Development of Paediatric Nephrology Training

Abstract We shall bring into focus the history of training and board certification in paediatric nephrology in the USA. In the three decades since 1974, the American Board of Pediatrics certified over 700 paediatric nephrologists with the current active workforce of 631, giving a manpower national average of 0.6 paediatric nephrologists per 100,000 populations under 18 years of age. The workforce entry and exit is in parallel with population growth, at least for the foreseeable future. Paediatric nephrology training in other parts of the world is extraordinary diverse. No one single system or approach fits all because of dissimilar local conditions. Different emphasis arises due to distinctive local conditions and priorities. Everywhere, paediatric nephrologists are concentrated at big cities, accentuating the tension between urban and rural concerns. Finally, we would like to kindle a conversation about future training in this subspecialty, in a complex world of expanding science and contracting resources