons (formal lectures) plus 1200 hours of training activities organized on a weekly timetable from Monday
morning to Friday afternoon.
Due to the small numbers of trainees, the achievement of learning and training objective will be continuously
evaluated by the teachers. The course as a modular structure.
Modular structure of the Course.
Introductory remarks. Morphological and functional diagnosis of kidney diseases. Arterial hypertension
and renal diseases. Endothelial dysfunction. Clinical pharmacology, pharmacokynetics and toxicity of drugs
in chronic kidney disease and in end-stage renal disease. Nutrition and evaluation of nutritional status in
renal diseases. Uremic syndrome.
Epidemiology and Health Economics. Epidemiology of renal diseases and uremia, “Evidence based
medicine” and cost-effectiveness analysis of medical interventions. Legislation concerning dialytic therapy
of renal failure. Management of a dialysis centre.
Cardiology and Internal Medicine.
Physiopathology, diagnosis and treatment of arrhythmias, hearth failure, myocardial ischemia. Principles of
electrocardiography and echocardiography. Physiopathology, diagnosis and treatment of vascular
Anaesthesia, Surgery and Interventional Radiology: Dialysis Accesses
Choosing the type of vascular access. Positioning techniques, control and management of central venous
catheters (CVC). Arterio-venous fistulas and vascular prosthesis for haemodialysis. Peritoneal catheter for
peritoneal dialysis. Prevention, diagnosis and treatment of complications of hemodialysis and peritoneal
Nephrology: Acute renal failure.
Acute renal failure: causes, clinical picture, complications, prognosis. Medical management of critical cases
in intensive care units (ventilation assistance, cardio-vascular assistance). Multi-organ failure syndrome.
Conservative and dialytic therapy of acute renal failure, and of multi-organ failure syndrome. Continuous
and intermittent dialytic treatments in ICU and treatment of diuretic refractory hearth failure. Plasma-
aphaeresis and other aphaeretic therapy.
Nephrology: Hemodialysis and peritoneal dialysis for the treatment of end-stage renal diseases.
Indications to dialysis and choice of dialytic technique. Principles of peritoneal dialysis and hemodialysis.
Hemodialysis and peritoneal dialysis techniques. Dosage of dialysis. Adjusting and controlling the dialytic
treatment. Evaluation of the effectiveness of the treatment. Dialytic treatment of diabetic patients. Acute
and chronic complications of uremia and dialysis: cardiovascular complications; anaemia, uremic bone
disease, amyloidosis, neurologic complications; infective diseases. Nephrological Emergencies. Clinical
pharmacology of dialytic patients. Psychological, physical and social rehabilitation of ESRD patients.
Organization and management of a dialysis centre and of home dialysis.
Participants will practice daily in each field of dialytic treatment of renal failure and related complications,
with the tutorial assistance of experienced nephrologists, cardiologists, internists, general and vascular
surgeons, anesthesiologists, and radiologists. In particular, the trainees will participate as observers in the
clinical activities of nephrology ward (general nephrology, hemodialysis, peritoneal dialysis, and
transplantation), outpatients clinics, renal function assessment laboratory, renal sonography, and renal
Formal lectures and practical training will be given by the staff of the proponent University and Hospital.
The faculty is composed by Professors of Nephrology, Internal Medicine, Surgery, Cardiology,
Anesthesiology, Intensive Care, Radiology at the Medical School of the Universities of Pisa and Perugia,
or at the Post-graduation Schools in Nephrology of the University of Pisa; the remaining faculty will be
composed by Professors or Experts of other Italian Universities and Hospitals, and by experts from
Industries working in the field of production of dialysis machinery and equipments.
Other information on the course can be found on the web site of Pisa University, at the following addresses:
ENTRY REQUIREMENTS FOR THE PARTICIPATION TO THE COURSE
-Graduation in Medicine (M.D.) and licensure to practice as a medical doctor, or equipollent University
degrees or titles, officially recognized by Italian Ministries of University and Health.
-Knowledge of Italian or English languages.
NUMBER OF PARTICIPANTS ADMITTED TO THE COURSE
Total of six participants.
Selection of the participants
Selection will be made on the basis of the professional curriculum of applicants.
COST OF THE COURSE
The tuition costs are € 3,000.00, they cover participation to the teaching and practical sessions of the course.
Housing, transportation and meals are not includes in the costs of the course. Affordable meals will be
disposable, as for all other students at Pisa University. Housing information in Pisa can be obtained from
ARDSU (Azienda Regionale per il Diritto allo Studio Universitario – Pisa): www.dsu.pisa.it;
www.dsu.pisa.it/pisa/studenti/infocasa.html; e-mail: firstname.lastname@example.org; phone +39 050 567503; fax +39 050
The link at the welcome point of Pisa University for accommodation of foreign students in Pisa is:
It is possible to apply for a restricted number of grants, funded by the Italian Ministry of Foreign Affairs.
October 16 2009 for the submission of the application forms.
Non-European medical doctors must submit their application to the Italian Embassy in their country. They
must also present their Graduation in Medicine (M.D.) and licensure to practice as a medical doctor (or
equipollent University degrees or titles, officially recognized by Italian Ministries of University and Health),
together with a short curriculum.
Address correspondence and information requests to:
Prof. Carlo Donadio, Associate Professor of Nephrology
Director of the Master in “Dialytic Treatment of Renal Failure”
Department of Internal Medicine – Nephrology
University of Pisa - Via Roma 56 - I-56100 Pisa, Italy
Phone: +39 050 997278
Fax:. +39 050 553414
University of Pisa DIPARTIMENTO DI MEDICINA INTERNA – DEPARTMENT OF INTERNAL MEDICINE
MASTER Course(1) Location Maximum Minimal Entry Lenght Tuition Fees Deadline for Start of the
number of number of requirements application Course
trainees (2) trainees (3)
Dialytic treatment of Departments of
renal failure Internal Medicine and 6 2 Recognized 1 year: from € 3.000,00 17.04.2010 03.05.2010
Nephrology at Pisa Degree in November to
University Medicine and October
Part-time Part-Time up to 6 months Part-Time
3 Nurses € 800
1) Full time participation is required. The frequency for at least 70% of the courses is mandatory. Other study courses cannot be frequented during the same period.
2) Selection of participant will be made on the basis of curricula.
Opening hours of Didactic Secreretaryat Dept. Internal Medicine, University of Pisa, Via Roma 67, 56126 Pisa: Monday-Friday 10-13. Tel: +39050992576; Fax +39050553414;
Email: email@example.com; firstname.lastname@example.org