Évaluation d ’ un programme de mentorat visant à améliorer le traitement de maladies rénales chroniques

Problem addressed Primary care providers (PCPs) are ideally situated to detect and manage patients with chronic kidney disease (CKD), but they could use more support from nephrologists to accomplish this. Objective of program To improve early detection and management of CKD in primary care, and improve referrals to nephrologists through education and greater partnership between nephrologists and PCPs. Program description Nephrologists provided mentorship to PCPs in Ontario through a collaborative relationship. Nephrologists provided PCPs with educational orientation sessions and need-based advice on patient cases. Conclusion Primary care providers with more than 5 years of experience were more likely to use the program. Primary care providers expressed high satisfaction with the program and reported that it was effective in supporting routine CKD screening efforts, management of early CKD, appropriate referrals, and building a collaborative relationship with nephrologists. Evaluation of a mentorship program to support chronic kidney disease care Jocelyn Pang MSc Allan Grill MD CCFP CAC (COE) MPH FCFP Monisha Bhatt MBA Graham L. Woodward MSc Scott Brimble MD EDITOR’S KEY POINTS • Identification of chronic kidney disease (CKD) at an early stage is critical to improving patient outcomes. Primary care providers (PCPs) are ideally situated to detect, manage, and appropriately refer patients with CKD. • The Ontario Renal Network Mentorship Pilot Program was developed to support improved CKD care by PCPs. The program provided PCPs with educational workshops, as well as with ongoing support from nephrologists in the form of one-on-one case consultations and group learning sessions. • This program was effective in increasing PCPs’ knowledge of and comfort levels with many CKD topics (eg, CKD detection). It also improved PCPs’ access to nephrologist support and satisfaction with nephrologist consultations when compared with access and satisfaction before program implementation. This article has been peer reviewed. Can Fam Physician 2016;62:e441-7