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Abstract: SA-PO699

The State of Pediatric Nephrology in the United States: Survey of Division Directors

Session Information

  • Pediatric Nephrology - 2
    October 26, 2024 | Location: Exhibit Hall, Convention Center
    Abstract Time: 10:00 AM - 12:00 PM

Category: Pediatric Nephrology

  • 1900 Pediatric Nephrology

Authors

  • Verghese, Priya S., Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States
  • Flynn, Joseph T., Seattle Children's Hospital, Seattle, Washington, United States

Group or Team Name

  • ASPN Division Director Interest Group.
Background

Targeted interventions to address the conflict in demand with a workforce shortfall in pediatric nephrology services require a better understanding of current state.

Methods

The American Society of Pediatric Nephrology interest group of 92 Pediatric Nephrology Division leaders, developed a survey to describe the scope of practice and faculty activity for pediatric nephrology, with operational details of their programs.

Results

Survey completion was 83% and 56% respondents were from small programs (≤4 faculty). The number of nephrologists were 1-21 (median 4); with 1-12 purely clinical faculty(cFTE>0.7) per group. Small groups had significantly greater fraction of primarily clinical (>0.7 cFTE) faculty. Large programs had more outreach, ancillary staffing, independent transplant programs, diverse renal replacement options, and on-site outpatient dialysis. Small programs have a disproportionately large outpatient volume per cFTE until recruitment / transition to the large program model. Heterogenous operations for transplant/dialysis/fellowship programs did not mitigate the administrative burden, which were often minimally supported.

Conclusion

These results highlight the diversity of academic pediatric nephrology divisions and identify areas where increased administrative support is needed to maintain division operations.