Paediatric nephrology - sub-specialty

A paediatric nephrologist manages children and young people with chronic and acute kidney disease, including the provision of dialysis and kidney transplantation. Find out more about this sub-specialty and its curriculum.

What is expected from a paediatric nephrology trainee?

A paediatric nephrologist is a clinician who deals with the diagnosis, investigation and management of chronic and acute kidney disease, including the provision of dialysis and renal transplantation. Paediatric nephrologists have detailed knowledge of renal physiology, including fluid management and disturbances in electrolytes and acid-base balance.

They are skilled in the management of acute kidney injury (AKI), which may be managed conservatively or with renal replacement therapy (RRT), including peritoneal dialysis (PD), haemodialysis (HD), and continuous venovenous haemodialysis (CVVHD) and continuous venovenous haemodiafiltration (CVVHF). They are also skilled in the management of chronic kidney disease (CKD), including the pre-dialysis phase, peritoneal dialysis, haemodialysis and transplantation.

Paediatric nephrologists also develop expertise in the management of children and infants with:

  • congenital anomalies of the renal tract
  • nephrotic syndrome
  • glomerulonephritis
  • vasculitis
  • inherited and acquired forms of tubulopathy
  • urinary tract infection (UTI)
  • vesicoureteric reflux (VUR)
  • renal stone disease
  • hypertension
  • inborn errors of metabolism
  • inherited nephropathies.

CKD is a life-long condition and paediatric nephrologists are frequently involved in the care of patients from birth all the way through to the successful transition into adult renal care.

RCPCH Progress curriculum

As of 1 August 2018, sub-specialty trainees use the RCPCH Progress Level 3 Generic syllabus alongside the RCPCH Progress Paediatric Nephrology Syllabus which is available to download below.

Exceptions to this are those trainees who will CCT (certificate of completion of training) before 15 September 2019 - the 2010 curriculum is available to download below.

Sub-specialty learning outcomes

In addition to the generic learning outcomes for level 3, paediatric nephrology trainees must fulfil the following requirements:

  • Demonstrates extensive knowledge of renal physiology, including fluid management and disturbances in electrolytes and acid-base balance.
  • Manages the diagnosis, investigation and management of acute and chronic kidney disease, including the provision of renal replacement therapy and renal transplantation.
  • Demonstrates proficiency in all aspects of the management of children and infants requiring acute and long-term dialysis, including peritoneal dialysis, haemodialysis, continuous venovenous haemodialysis and continuous venovenous haemodiafiltration.
  • Manages children and infants with congenital anomalies of the renal tract, nephrotic syndrome, glomerulonephritis, vasculitis, inherited and acquired forms of tubulopathy, UTI and vesicoureteric reflux, renal stone disease, hypertension, inborn errors of metabolism, and inherited nephropathies.
  • Shows expertise in the transition of renal patients to adult care.

Any queries, please contact progress@rcpch.ac.uk