SURVEY FOR RECENTLY QUALIFIED NEPHROLOGISTS

Thank you for your agreeing to participate in our anonymous survey. This survey aims to examine the current state of adult nephrology advanced training in Australia and New Zealand. Your experience and views on training and employment will help us identify potential issues and develop strategies to improve advanced training and maximise employment prospects in nephrology.
Please note the following disclaimer prior to answering any questions. In submitting your responses, you are providing your consent to participate in the survey and agree that:
·        You understand the purpose of the survey, what you are being asked to do, and the risks and benefits of participating.
·        You are responding to the questionnaire voluntarily and that a decision to either participate or not participate does not influence your relationship with the researchers, nephrologists, or anybody else.
·        You are able to withdraw before completing the survey at any time.
·        Your answers are collected in accordance with the Information Privacy Act 2009. Responses are completely de-identified and will be stored on a password-protected computer accessible only to the researchers. Your anonymous personal information may be used for data analysis and published in scientific forums.
·        You acknowledge that SurveyMonkey is an online platform that transmits and stores data in the United States of America and that such data is not protected in accordance with Australian privacy law. You should consult the SurveyMonkey privacy policy for further details. 
·        You are able to contact the researchers if you wish to. If you wish to complete the survey without the transfer of your information overseas then you may contact the researchers.
·        You understand that your identity will not be requested at any time and that although we collect personal data you will not be reasonably identifiable.
Ethics approval has been obtained (https://gofile.io/d/8ZLkhw).  If this survey has raised any issues you would like to discuss, please feel free to contact Dr Julian Yaxley (julian.yaxley@health.qld.gov.au) or access some suggested support services: Doctor's Health Advisory Service (www.dhas.org.au), Beyond Blue (www.beyondblue.org.au), or Employee Assistance Programs.
Thank you for your participation!

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* 1. In which year did you finish advanced training in nephrology?

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* 2. What was your age at the end of nephology advanced training (in years)?

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* 3. What is your gender? 

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* 4. Where is the hospital in which you completed your final year of nephrology advanced training (enter town or postocde)?

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* 5. Where is the hospital in which you primarily currently work (enter town or postcode)?

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* 6. Did you travel interstate for clinical rotations during nephrology advanced training? 

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* 7. Did you travel overseas for clinical rotations during nephrology advanced training? 

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* 8. Did you rotate to a hospital in a rural or remote region during nephrology advanced training?  

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* 9. If you rotated to a hospital in a rural or remote region during nephrology advanced training, did you consider this a valuable training experience?   

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* 10. Do you think a rotation to a hospital in a rural or remote region during nephrology advanced training should be mandatory?

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* 11. How well trained did you feel for managing the following at the completion of nephrology advanced training?

  Very well trained. Well trained. Neutral. Inadequately trained. Very inadequately trained. 
Peritoneal dialysis.
Home haemodialysis.
In-centre haemodialysis.
Acute kidney transplant care.
Chronic transplant patients.
Evaluating kidney transplant donors and recipients.
Chronic kidney disease.
Glomerulonephritis.
Acute kidney injury.
Hypertension.
Patients in an outpatient clinic setting.
Renal supportive and palliative care.
Private practice management.
Continuous renal replacement therapy (CRRT).
Interpretation of renal histopathology.

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* 12. In the hospital in which you primarily currently work, who primarily performs the following procedures?

  Nephrologists or nephrology advanced trainees.  Radiologists. Intensive care physicians. Surgeons.
Kidney biopsy.
Non-tunnelled haemodialysis catheter (Vascath).
Tunnelled haemodialysis catheter (Permcath). 
Peritoneal dialysis catheter.

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* 13. Which of the following do you consider essential skills for nephrologists?

  Yes. No.
Kidney biopsy.
Vascath insertion.
Permcath insertion.
Peritoneal dialysis catheter insertion.
Clinical research.
Renal histopathology.

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* 14. How adequate was your training in performing the following procedures?

  More than adequate. Adequate. Neutral. Inadequate. Very inadequate.
Kidney biopsy.
Vascath.

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* 15. How many kidney biopsies did you perform on average in each year of advanced training?

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* 16. How many Vascaths did you place on average in each year of advanced training?

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* 17. Do you think some exposure to interventional nephrology (e.g. inserting Permcaths or peritoneal dialysis catheters) during nephrology advanced training should be mandatory?

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* 18. Do you think some exposure to acute kidney transplantation during nephrology advanced training should be mandatory?

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* 19. What was your desired practice in the first year of work following advanced training?

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* 20. What was your actual practice in the first year of work following advanced training?

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* 21. Would you have preferred more hours of clinical work each week than you were actually able, in the first year of work following advanced training?

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* 22. If your first year of practice after completion of nephrology advanced training involved higher degree research, why primarily was this chosen?

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* 23. Where was your desired practice in the first year of work following advanced training?

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* 24. Where was your actual practice in the first year of work following advanced training?

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* 25. Did you undertake dual training in nephrology and another medical speciality? If so, in what?

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* 26. If you underwent dual training in nephrology and another medical specialty, why primarily was this chosen?

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* 27. Would you prefer 2 years of core nephrology training and a 3rd elective year instead of the current 3 years of core nephrology advanced training?

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* 28. Would you like more fellowship positions in nephrology subspecialties to be offered for those that have completed nephrology advanced training?

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* 29. Do you have any other comments you wish to tell us about your training or employment? Please fill out the box below if you would like to.

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