• IPNA Syllabus 2024

    IPNA Syllabus 2024

  • Click on each section to reveal more details. All symptoms/processes are mandatory unless indicated otherwise.

  • Part 1 - Knowledge

    • 1.A Signs and symptoms 

    • Evaluation whether the listed signs and symptoms can be attributed to kidney disease:

      1. Elevated blood pressure
      2. Edema
      3. Hematuria
      4. Proteinuria
      5. Urinary frequency, urgency and/or dysuria
      6. Oliguria
      7. Polyuria and/or polydipsia/dehydration
      8. Enuresis
      9. Unusual cravings for salt or potassium
      10. Growth retardation
      11. Acidosis
      12. Unexpected fractures/bone pain/bone deformities
      13. Nausea, poor appetite, weight loss, fatigue
      14. Vasculitic rashes
      15. Arthritis and arthralgia
      16. Abdominal pain
      17. Abdominal mass

    • 1.B Diseases 

    • Etiologies, pathophysiology, clinical characteristics, evaluation and management of common and uncommon renal conditions including:

      1. Hypertension: elevated BP; Stage 1 Hypertension or Stage 2 Hypertension
      2. Urinary tract infection, uncomplicated or complicated
      3. Congenital anomalies of kidney and urinary tract (hydronephrosis, vesicoureteral reflux, kidney dysplasia, obstructive uropathy)
      4. Nonspecific urethritis
      5. Enuresis, daytime and/or nightime, voiding dysfunction
      6. Cystic kidney diseases 
      7. Nephrogenic diabetes insipidus
      8. Electrolyte disturbances
      9. Proteinuria, orthostatic, transient or persistent
      10. Hematuria with or without proteinuria
      11. Acute kidney injury
      12. Hemolytic uremic syndrome
      13. Chronic kidney disease
      14. Urolithiasis, nephrocalcinosis
      15. Tubular disorders, primary or secondary
      16. Glomerulonephritis
      17. Hereditary nephritis
      18. Interstitial nephritis
      19. Nephrotic syndrome, steroid-sensitive and steroid-resistant
      20. Henoch-Schonlein purpura
      21. Autoimmune diseases with potential for renal involvement, such as systemic lupuc erythematosis, ANCA-mediated vasculitis
      22. Systemic conditions with potential for renal involvement, e.g. sickle cell anemia/trait, bacteremia/sepsis, shock and severe dehydration, diabetes mellitus
      23. Metabolic bone disorders
      24. Participation in multidisciplinary management of renal tumors together with pediatric oncologists
      25. Participation in multidisciplinary management of syndromic conditions with renal involvemet 
      26. Regional kidney/urinary tract disorders (OPTIONAL)

    • 1.C Pediatric Dialysis 
      1. Basic principles of extracorporeal renal replacement therapies (RRT) (e.g. hemodialysis, peritoneal dialysis, continuous hemofiltration)
      2. Indications for and application of RRT (e.g. hemodialysis, peritoneal dialysis, continuous hemofiltration) for children with acute and chronic kidney failure
      3. Prescription of dialysis (e.g. hemodialysis, peritoneal dialysis, continuous hemofiltration)
      4. Dialysis complications
      5. Indications and utility of plasmapheresis in renal disorders
    • 1.D Transplantation 
      1. Basic principles of renal transplantation (RTx)
      2. Indications for and application of RTx
      3. Immunosuppressive drugs fro renal Tx
      4. Acute and long-term post-transplant care and potential complications
    • 1.E Management of specific periods of life 
      • End-of-life/supportive care
      • Adolecent care/transition
    • 1.F Pediatric Urology 
      • Participation in multi-disciplinary team for mangement of urogenital disorders in children that require involvement of a pediatric nephrologist (e.g. extrophia vesicalis, cloacal malformation)

    • Part 2 - Practical skills

    • 2.A Management of patients with acute kidney issues 
      • Hypertension
      • Acute electrolyte disturbances
      • Acute glomerulonephritis
      • Acute kidney failure
      • Acute nephrosis
      • Acute edema - non-renal origin
    • 2.B Management of patients with chronic kidney diseases  
      • Hypertension
      • Chronic electrolyte disorders
      • Chronic glomerulonephritis
      • Chronic kidney failure including management of anemia, CKD-related bone disorder, growth retardation
      • Chronic nephrosis
      • Chronic edema - non-renal origin
      • Nutrition in chronic kidney disease
      • Contribution to care of psychosocial issues related to kidney disease requiring a multi-disciplinary approach together with psychologist, social worker, and/or specialized nurse
    • 2.C Management of patients on dialysis  
      • Management of patients on hemodialysis
      • Management of patients on peritoneal dialysis
      • Management of patient on continuous renal replacement therapy
      • Management of patients on plasmapheresis 
    • 2.D Management of patients after kidney transplantation  
    • 2.E Interpretation of kidney imaging, functional tests, renal pathology  
      • Kidney ultrasound
      • Nuclear medicine tests
      • Uroflowmetry & Urodynamic examination
      • Kidney pathology
      • Other Kidney Imaging (CT, MRI)

    • Part 3 - Procedures

      • Kidney biopsy
      • Inserting peritoneal dialysis catheter (OPTIONAL)
      • Inserting central venous line (OPTIONAL)
      • Ultrasound (kidney, bladder, AV fistula, fluid overload) (OPTIONAL)

    • Part 4 - Communication and management skills

      • Providing effective consultation
      • Participating in a multi-disciplinary team
      • Participating in a transition program
      • Implementing cost-effective care
      • Contributing to patient safety programs
      • Contributing to improving quality of care programs

    • Part 5 -Attitudes and prospectives

      • Professionalism (honesty, altruism, compassion, accountability, excellence, respect)
      • Sustainability
      • Openness for equity, diversity & inclusion
      • Advocacy & preventive health

    • Part 6 -Scholarship and teaching activities

      • Clinical or translational research (OPTIONAL)
      • Teaching competencies
      • Basic research design & Statistics
      • Scientific writing
    • Should be Empty: