TARGETED CanMEDS SKILLS:

• Leader
• Scholar

LEARNING OBJECTIVES:

1. 1. To briefly discuss the concepts and the broad current usage of machine learning, artificial intelligence and natural language processing.
2. 2. To discuss the potential usage of artificial intelligence in the field of clinical nephrology, using specific examples, in relation to:
1. 1. diagnosis of diseases
2. 2. prediction of outcomes
3. 3. selection of treatments.
3. 3. To explore the potential benefits and limitations of usage of artificial intelligence in this context.
4. 4. To describe the usage of these tools in the next 5 to 10 years for healthcare providers involved in nephrology care.

TARGETED CanMEDS SKILLS:

• Medical Expert
• Scholar

LEARNING OBJECTIVES:

Using clinical cases for a multidisciplinary audience (nephrologists, pharmacists, nurses, dietitians):

• 1. To discuss the impact of some current autoimmune diseases and vasculitis (lupus, ANCA vasculitis) on fertility for young women afflicted by these diseases.
• 2. To review the clinical management before and during pregnancy of these women, more specifically in relation to:
1. 1. usage of immunosuppressive drugs
2. 2. monitoring of diseases activity
3. 3. impact of these diseases on blood pressure control and kidney function
• 3. To recognize, prevent or manage specific complications related to these diseases during pregnancy, such as:
1. 1. thromboembolic disorders
2. 2. preeclampsia
3. 3. antiphospholipid syndrome
4. 4. flare-up of these diseases
• 4. To schematize the impact of these diseases and their therapeutics on lactation and future baby’s health.

TARGETED CanMEDS SKILLS:

• Medical Expert
• Communicator
• Collaborator
• Scholar

LEARNING OBJECTIVES:

To share with colleagues the vision of one member of each professional group involved, and more specifically:

1. 1. To present relevant concepts (diagnostic, therapeutic, behavioural, organizational approaches or notions acquired in 2024) to the members of multidisciplinary teams in nephrology.
2. 2. To illustrate how the concepts of interest acquired in 2024 can apply in a multidisciplinary practice for the different groups of healthcare professionals.
3. 3. To integrate the concepts conveyed in the presentation to the current practice of the members of the healthcare teams.

TARGETED CanMEDS SKILLS:

• Collaborator
• Scholar

LEARNING OBJECTIVES:

Using clinical cases or vignettes in this conference for a multidisciplinary audience (pharmacists, nurses, dietitians, nephrologists)

1. 1. To discuss the rationale of fluid and salt intake targets in the presence of CKD stage 3 to 5.
2. 2. To describe clinical tools available in current practice to better define target weight and optimal fluid balance for this clientele, and to prevent overhydration or dehydration.
3. 3. To explore in this context ways to correct or prevent hypo or hypernatremic states and to predict the need of water or salt intake.
4. 4. To promote future usage of readily clinical tools to better advice stage 3 to 5 CKD patients on their daily fluid and salt intake.

TARGETED CanMEDS SKILLS:

• Medical Expert
• Scholar

LEARNING OBJECTIVES:

1. 1. To demonstrate the benefits of pre-emptive kidney grafts over dialysis therapies for eligible CKD patients.
2. 2. To describe selection and exclusion criteria to better define the CKD clientele eligible for pre-emptive kidney graft.
3. 3. To discuss the potential benefits and hazards related to pre-emptive kidney graft, in relation to:
1. 1. age of the recipients
2. 2. residual value of eGFR
3. 3. etiologies of kidney failure
4. 4. other pertinent aspects

TARGETED CanMEDS SKILLS:

• Medical Expert
• Scholar

LEARNING OBJECTIVES:

1. 1. To briefly discuss the kidney graft survival time, and the major causes of a failing graft or major eGFR drop.
2. 2. To propose strategies for clinicians involved in the care of these patients, in the model of pre-dialysis clinics in relation to:
1. 1. management of immunosuppressive drugs
2. 2. preservation on residual eGFR
3. 3. removal (or not) of the failing kidney graft
3. 3. To analyze the benefits related to a new pre-emptive kidney transplantation versus the beginning of dialysis therapies.

TARGETED CanMEDS SKILLS:

• Medical Expert
• Communicator
• Collaborator
• Professional

LEARNING OBJECTIVES:

1. 1. To briefly define the concept of shared decision making in 2024.
2. 2. To explore the challenges to achieve an adequate process of shared decision, in relation to the patient’s background knowledge of his disease:
1. 1. quality and clarity of explanations
2. 2. resolution of matters raised
3. 3. mixed messaging
4. 4. interaction with the patient’s family members and other caregivers
3. 3. To provide helpful clues and tools to achieve better communication and shared decision process.
4. 4. To demonstrate during the joint discussion period, with a moderator and a patient suffering from CKD, the potential usage of these tools.

(***Following this conference, a patient will discuss his personal experience of decision-making process, in relation to his status of CKD patient, in different aspects of his medical history: end-stage kidney failure, choice of dialysis modality, possibility of future kidney transplant).

TARGETED CanMEDS SKILLS:

• Medical Expert
• Communicator
• Collaborator
• Professional

LEARNING OBJECTIVES:

1. 1. To describe the journey of a CKD patient, from a personal perspective, from CKD stage 3 to 5 to dialysis, and eventually to a kidney transplant.
2. 2. To demonstrate with specific and personal examples the impact of the decision-making process on:
1. 1. acceptance of his disease
2. 2. integration of his own values and priorities in the decision-making process
3. 3. emotions
3. 3. To summarize some aspects to achieve a better quality of shared decision-making process.
4. 4. To discuss during the joint session with the moderator and the first speaker ways to enhance in the future the quality of this process.