Journal of Nephrology & Therapeutics

The ESRD Conditions for Coverage detail the responsibilities of a dialysis unit medical director, which encompass a variety of quality, safety, and instructional aspects. Many of these positions require leadership skills that are neither visible nor developed during the medical director's education. Due to the efforts of a competent medical director, patients and employees feel free to share their concerns about substandard systems without fear of retaliation, and there is a continuous iterative process of quality improvement and safety that values input from all stakeholders.

The ESRD Conditions for Coverage detail the responsibilities of a dialysis unit medical director, which encompass a variety of quality, safety, and instructional aspects. Many of these positions require leadership skills that are neither visible nor developed during the medical director's education. Due to the efforts of a competent medical director, patients and employees feel free to share their concerns about substandard systems without fear of retaliation, and there is a continuous iterative process of quality improvement and safety that values input from all stakeholders.

Munchausen syndrome via proxy is the creation of disease by one person for the benefit of another. Renal and urologic manifestations of Munchausen-by-proxy syndrome are not as uncommon as one might think; a survey of all Munchausen-by-proxy cases revealed that 25% of the children had renal or urologic problems. This syndrome can present clinicians with a difficult diagnostic conundrum; yet, understanding this entity can aid in early detection of falsification and reduce the victim's bodily and psychological harm. We analysed the Munchausen syndrome cases in paediatric nephrology by proxy in this study, classifying them according to the main indicators of presentation.