Three Months Certification Course in

Chronic Kidney
Disease (CKD)
For General Practitioners & Physicians
“Very good information on CKD statistics. Covers
a wide range of renal disease very well. The
emphasis here was very much on diagnosis of
the cause of the CKD which I was so pleased with
as most of my reading on CKD has been on
detection and monitoring. This module focussed
on reaching a diagnosis. It also made the point on
the difference in investigation/testing in 'diabetes
and CKD' as opposed to 'hypertension and CKD'
and flagged up the difference here. At last a full
explanation of renal sediments / the various casts
seen on urine microscopy in msu's (something I
have struggled with for years) !”

User Feedback
Introduction to the course

Chronic kidney disease (CKD) is a common condition In this context, we have worked to meet the need of
that is often unrecognised until the most advanced medical professionals to have access to CKD management
stages. It is estimated that 9% to 13% of the adult resources and announce the launch of the Three Months
[1][2][3]
population worldwide has CKD. In 2017, the Certification Course in Chronic Kidney Disease (CKD).
estimated worldwide prevalence of CKD stages 1 to 2
accounted for 5%, stage 3 for 3.9%, stage 4 for 0.16%, The course aims to cover the pathophysiology,
stage 5 for 0.07%, dialysis for 0.041%, and kidney presentation, diagnosis of CKD and its complications and
[3]
transplantation for 0.011%. treatment of CKD. We hope this course will help clinicians
The prevalence of CKD in different regions in India to provide better kidney care to their patients.
ranges from <1% to 13%. Data from the International
Society of Nephrology’s Kidney Disease Data Center
We hope that doctors in India avail this opportunity to
Study reported a prevalence of 17%. [4]
educate themselves about their key role in detecting and
reducing the risk of CKD and in controlling the CKD
Identification of CKD in early stages helps to delay the epidemic.
progression of the disease which in turn decreases the
economic burden on individual, family and community.

1. Webster AC, Nagler EV, Morton RL, et al. Chronic kidney disease. Lancet. 2017 Mar 25;389(10075):1238-52.
2. Hill NR, Fatoba ST, Oke JL, et al. Global prevalence of chronic kidney disease - a systematic review and meta-analysis. PLoS One. 2016 Jul 6;11(7):e0158765.
3. GBD Chronic Kidney Disease Collaboration. Global, regional, and national burden of chronic kidney disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet.
2020 Feb 29;395(10225):709-33.
4. Varughese, Abraham. Clin J Am Soc Nephrol. 2018 May 7; 13(5): 802–804.
 ABOUT
About BMJ
BMJ started out over 180 years ago as a medical journal, publishing our first research paper. Now, as a global brand with worldwide
audience, we help medical organizations and clinicians tackle today's most critical healthcare challenges. Today, our expertise
extends to medical education, clinical decision support and quality improvement to enhance day to day decision- making and
healthcare delivery. However, our core objective remains unchanged. We continue to support medical professionals and
organizations in improving the delivery of healthcare. We do this by publishing new academic research, providing professional
development solutions and creating clinical decision support tools.

About The Royal College of Physicians

The Royal College of Physicians is a world leader in postgraduate medical education. We deliver a wide range of projects aimed at
strengthening health systems and improving medical standards across the globe. Our work spans high-, middle- and low-income
countries, ranging from clinical skills workshops in rural Nigeria to accreditation work and guideline development in the middle
east. We also develop and coordinate the globally-recognised MRCP (UK) exams as part of the Federation of the Royal College of
Physicians.

About MAHE
Manipal Academy of Higher Education (MAHE) is one of India's leading academic and research institutions. It has been granted
Institution of Eminence status by the Ministry of Education, Government of India. Manipal Institutions have long been
distinguished for excellence in professional education. The University is home to some of the top ranking institutions across
diverse disciplines.
 Welcome messages

Dr. Saurabh Pokhariyal

Head of department Nephrology and Renal Transplantation.
Manipal Hospital, Dwarka, New Delhi
I would like to welcome you to this course on Chronic Kidney Disease (CKD). As a major non-
communicable disease CKD is assuming epic proportions across the world. Treatment of advanced
renal disease by dialysis or renal transplantation is prohibitively expensive and in low income
countries very few patients can afford such care. The focus should therefore be on preventing kidney
disease or slowing the progression of CKD so that dialysis or transplantation can be avoided. We have
put together a comprehensive module on diagnosing, classifying and managing all aspects of CKD
and it should go a long way in helping our primary care physicians in caring for such patients.

Dr. Kieran Walsh

Clinical Director
BMJ Learning & BMJ Best Practice, London

BMJ is one of the world's leading providers of medical knowledge and education. The BMJ brand
stands for medical credibility - we are known around the world for the quality of our content. Our
portfolio of learning products provides doctors and other healthcare professionals with the
opportunity to engage with the most current and relevant content for their continuing professional
development. BMJ is proud to offer the new Chronic Kidney Disease certificate course. The modules
in the course have been created and reviewed by eminent subject experts across India. We are sure
that this course will help you improve the quality of care that you provide to patients.

Contact Program Faculty from MAHE

Dr. Dharshan Rangaswamy Dr Shankar Prasad

Professor & Head, Depar tment of Professor
Nephrology, In-charge Division of Pediatric Department of Nephrology
Nephrology, Kasturba Medical College & KMC Manipal
Hospital, Manipal, Karnataka
About course & content

About course
Certification course in CKD from BMJ & Manipal Academy of Higher Education (MAHE) aims to cover the pathophysiology,
presentation, diagnosis of CKD and its complications and treatment of CKD. We believe this course will help clinicians to
provide better kidney care to their patients. Post completion of 3 months e-learning, the course offers 3 days contact
program at KMC Manipal under the supervision of subject matter expert.

Course Objectives ● Diabetes and Hypertension management in CKD

● Understand the pathophysiology, presentation, ● Basic assessment & management of Hemodialysis

diagnosis of CKD and its complications. ,Peritoneal dialysis patients and Kidney transplant
recipients
● Complete management of CKD and indications
for referral to a nephrologist and follow-up and ● Management of Children with CKD :How it differs from
monitoring required. Adults
● To understand the treatment of reversible ● Nutrition in CKD: How to prescribe?
causes of renal failure in a patient with chronic ● Fluid & Electrolytes what we should know a practical
kidney disease (CKD) and measures to slow approach
progression of kidney disease.
● Understanding and evaluating chronic kidney
disease in pregnancy, elderly and children Course USPs
● The various types of vascular access in dialysis. ● Course developed by expert panel of nephrologists
When to create the access and their relative ● Evidence based and peer reviewed content
merits and drawbacks.
● E-learning and blended learning course designed to fit
● Basic Principles of Clinical Assessment and in the workflow of busy clinicians with practical
Management of CKD due to Diabetic and other insights and networking opportunities during the
Non-Diabetic Kidney Diseases, Glomerular contact program at KMC Manipal for physicians
diseases , Urinary Tract infections, Renal Calcular
disease etc.
Curriculum

Module 1 Introduction to chronic kidney disease

— Definition of Chronic Kidney Disease (CKD)
— Epidemiology (EPI) of CKD
— Common causes of CKD
— Different stages of CKD
— Indications for referral to a nephrologist
— Follow-up and monitoring required

Module 2 Screening and diagnostic approach to

chronic kidney disease
— To know if screening is helpful in early diagnosis of CKD and its management
— To know who is at high risk of developing CKD
— To choose investigations to screen for CKD
— To diagnose CKD

Module 3 Clinical assessment in

chronic kidney disease
— To help in early diagnosis and optimal management
— Focus on good clinical history and physical examination along with a simple
biochemical test help in making a diagnosis
— Identification of people at risk and their screening

Module 4 Management approach to a patient with

chronic kidney disease
— Treatment of reversible causes of renal failure in a patient with chronic kidney
disease (CKD)
— Measures to slow the progression of kidney disease
— Treatment and prevention of complications of CKD, e.g. hyperkalemia, volume
overload, metabolic acidosis, and malnutrition
— Management of cardiovascular disease in a patient with CKD
— Indications and preparation for renal replacement therapy in a patient with
advanced kidney disease
 Curriculum

Module 5 Diabetic and hypertensive nephropathy

— Know how to monitor and manage the various complications of diabetes with
particular emphasis on diabetic nephropathy
— Know when to refer a patient with diabetes and hypertension to a nephrologist
— Know the indications of renal biopsy in a patient with diabetes.
— Know how to manage a patient with diabetes and end stage renal disease

Module 6 Dealing with progression of

chronic kidney disease
— To learn about the importance of early detection of chronic kidney disease.
— To learn about the factors influencing the progression of chronic kidney disease
— To learn about the risk factors for how to retard the progression of renal disease

Module 7 Part A: Managing Chronic Kidney Disease

in elderly people
— How to diagnose chronic kidney disease in elderly people
— How to manage chronic kidney disease in elderly people

Part B: Chronic Kidney Disease in Pregnancy

— The physiological changes in the kidneys that happen during pregnancy
— How to assess kidney function in pregnancy
— How to diagnose chronic kidney disease in pregnancy
— How to manage chronic kidney disease in pregnancy

Module 8 Chronic kidney disease in children

— How to diagnose and classify chronic kidney disease (CKD) in children
— Epidemiology and etiologies of paediatric CKD
— How to manage patients with pediatric CKD
— Follow up and monitoring required for paediatric CKD patients
Curriculum

Module 9 Vaccinations in chronic kidney disease

— Why timely vaccination of patients with CKD is necessary
— What are the mandatory vaccinations that every patient with CKD should
receive
— What is the universal vaccination schedule recommended by international
bodies

Module 10 Creating vascular access in patients

with chronic kidney disease
— Why creation of an optimal access is necessary
— When an early access should be planned
— What are the different vascular access that can be created
— What are the features of a well-functioning vascular access
— How to evaluate a patient with CKD towards vascular access creation
— The different choices of vascular access available
— How to choose the optimum access in a given clinical situation

Module 11 Nutrition in adults with chronic kidney disease

— To know about protein-energy wasting (PEW) and the factors associated
with it
— To know the parameters used in assessing protein-energy wasting in
adults with chronic kidney disease.
— To know about the evidence-based requirements of key nutrients for
adults with chronic kidney disease with/without dialysis

Module 12 Nutrition in children with chronic kidney

disease
— To know about protein-energy wasting (PEW) and the factors associated with it
— To know the parameters used in assessing protein-energy wasting in children
with chronic kidney disease.
— To know about the evidence-based requirements of key nutrients for children
with chronic kidney disease with/without dialysis
 Eligibility & examination pattern

Eligibility
● Minimum requirement for course intake is MBBS

● Candidate has to be a Registered Medical Practitioner with NMC or any of the state medical councils

Course Option
● Three months certification course in Chronic Kidney Disease (with contact program at KMC Manipal)
Course Fees: INR 37,760 inclusive of all taxes
● Three months certificate course in chronic kidney disease only online
Course Fees : INR 25,000 inclusive of all taxes

Examination Pattern
● E-learning - MCQ online

● Blended learning - MCQ, VIVA

 Authors

Dr. Lloyd Vincent Dr. Manish Rathi Ms. Mitravinda Aneesh Dr. Mohit Madken
Senior Consultant Nephrologist Additional Professor Consultant Nutritionist and Guest Faculty Associate Consultant
Narayana Health, Bangalore Department of Nephrology Department of Food and Nutrition Kidney and Urology Institute
Post Graduate Institute Smt. V.H.D Central Institute of Fortis Escorts, New Delhi
of Medical Education and Research, Home Science, Bangalore
Chandigarh

Dr. Narayan Prasad Dr. Rupesh Raina Dr. Salil Jain Dr. Santosh Varughese
Professor of Nephrology Consultant Nephrologist Additional Director Professor and
Sanjay Gandhi Postgraduate Cleveland Clinic, Ohio Fortis Memorial Research Institute, Head Department of Nephrology
institute of Medical Sciences, Lucknow Gurgaon Christian Medical College, Vellore

Dr. Saurabh Nayak Dr. Shilpi Shah, MD Dr. Sidharth Sethi

Senior Resident in Nephrology Internal Medicine Resident Cosultant Nephrology
Post Graduate Institute of Medical University of Texas, Houston Kidney and Urology Institute
Education and Research, Chandigarh, India Medanta, Gurgaon

Dr. Tarun Jeloka Dr. Vijay Kher Dr. Vishal Saxena

Senior Consultant Chairman Additional Director
Nephrology and Renal Transplant Division of Nephrology FMRI, Gurgaon
Aditya Birla Memorial Hospital, Pune & Renal Transplant Medicine
Fortis Escorts, New Delhi

*Names of the Faculty Members are arranged in alphabetical order.

 CKD/21-22/08/73

Certificate of Completion E
This is to certify that
L
Dr ___________________ P
has successfully completed the Three Months Certificate Course in Chronic Kidney Disease by BMJ,
Accredited by Manipal Academy of Higher Education and awarded
the Certificate on 29th October 2023
M
Dr. Kieran Walsh
Course Director
A Dr. Saurabh Pokhariyal
Course Director
Dr Mumtaz Patel
Vice President
Dr. Padmaraj Hegde
Dean
London India Education and Training KMC, Manipal India
Royal College of Physicians
S
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