Is There A Global Shortage Of Nephrologists?
The 2019 Global Kidney Health Atlas states that more than 70% of nations reported experiencing a shortage of nephrologists. In Western, Eastern, and Central Europe there are 25 nephrologists per million population on average, a statistic which is better than the low figures reported in developing economies, such as those in parts of Asia, Africa, and Latin America.
What’s Causing the Deficit in Nephrologists?
The factors contributing to a deficit in nephrologists include:
- Difficulties in recruitment: For more than a decade, the number of U.S. medical school graduates choosing to specialize in nephrology has been declining, hampering recruitment and training efforts.
- A challenging job market for international medical school graduates: international students find the stringent work visa requirements, specifically the rule that they must work in underserved areas, difficult to comply with.
- Retiring nephrologists: A large number of nephrologists are nearing retirement, resulting in a chronic shortage of available specialists.
- A rise in the number of people who need kidney care: An aging population and increased cases of chronic kidney disease (CKD) are driving up demand for nephrology services.
- Inadequate training and resources: Many of the less developed countries lack nephrology training programs and resources, and therefore find it difficult to develop and sustain a stable workforce.
- Geographic disparities: Nephrologists are found mostly in urban areas, while there’s a serious shortage in rural regions. Healthcare services are also strained in developing countries and conflict zones, creating a disparity in access to kidney specialist services.
Are Dialysis Nurses And Technicians Also Affected?
The number of dialysis nurses and technicians in the US and around the world is inadequate to meet patient needs. Although it has been a long-standing issue, the shortage got worse during the COVID-19 outbreak and has reached chronic proportions due to an aging population and higher prevalence of chronic kidney disease. This deficit not only affects patient care but also increases the workload and burnout for the remaining healthcare workforce.
How Can The Shortage Be Resolved?
- Strategies are needed to attract more medical students and trainees to specialize in nephrology. Initiatives should include more exposure, mentorship programs, and better work-life balance.
- More investment in training and education is needed to increase the number of qualified nephrologists, especially in low- and middle-income countries.
- Using a comprehensive and sustainable approach that factors in the needs of both patients and healthcare providers. This should include flexible workforce practices and adequate remuneration.
- Sharing of best practices and resources on a global level to address the nephrology workforce shortage.
Stay Current On Evolving Best Practices With Nephrology CME
With a growing global shortage of nephrologists, continuing medical education (CME) plays a critical role in addressing the knowledge and skills gap. CMEList offers a wide range of high-quality nephrology CME options, including live courses, on-demand video lectures, audio podcasts, nephrology conferences, and many free CME options. These resources help nephrologists keep abreast of evolving best practices in kidney care and treatment innovations.
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