title: Teaching and training acute renal replacement therapy in children.
abstract: BACKGROUND
  The objective of this study is to describe and analyse the initial experience in paediatric acute renal replacement therapy (ARRT) education by means of specific courses.
  
  
  METHODS
  Three paediatric ARRT courses were run. The course programme included initial and final multiple-choice question (MCQ) exams, short lectures, practical workshops [in vitro peritoneal dialysis (PD) and continuous renal replacement therapy (CRRT) machines skill stations, real-time PD and CRRT in paediatric animal models and paediatric CRRT advanced simulation scenarios based on real cases) and an anonymous survey on the perceived value of the course (score from 0: very bad to 10: perfect). Number of students per workshop was six to eight. Continuous assessment of participants' performance was done.
  
  
  RESULTS
  In the initial MCQ, only 11% of students answered correctly at least 70% of questions, while in the final test, 90.5% hit this target (P < 0.001). In the performance assessments, all of the students demonstrated sufficient acquisition of practical skills. In the perceived value survey, the course methodology was rated at 9.3, organization 9.9, teaching staff 9.6, lectures 9 and practical sessions 9.1.
  
  
  CONCLUSIONS
  Specifically designed CRRT and PD courses are adequate for teaching the theoretical aspects and training these procedures. The combination of laboratory, training with animals and advanced simulation scenarios might have a synergistic effect on learning.
authors.affiliation: Paediatric Intensive Care Service, Hospital General Universitario Gregorio Marañón, Universidad Complutense, Madrid, Spain. pielvi@hotmail.com
authors.forename: Jesús
authors.initials: J
authors.lastname: López-Herce
authors.forename: Luis
authors.initials: L
authors.lastname: Ferrero
authors.forename: Santiago
authors.initials: S
authors.lastname: Mencía
authors.forename: Montserrat
authors.initials: M
authors.lastname: Antón
authors.forename: Antonio
authors.initials: A
authors.lastname: Rodríguez-Núñez
authors.forename: Corsino
authors.initials: C
authors.lastname: Rey
authors.forename: Luis
authors.initials: L
authors.lastname: Rodríguez
mesh_terms: D000208:Acute Disease; D000818:Animals; D002983:Clinical Competence; D003198:Computer Simulation; D004493:Education; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007391:International Cooperation; D007674:Kidney Diseases / Q000628:therapy; D023421:Models, Animal; D010372:Pediatrics / Q000193:education*; D010530:Peritoneal Dialysis / Q000379:methods*; D011817:Rabbits; D017582:Renal Replacement Therapy / Q000379:methods*; D013552:Swine; D013663:Teaching / Q000379:methods*