Paediatric nephrology

A paediatric nephrologist deals with the diagnosis, investigation and management of acute and chronic kidney disease, including the provision of dialysis and renal transplantation. This is a diverse clinical and academic specialty which interlinks with many other paediatric sub-specialties.

"As a nephrology trainee I gained immense satisfaction in learning to care for children and adolescents with kidney disease, from managing acute fluid and electrolyte derangement in acute kidney injury through to seeing the huge benefits of successful kidney transplantation."

There have been many advances over the past decade in the understanding and pathophysiology of renal disease and through ongoing scientific research and clinical studies supported by the Medicines for Children Research Network (MCRN) this is now translating into improvements in clinical care.  

What is expected from a paediatric nephrology trainee?

As a nephrology trainee you will acquire competency in all areas of the paediatric nephrology sub-specialty curriculum. This includes the management of Acute Kidney Injury (peritoneal dialysis, haemodialysis and continuous venovenous haemodialysis/filtration) and of Chronic Renal Failure (pre-dialysis, peritoneal dialysis, haemodialysis and transplantation). 

Training also covers the care of children with congenital anomalies of the renal tract, nephrotic syndrome, glomerulonephritis, vasculitis, inherited and acquired forms of tubulopathy, urinary tract infection and vesicoureteric reflux, renal stone disease, inborn errors of metabolism and inherited nephropathies. 

Trainees work within a structured multi-disciplinary team alongside specialist renal nurses, pharmacists, dieticians, social workers and psychologists. Training also covers working as part of an integrated clinical network and focuses on transition services to adult care.

Trainees have the opportunity to participate in national audits with the support of the Renal Registry and British Association for Paediatric Nephrology (a member of the Renal Association).

There are also opportunities to take part in research and follow an academic career path through Training Fellowships.

Who do paediatric nephrologists work with?

Paediatric nephrologists work closely with many other sub-specialties including:

  • paediatric urology
  • paediatric intensive care
  • paediatric haematology / oncology
  • foetal medicine and neonatal medicine
  • paediatric radiology
  • histopathology
  • biochemistry.

How do you enter sub-specialty training in paediatric nephrology?

Paediatric trainees enter GRID training in paediatric nephrology once they have completed level 2 training (ST4 and ST5) with the required number of satisfactory assessments per year by the time of entry to grid programme. Shortlisted applicants are interviewed.

The number of appointments per year is dependent upon the quality of applicants and predicted number of future consultant posts (usually 2 - 4 grid posts offered per year). Trainees may also be accepted through Academic Clinical Lectureships.

Training takes place over two to three years and may be divided between two training centres. Previous experience in paediatric nephrology is not essential.

What makes a good paediatric nephrologist?

Paediatric nephrologists always pay attention to the smallest detail. They continually reassess and question the diagnosis.

They enjoy the wide spectrum of disorders in this clinical specialty and the clinical and scientific research, which is developing in this area.

Curriculum documents

Nephrology Curriculum (PDF, 2.27MB, 169 pages)

Nephrology Level 3 Curriculum (PDF, 169KB, 25 pages)

Nephrology Assessment Guidance (PDF, 223KB, 4 pages)

Nephrology Guidance Checklist (MS Doc, 74KB, 4 pages)


Nephrology Unit Questionnaire (MS Doc, 113 KB, 4 pages)

Nephrology Trainee Questionnaire (MS Doc, 125 KB, 5 pages)

CSAC membership 



Email address


Dr Kay Tyerman
Subspecialty Training Advisor

 Dr Caroline Booth 
Subspecialty Training

Dr  Rachel Lennon 

Quality Advisor (job share) and BAPN President

Dr David Hughes

Quality Advisor (job share) and BAPN Secretary

Dr Yincent Tse

Assessment Advisor

Dr Ihab Shaheen 

Trainee Representative 

 Dr Andrew Maxted  
SPIN Lead Dr Mona Aslam 

Related links

British Association of Paediatric Nephrology

The Renal Association

infoKID: information for parents and carers about children's kidney conditions