DM in Pediatric Nephrology

While there has been improvement in nutritional status and immunization coverage over the last three decades,chronic non-communicable diseases involving various systems are now becoming an important cause of mortality and morbidityin childhood.There is an increasing demand for specialized care of children with chronic diseases. Children with kidney diseases are often diagnosed andreferred in late stagesof the disease. Most of them are not treated appropriately due to lack of expertise and want of diagnostic and therapeutic infrastructure. A phenomenal progress has taken place that has revolutionized management of children with renal diseases.However, children with renal diseases in our country have been largely denied the benefits of advanced medical management.For pediatricians to provide optimal treatment for these children, special training and in-depth knowledge are necessary. It is imperative to provide suitable facilities for appropriate and relevant training in pediatric nephrology to promote growth of the specialty in the country. The training should emphasiseon preventive aspects, early diagnosis of common diseases and their optimum management with available resources including dialysis and transplantation. The primary goal of the training programme for DM in Pediatric Nephrology is to develop clinicians who have acquired the operational skills, professionalism and knowledge necessary to direct a pediatric nephrology service, including dialysis and kidney transplantation.