Addition of a Home Hemodialysis Counseling Scenario to an Existing Formative Objective Structured Clinical Examination (OSCE) for Nephrology Fellows: A Research Letter
Nupur Gupta, Megha R Joshi, Daniel Landry, Zain Mithani, Ross J Scalese, Amy N Sussman, Christina M Yuan · 2026
Read Addition of a Home Hemodialysis Counseling Scenario to an Existing Formative Objective Structured Clinical Examination (OSCE) for Nephrology Fellows: A Research Letter by Nupur Gupta, Megha R Joshi, Daniel Landry, Zain Mithani, Ross J Scalese, Amy N Sussman, Christina M Yuan (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13219918.txt.
Description
Nupur Gupta and colleagues add a home dialysis counselling station to the simulated exams used to train kidney specialists, in a 2026 letter. Home hemodialysis is uncommon in the United States, so trainee nephrologists may rarely see it and hesitate to offer it to patients. A practice conversation with a standardized patient lets fellows rehearse that counselling without risk.
Nineteen fellows from four programs, split between first and second years, each ran a consultation. The standardized patient scored their communication on a global scale, while faculty graded dialysis-specific skills with an exercise. No fellow scored unsatisfactorily, and first- and second-year fellows performed alike, even though only one program ran a home dialysis clinic. In the survey, six of seven responding fellows said the simulation increased their comfort in discussing home dialysis with a patient. The authors present the scenario as a low-risk addition to fellowship training.
Catalog record
| CREATOR | Nupur Gupta, Megha R Joshi, Daniel Landry, Zain Mithani, Ross J Scalese, Amy N Sussman, Christina M Yuan |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 17 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |