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School of Medicine

DEPARTMENT OF NEPHROLOGY
GOALS
    There are several specific goals for training in Nephrology that reflect
    the unique values, strengths, and resources of the Program. These
    include:

   Learning a biopsychosocial approach to patient care
   Pursuing experiences with patient-centered research
   Participating in activities that improve the health of our community
   Providing leadership in efforts to improve quality of care
   Participating in research and curriculum development that advance
    graduate medical education nationally
HISTORY
   The Department of Nephrology was re-established in 1992
    as successor of the department of the Internal
    Medicine which was established in 1945.
    The head of the department is Dr. T.Ariunaa. The
    department is functioning with
    five faculty members. The department is running its
    undergraduate and graduate trainings and research
    studies based at the nephrology department of the Central
    Clinical Hospital and Shastin Clinical Hospital
FACULTY MEMBERS

   Head of the department:
    T. Ariunaa, Ph.D, Associate Professor
    Staff:
    Kh. Gelegjamts, Ph.D., Professor
    J. Enkhtuya, M.Sc
    E.Baigalmaa MD
    J.Ariunbold MD
Cover all aspects of our clinical discipline
including kidney injury, glomerulonephritis,
vasculitis, electrolyte and acid-base
disorders, hypertension, genetic kidney
diseases, renal complications of pregnancy,
chronic kidney disease (CKD), and renal
osteodystrophy.
We provide primary care to a large group of
patients with CKD.
RESEARCH

    Current areas of research focus include studies of
    the epidemiology of CKD and its risk factors. In
    addition to research projects supported by
    governmental research grants, the HSUM
    Department of Nephrology has been established
    as the Sister Renal Center by the International
    Society of Nephrology.

POSTGRADUATE TRAINING
   Our program is designed to prepare fellows for
    academic and/or clinical careers in the disciplines
    of nephrology. We offer training opportunities in
    combined clinical and research aspects of
    nephrology, including bench and patient oriented
    investigation, as well as in clinical nephrology
    alone. Fellows have the opportunity to participate in
    the Doctoral Program leading to a Ph.D. in either
    laboratory or patient–oriented research, or obtain a
    MS degree in Nephrology.
Undergraduate training

3rd year, School of Medicine Block 11 Kidneys and
  homeostasis                10 credits
3rd year , School of Dentistry Introduction to
  Internal Medicine          2 credits
6th year, School of Medicine Clerkship training
  70,7 hours
Postgraduate training
   Residency training in Internal Medicine
   Specialty training in Nephrology
   Continuing medical education training for
    physicians
   M.S. program
   Ph.D. program
Research grants

   “Program for early detection and prevention of chronic
    kidney diseases in Mongolia“, 2007-2009, International
    Society of Nephrology Research grant, project coordinator
    T.Ariunaa

   “Prevalence of chronic kidney diseases in Mongolia“,
    2008-2012, Ministry of Health Research grant, project
    coordinator T.Ariunaa, Kh.Gelegjamts
Organized events


Event          Organizations   Number of participants
               involved




International   WHO, ISN       80-100 physicians from
Society of                     Ulaanbaatar city and
Nephrology                     provinces
CME,
2006,2008, 2010
ISN COMGAN CME-1 . 2006
ISN COMGAN CME-2 . 2008
ISN COMGAN CME-3 . 2010
ISN COMGAN SISTER RENAL CENTRE
2010 LEVEL C
2012 LEVEL B




The formal ribbon cutting ceremony, celebration of Sister Renal Centers and
opening of the Prevention Clinic attended by the
    •head of the WHO Dr Wiwat (to the right in ribbon cutting picture)
    •president of HSUM, Professor Lkhagvasuren
    •Dr Paul Tam, medical director of SRD
Joint training for    Seoul National   40-50
general practitioners University       physicians
and nephrologists,                     from district
2009, 2010, 2011                       hospitals
                                       and major
                                       nephrology
                                       departments
Organized events


World kidney day,      WHO, Central         60
2008, 2009,2010,       Clinical Hospital,   nephrologist
2011,2012              Shastin Clinical     s and
                       Hospital             internal
                                            medicine
                                            doctors
World kidney day
Textbooks and educational materials

1. Approach to the patient with kidney diseases – 2002
2. Diagnosis and treatment of common diseases –
3. Clinical guidelines for family doctors
4. Internal medicine 2005
2. Nephrology, first edition – 2006 400 pages
3. Internal medicine - 2008, 350 pages
4. Nephrology, second edition - 2010 480 pages
Publications
                            Articles
   Li PKT, Chow KM, Matsuo S, Yang CW, Jha V, Becker G, Chen N,
    Sharma SK, Chittinandana A, Chowdhury S, Harris DC, Hooi LS, Imai
    E, Kim S, Kim SG, Langham R, Padilla BS, Teo BW, Togtokh A,
    Walker RG, Wang HY, Tsukamoto Y. Asian Chronic Kidney Disease
    (CKD) Best Practice Recommendations – Positional Statements
    for Early Detection of CKD from Asian Forum for CKD Initiatives
    (AFCKDI). Nephrology ( Carlton ) 2011 Sep;16(7):633-641 [Epub
    2011 Jul 20]

   Sharma S.K, Zou H., Ariunaa T. et al. Burden of CKD, proteinuria,
    and cardiovascular risk among Chinese, Mongolian and
    Nepalese participants in the International Society of Nephrology
    screening programs AJKD, Vol 56, No 5, 2010: pp 915-927
ABSTRACTS

1. T.Ariunaa, J.Enkhtuya, Kh.Gelegjamts "Results of programm of
     early detection of CKD in Mongolia " 11th Asian Pacific Congress
     of Nephrology, Malaysia 2008, 5-9 May

2. T.Ariunaa, J.Enkhtuya, Kh.Gelegjamts ”Awareness of Kidney
     Disease and its risk factors in the Mongolian population” 3rd
     Asian forum of Chronic Kidney Disease, Taiwan, 2009, 18-19 April

3. T.Ariunaa, J.Enkhtuya, Kh.Gelegjamts ”Prevalence of cases with
   decreased Glomerular filtration rate among population of
   Ulaanbaatar city”. The 10-th International congress of the Asian
   Society of Clinical Pathology and Laboratory Medicine, September
   10-11, 2009 Ulaanbaatar Mongolia
4. T.Ariunaa, J.Enkhtuya, E.Baigalmaa, Kh.Gelegjamts”Prevalence of
    cases with decreased GFR among Mongolian population” World
    Congress of Nephrology 2011, Vancouver, Canada, 8-12 April, 2011

5. E.Baigalmaa, J.M.Roscoe, T.Sikaneta “Use of MgCaCO3 preparation
   to manage hyperphosphatemia in peritoneal dialysis patients”
   World Congress of Nephrology 2011, Vancouver, Canada, 8-12
   April, 2011

6. T.Ariunaa, N.Perico, E.Baigalmaa , J.Enkhtuya “Salty tea intake and
    hypertantion in Mongolia”12th Asian Pacific Congress of
    Nephrology in conjuction with 4th Asian Forum of CKD Initiative,
    June 4, 2010, Seoul, Korea
ISN COMGAN SISTER RENAL CENTRE
2010 LEVEL C
2012 LEVEL B




The formal ribbon cutting ceremony, celebration of Sister Renal Centers and
opening of the Prevention Clinic attended by the
    •head of the WHO Dr Wiwat (to the right in ribbon cutting picture)
    •president of HSUM, Professor Lkhagvasuren
    •Dr Paul Tam, medical director of SRD
Clinical activities
•   Kh.Gelegjamts: General nephrologist of the Ministry of Health of Mongolia,
    member of Internal medicine board of the Ministry of Health of Mongolia,
    consultant of Hospital N 2,3

•   T.Ariunaa: General nephrologist of the Ministry of Health of Mongolia, member of
    Internal medicine board of the Ministry of Health of Mongolia,
    consultant of Kidney Diseases Prevention Center, Erkhes outpatient clinic,
    HSUM

•   J.Enkhtuya: consultant of Kidney Diseases Prevention Center, Erkhes outpatient
    clinic, HSUM
Membership in professional societies
   International Society of Nephrology

   Asian-Pacific society of Nephrology

   Mongolian of Internal Medicine
   .
Thank you for your attention

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Department of nephrology 2012 eng

  • 2. GOALS There are several specific goals for training in Nephrology that reflect the unique values, strengths, and resources of the Program. These include:  Learning a biopsychosocial approach to patient care  Pursuing experiences with patient-centered research  Participating in activities that improve the health of our community  Providing leadership in efforts to improve quality of care  Participating in research and curriculum development that advance graduate medical education nationally
  • 3. HISTORY  The Department of Nephrology was re-established in 1992 as successor of the department of the Internal Medicine which was established in 1945. The head of the department is Dr. T.Ariunaa. The department is functioning with five faculty members. The department is running its undergraduate and graduate trainings and research studies based at the nephrology department of the Central Clinical Hospital and Shastin Clinical Hospital
  • 4. FACULTY MEMBERS  Head of the department: T. Ariunaa, Ph.D, Associate Professor Staff: Kh. Gelegjamts, Ph.D., Professor J. Enkhtuya, M.Sc E.Baigalmaa MD J.Ariunbold MD
  • 5. Cover all aspects of our clinical discipline including kidney injury, glomerulonephritis, vasculitis, electrolyte and acid-base disorders, hypertension, genetic kidney diseases, renal complications of pregnancy, chronic kidney disease (CKD), and renal osteodystrophy. We provide primary care to a large group of patients with CKD.
  • 6. RESEARCH Current areas of research focus include studies of the epidemiology of CKD and its risk factors. In addition to research projects supported by governmental research grants, the HSUM Department of Nephrology has been established as the Sister Renal Center by the International Society of Nephrology. 
  • 7. POSTGRADUATE TRAINING  Our program is designed to prepare fellows for academic and/or clinical careers in the disciplines of nephrology. We offer training opportunities in combined clinical and research aspects of nephrology, including bench and patient oriented investigation, as well as in clinical nephrology alone. Fellows have the opportunity to participate in the Doctoral Program leading to a Ph.D. in either laboratory or patient–oriented research, or obtain a MS degree in Nephrology.
  • 8. Undergraduate training 3rd year, School of Medicine Block 11 Kidneys and homeostasis 10 credits 3rd year , School of Dentistry Introduction to Internal Medicine 2 credits 6th year, School of Medicine Clerkship training 70,7 hours
  • 9. Postgraduate training  Residency training in Internal Medicine  Specialty training in Nephrology  Continuing medical education training for physicians  M.S. program  Ph.D. program
  • 10. Research grants  “Program for early detection and prevention of chronic kidney diseases in Mongolia“, 2007-2009, International Society of Nephrology Research grant, project coordinator T.Ariunaa  “Prevalence of chronic kidney diseases in Mongolia“, 2008-2012, Ministry of Health Research grant, project coordinator T.Ariunaa, Kh.Gelegjamts
  • 11. Organized events Event Organizations Number of participants involved International WHO, ISN 80-100 physicians from Society of Ulaanbaatar city and Nephrology provinces CME, 2006,2008, 2010
  • 15. ISN COMGAN SISTER RENAL CENTRE 2010 LEVEL C 2012 LEVEL B The formal ribbon cutting ceremony, celebration of Sister Renal Centers and opening of the Prevention Clinic attended by the •head of the WHO Dr Wiwat (to the right in ribbon cutting picture) •president of HSUM, Professor Lkhagvasuren •Dr Paul Tam, medical director of SRD
  • 16. Joint training for Seoul National 40-50 general practitioners University physicians and nephrologists, from district 2009, 2010, 2011 hospitals and major nephrology departments
  • 17.
  • 18.
  • 19. Organized events World kidney day, WHO, Central 60 2008, 2009,2010, Clinical Hospital, nephrologist 2011,2012 Shastin Clinical s and Hospital internal medicine doctors
  • 20.
  • 22. Textbooks and educational materials 1. Approach to the patient with kidney diseases – 2002 2. Diagnosis and treatment of common diseases – 3. Clinical guidelines for family doctors 4. Internal medicine 2005 2. Nephrology, first edition – 2006 400 pages 3. Internal medicine - 2008, 350 pages 4. Nephrology, second edition - 2010 480 pages
  • 23. Publications Articles  Li PKT, Chow KM, Matsuo S, Yang CW, Jha V, Becker G, Chen N, Sharma SK, Chittinandana A, Chowdhury S, Harris DC, Hooi LS, Imai E, Kim S, Kim SG, Langham R, Padilla BS, Teo BW, Togtokh A, Walker RG, Wang HY, Tsukamoto Y. Asian Chronic Kidney Disease (CKD) Best Practice Recommendations – Positional Statements for Early Detection of CKD from Asian Forum for CKD Initiatives (AFCKDI). Nephrology ( Carlton ) 2011 Sep;16(7):633-641 [Epub 2011 Jul 20]  Sharma S.K, Zou H., Ariunaa T. et al. Burden of CKD, proteinuria, and cardiovascular risk among Chinese, Mongolian and Nepalese participants in the International Society of Nephrology screening programs AJKD, Vol 56, No 5, 2010: pp 915-927
  • 24. ABSTRACTS 1. T.Ariunaa, J.Enkhtuya, Kh.Gelegjamts "Results of programm of early detection of CKD in Mongolia " 11th Asian Pacific Congress of Nephrology, Malaysia 2008, 5-9 May 2. T.Ariunaa, J.Enkhtuya, Kh.Gelegjamts ”Awareness of Kidney Disease and its risk factors in the Mongolian population” 3rd Asian forum of Chronic Kidney Disease, Taiwan, 2009, 18-19 April 3. T.Ariunaa, J.Enkhtuya, Kh.Gelegjamts ”Prevalence of cases with decreased Glomerular filtration rate among population of Ulaanbaatar city”. The 10-th International congress of the Asian Society of Clinical Pathology and Laboratory Medicine, September 10-11, 2009 Ulaanbaatar Mongolia
  • 25. 4. T.Ariunaa, J.Enkhtuya, E.Baigalmaa, Kh.Gelegjamts”Prevalence of cases with decreased GFR among Mongolian population” World Congress of Nephrology 2011, Vancouver, Canada, 8-12 April, 2011 5. E.Baigalmaa, J.M.Roscoe, T.Sikaneta “Use of MgCaCO3 preparation to manage hyperphosphatemia in peritoneal dialysis patients” World Congress of Nephrology 2011, Vancouver, Canada, 8-12 April, 2011 6. T.Ariunaa, N.Perico, E.Baigalmaa , J.Enkhtuya “Salty tea intake and hypertantion in Mongolia”12th Asian Pacific Congress of Nephrology in conjuction with 4th Asian Forum of CKD Initiative, June 4, 2010, Seoul, Korea
  • 26. ISN COMGAN SISTER RENAL CENTRE 2010 LEVEL C 2012 LEVEL B The formal ribbon cutting ceremony, celebration of Sister Renal Centers and opening of the Prevention Clinic attended by the •head of the WHO Dr Wiwat (to the right in ribbon cutting picture) •president of HSUM, Professor Lkhagvasuren •Dr Paul Tam, medical director of SRD
  • 27. Clinical activities • Kh.Gelegjamts: General nephrologist of the Ministry of Health of Mongolia, member of Internal medicine board of the Ministry of Health of Mongolia, consultant of Hospital N 2,3 • T.Ariunaa: General nephrologist of the Ministry of Health of Mongolia, member of Internal medicine board of the Ministry of Health of Mongolia, consultant of Kidney Diseases Prevention Center, Erkhes outpatient clinic, HSUM • J.Enkhtuya: consultant of Kidney Diseases Prevention Center, Erkhes outpatient clinic, HSUM
  • 28. Membership in professional societies  International Society of Nephrology  Asian-Pacific society of Nephrology  Mongolian of Internal Medicine
  • 29.
  • 30.
  • 31.
  • 32.
  • 33. .
  • 34.
  • 35. Thank you for your attention