Credits Available: 4.5 AMA PRA Category 1 Credit™, Maintenance of Certification (MOC) points available

Description: Chronic kidney disease (CKD) is estimated to impact approximately 37 million individuals in the United States (U.S). Furthermore, about 786,000 persons are living with end-stage kidney disease (ESKD) and receive renal replacement therapy, either through maintenance dialysis or kidney transplantation. Hyperphosphatemia, characterized by phosphorus levels in the bloodstream exceeding the normal parameters of 2.5–4.5 mg/dL, constitutes a critical aspect of the mineral and bone disorder associated with CKD. Elevated levels of serum phosphorus facilitate vascular calcification, impair endothelial function, and may play a role in other newly identified mechanisms of cardiovascular toxicity specific to CKD. The treatment of hyperphosphatemia in patients with CKD requiring dialysis is complex and is ideally managed by a multidisciplinary team of care providers including nephrologists, advanced practice providers (APPs), nurses, dietitians, pharmacists, and other healthcare professionals. Evidence suggests that multidisciplinary care models can slow the progression of CKD and improve mortality rates, but gaps remain in the availability and implementation of these models across different healthcare settings. These challenges include dietary management, optimization of dialysis, pharmacological interventions, patient education, addressing adherence concerns, and the need for comprehensive care models. This collaborative social learning platform establishes a network of providers who can support each other locally, as well as those from different communities, with the goal of learning and sharing best practices that will improve outcomes for patients with hyperphosphatemia.

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This program is intended for:
Target Professions: DO, MD, Nurse, Nurse Practitioner, Physician Assistant, Dietitian, Pharmacist, MBBS
Target Specialties: Nephrology, Nutrition, Pharmacy, Internal Medicine, Nutrition Support, Clinical Pharmacy

Rachel Stahl Salzman

Weill Cornell Medicine
Lecturer in Medicine

Rachel Stahl Salzman, MS, RD, CDN, CDCES is a Lecturer in Medicine in the Division of Endocrinology, Diabetes and Metabolism at Weill Cornell Medicine. Rachel is passionate about empowering people with obesity and cardiometabolic conditions to develop sustainable lifestyle changes to improve their health and quality of life. In her clinical role, she provides medical nutrition therapy (MNT) and diabetes self-management education and support (DSMES) for adults in both individual and group settings. She has additional roles as lifestyle coach and coordinator for the hospital's Diabetes Prevention Program, endocrine preceptor for NewYork-Presbyterian Hospital’s Dietetic Internship Program, and is actively involved in interdisciplinary education. Rachel frequently presents at regional and national conferences and publishes on topics related to nutrition, obesity, diabetes management, and digital health. Her dedication and leadership have earned her numerous honors, including the Rising Star Award from the Association of Diabetes Care and Education Specialists in 2022 and Recognized Young Dietitian of the Year from the New York State Academy of Nutrition and Dietetics in 2016.