The patency of vascular access is of great significance to hemodialysis patients. Combining with guidelines and literature associated with vascular access for dialysis in recent years, the authors interpret the effectiveness and limitations of prophylactic drug strategies, including using fish oil, anticoagulation, anti-platelet, lipid-lowering agents, etc., in order to promote the proper use of these agents in clinical practice, and improve the effect of prophylaxis and treatment of vascular access dysfunction.
Arteriovenous fistula (AVF) requires high proficiency in delicate vascular procedures. The traditional “mentor-prentice” teaching model faces limitations such as inconsistent teaching standards and a lack of objective evaluation indicators, making it difficult to meet the current training needs of vascular access physicians. Therefore, the vascular access team in the Department of Nephrology of West China Hospital, Sichuan University, has proposed a clinical teaching mode for AVF based on competence-based medical education. The aim is to comprehensively enhance the clinical abilities of trainees by constructing AVF surgical training models and integrating diversified teaching methods and assessment evaluation systems. This article introduces the aforementioned mode, aiming to provide a reference for medical institutions at all levels to conduct high-quality AVF teaching.