FNB Paediatric Nephrology: Admissions, Medical Colleges, fees, eligibility criteria details

Written by Dr Nitisha Kalia Published On 2023-02-09T18:15:38+05:30 | Updated On 16 Dec 2023 3:19 PM IST

FNB Paediatric Nephrology: Admissions, Medical Colleges, fees, eligibility criteria details

FNB Paediatric Nephrology or Fellow of National Board in Paediatric Nephrology also known as FNB in Paediatric Nephrology is a doctoral fellowship program for doctors in India that is done by them after completion of their postgraduate medical degree course. The duration of the FNB course is for 2 years.

FNB Paediatric Nephrology deals with the diagnosis, treatment and management of disorders affecting the kidney and urinary tract in children. It aims to develop and sharpen the skills of Paediatric Nephrologists so that they can provide high-quality, clinical care to children with renal diseases.

The course is a full-time course pursued at various accredited institutes/hospitals across the country, the top institutions include Sir Ganga Ram Hospital, New Delhi, Chacha Nehru Bal Chiktsalaya, Delhi, and more.

Candidates can get admission to 2 years FNB course after successfully qualifying for the FET (Fellowship Entrance Test) examination which NBEMS conducts. FET is conducted annually as per the prescribed schedule. The merit-based counseling for admissions to the FNB Programme after the conduct of FET is administered by NBEMS.

The fee for pursuing FNB Paediatric Nephrology varies from accredited institute/hospital to hospital and is Rs.1,25,000 per year.

After completion of their respective course, doctors can join the job market. Candidates can take reputed jobs at positions as research fellows, Senior residents, Consultants, etc. with an approximate average salary range of Rs. 25 lakhs to Rs. 40 lakhs per annum.

The Nomenclature of the FNB qualification awarded by the National Board of Examinations in Medical Sciences is “Fellow of National Board”. The FNB qualifications are recognized qualifications in terms of the Gazette notification dated 10th August 2016.

What is FNB in Paediatric Nephrology?

FNB in Paediatric Nephrology is a two-year doctoral fellowship program that candidates can pursue after completing a postgraduate degree.

The goal of the Paediatric Nephrology Fellowship is to provide fellows with intensive training and broad exposure to the diagnosis and treatment of renal diseases in children.

After completing the course, the fellow can Analyse problems scientifically, taking into account the biological basis and epidemiology of renal diseases in children. They can recognize surgically treatable conditions and implement a follow-up plan for patients with chronic kidney disease including renal transplantation.

The National Board of Examinations (NBE) has released a curriculum for FNB Paediatric Nephrology.

The curriculum governs the education and training of FNB Paediatric Nephrology.

Course Highlights

Here are some of the course highlights of FNB Paediatric Nephrology

Name of Course	FNB Paediatric Nephrology
Level	Fellowship
Duration of Course	Two years
Course Mode	Full Time
Minimum Academic Requirement	Candidates must have a postgraduate medical Degree in DNB/MD Paediatrics obtained from any college/university recognized by the Medical Council of India (Now NMC)/NBE, this feeder qualification mentioned here is as of 2022. For any further changes to the prerequisite requirement please refer to the NBE website.
Admission Process / Entrance Process / Entrance Modalities	Entrance Exam (FET) Merit-based counseling administered by NBEMS
Course Fees	Rs.1,25,000 per year
Average Salary	Rs. 25 lakhs to Rs.40 lakhs per year

Eligibility Criteria

The eligibility criteria for FNB in Paediatric Nephrology are defined as the set of rules or minimum prerequisites that aspirants must meet in order to be eligible for admission, which includes:

Name of Fellowship course	Course Type	Prior Eligibility Requirement
Paediatric Nephrology	FNB	DNB/MD Paediatrics

Note:

· The feeder qualification for FNB Paediatric Nephrology is DNB/MD Paediatrics and is defined by the NBE and is subject to changes by the NBE.

· The feeder qualification mentioned here is as of 2022.

· For any changes, please refer to the NBE website.

·There is no upper age limit for training in NBEMS Fellowship courses.

Admission Process

The admission process contains a few steps to be followed for the candidates for admission to FNB. Candidates can view the complete admission process for FNB Paediatric Nephrology mentioned below:

FET is a qualifying-cum-ranking examination for admission to Fellow of National Board (FNB)/Fellow of National Board - Post Doctoral (FNB-PD) courses.
The selection of a student will be through an MCQ-based examination namely Fellowship Entrance Test.
A student can apply for the fellowship courses for which his/her broad or super specialty qualification/ equivalent qualification is eligible, at the time of online submission of the application form.
The total duration of the question paper will be 105 minutes (Part A - 45 minutes and Part B - 60 minutes).
QUALIFYING CRITERIA: Students who obtain a minimum of 50th Percentile in their respective question paper/specialty shall be declared as “Qualified”.
NBEMS shall declare a specialty-wise merit list i.e., there will be a separate merit list for each fellowship course. There shall not be any equating/scaling and normalization. The merit shall be generated strictly based on marks obtained by the student and the application of the prescribed tie-breaking criteria.
The admission to Fellowship courses in the accredited hospitals shall be undertaken solely based on merit-based counseling conducted by NBEMS.
Documents required to be produced at the time of counseling: MBBS Degree Certificate and MD/MS/DNB/DM/MCh/DrNB Degree Certificate/Provisional Pass Certificate of eligible Post Graduate Medical Qualification issued.

Fees Structure

The fee structure for FNB Paediatric Nephrology varies from accredited institute/hospital to hospital. The fee is generally less for Government Institutes and more for private institutes. The average fee structure for FNB Paediatric Nephrology is Rs.1,25,000 per year.

Colleges offering FNB Paediatric Nephrology

Various accredited institutes/hospitals across India offer courses for pursuing FNB Paediatric Nephrology.

As per the National Board of Examinations website, the following accredited institutes/hospitals are offering (FNB Paediatric Nephrology) courses for the academic year 2022-23.

Hospital/Institute	Specialty	No. of Accredited Seat(s) (Broad/Super/Fellowship)
Chacha Nehru Bal Chiktsalaya Geeta Colony Delhi-110031	Paediatric Nephrology	1
K.E.M. Hospital 489, Rasta Peth, Sardar Moodliar Road, Pune Maharashtra-411011	Paediatric Nephrology	1
Mehta Multispecialty Hospital (Formerly Known as Dr. Mehta`s Hospital) 2, McNichols Road, 3rd Lane, Chetpet, Chennai Tamil Nadu-600031	Paediatric Nephrology	1
Sir Ganga Ram Hospital Rajinder Nagar, New Delhi Delhi-110060	Paediatric Nephrology	1

Syllabus

FNB in Paediatric Nephrology is a two years specialization course that provides training in the stream of Paediatric Nephrology.

The course content for FNB Paediatric Nephrology is given in the NBE Curriculum released by the National Board of Examinations, which can be assessed through the link mentioned below:

FNB Paediatric Nephrology: Check out NBE released curriculum

Overview of Curriculum

During the training, satisfactory understanding and expertise should be obtained in both

inpatient and outpatient environments of

• Pathophysiology of congenital & acquired diseases of the kidney and urinary tract in the growing child

• Etiology, clinical features, diagnosis and differential diagnosis of congenital & acquired renal diseases in the fetus, infant and child, their evaluation and management

• Performance/knowledge of Renal biopsy, interpretation of renal histology

• Renal ultrasound

• Techniques for the assessment of glomerular and tubular function

• Application of acute peritoneal dialysis,CAPD, CCPD, hemodialysis

• Application of CRRT and Plasma Exchange is desirable

• Use of diet and drugs for the treatment of renal diseases

• Understanding the management of surgical conditions of the urinary tract

• Understanding Bladder Disfunction and Urodynamics

Curriculum Content

Imaging

Knowledge	To understand the role, limitations and interpretation of commonly used imaging modalities To know the practicalities and safety precautions associated with each test
Skills	To request the different radiological investigations To be able to interpret scan images

Renal Physiology

Skills, Knowledge

To appropriately request & interpret investigations for assessment of

GFR from height and plasma creatinine
Calcium, phosphate & bone mineral metabolism
Urinary concentrating and diluting ability
Tubular handling of fluid and electrolytes
Acid-base balance

To understand the practicalities, limitations and precautions for measurement of:
Creatinine clearance
Protein and calcium excretion
Tubular handling
Tests for urinary acidification

Renal Biopsy

Knowledge

To know the indications, procedure and complications

Skills

To perform a kidney biopsy safely
To recognize common histological appearances and

consequences for diagnosis, prognosis and treatment

Urinary tract infection (UTI) and vesicoureteric reflux

Knowledge	To understand the epidemiology, clinical features and issues in diagnosis Role of imaging, other investigations and therapy To understand the options/management of UTI & VUR
Skills	To perform an MCU

Structural malformations

Knowledge	To know the presentations of developmental variants and abnormalities, including obstruction To be aware of different reconstructive procedures
Skills	To be able to provide medical support to urological services.

Disorders of micturition & neuropathic bladder

Knowledge	To know the common renal and non-renal diagnoses associated with enuresis Understand the appropriate use of urodynamic studies and instigate management strategies
Skills	To appropriately assess a child with bladder dysfunction To interpret Urodynamic studies

Hematuria

Knowledge	To understand the pathophysiology and etiology of macroscopic and microscopic hematuria
Skills	To be able to perform a urinalysis To demonstrate appropriate investigation and management of the child with hematuria, including role of imaging, urological assessment, renal biopsy and genetic and molecular studies

Proteinuria

Knowledge

To know and differentiate between physiological and pathological causes of proteinuria
To know the methods of investigation, indications for biopsy; and management of a child with proteinuria

Glomerular disease

Knowledge

To know the etiology and immunological basis of glomerulonephritis
To know the different forms of presentation and their appropriate management
To understand the clinical course and prognosis of acute and chronic glomerulonephritis
To know the indications for immunosuppressive agents, cytotoxic drugs, plasmapheresis and dialysis

Nephrotic syndrome

Knowledge

To know the pathophysiology of nephrotic syndrome
To understand the investigation of nephrotic syndrome including indications for renal biopsy
To know the pharmacology and side effects of steroids, other immunosuppressive agents and other agents

Skills

To detect and manage associated complications
To manage the initial presentation of nephrotic syndrome
To manage steroid-sensitive, steroid-dependent & steroid-resistant nephrotic syndrome, including indications and choice of treatment

· To be able to manage the congenital nephrotic syndrome

Systemic lupus erythematosus

Knowledge	To understand the classification, clinical course and treatment options in lupus nephritis
Skills	To perform clinical examination, plan and interpret investigations, including histology & immunology

Vasculitides

Knowledge	To know the causes, presentation, patterns of multisystem involvement and spectrum of disease To describe the investigation and monitoring of the patient with vasculitis To list the different therapeutic options available, including adverse effects
Skills	To be able to appropriately investigate and treat vasculitis, including use of immunosuppression

Hemolytic uremic syndrome

Knowledge

To understand its pathophysiology & epidemiology
To know the presentation and clinical course of diarrhea-positive and atypical HUS

	To understand principles of treatment, role of plasma exchange and dialysis, and long-term management including implications for transplantation
Skills	To be able to investigate, diagnose and manage the initial presentation of HUS

Interstitial nephritis

Knowledge

To list causes of interstitial nephritis/ tubulointerstitial disease

Skills

To appropriately investigate and manage the child

with interstitial nephritis, including use of corticosteroids

Hypertension

Knowledge	To define & understand the diagnosis of hypertension; know the common conditions in different age groups To describe the possible mechanisms causing essential and secondary hypertension To describe the investigations in these cases To describe the mechanism of action and side- effects of anti-hypertensive agents
Skills	To be able to investigate a child with hypertension To be competent in management of hypertensive emergencies To be competent in the management of chronic hypertension, and in using various drugs To interpret Ambulatory Blood Pressure monitoring

Nephrolithiasis

Knowledge	To know the etiology of renal stone formation, including underlying tubular abnormalities To know the biochemical and radiological investigations To understand the medical (including prevention of stones) and surgical management
Skills	To demonstrate ability to appropriately investigate the child with renal stones To manage the child with renal stones

Tubular disorders

Knowledge	To understand the causes and different presentations of primary and secondary tubular disorders To understand the investigation of tubulopathies
Skills	To be competent in the investigation and management of tubular disorders

Cystic disease

Knowledge

· To list the different causes of renal cystic disease in different age groups

To describe the mode of inheritance and methods of screening, including for multicystic dysplasia
To know the clinical course of polycystic kidney disease, nephronophthisis

Skills

To examine and investigate the child with renal cysts in different age groups
To manage a child with cystic kidney disease

Genetic disorders

Knowledge	To know the presentation and management of common inherited renal disease including renal involvement in syndromes, familial nephritis and cystic kidney disease To understand basic genetic principles
Skills	To be able to advise parents of the risk of recurrence and the need for family screening

Fluid and electrolyte disturbances

Knowledge

To understand the physiology of fluid and electrolyte imbalance
To know the principles of treatment of fluid and electrolyte imbalance
To know the endocrine diseases associated with imbalance

Skills

To be able to manage fluid and electrolyte

imbalances in non-renal disease including overdose

Acute kidney injury

Knowledge

To know the differential diagnosis of AKI
To know the investigation including role of biopsy
To describe the methods to correct fluid/biochemical abnormalities and indications for dialysis
To know the treatment of reversible causes of AKI

Skills

To perform a reliable and accurate clinical assessment of the patient’s fluid status
To be able to appropriately manage the complications of AKI – conservative and dialysis
To be able to select and practically manage the different dialysis modalities including peritoneal dialysis, hemodialysis and hemofiltration
To be able to begin treatment of the underlying cause
To manage the patient with multiorgan failure or systemic disease requiring renal replacement therapy

Chronic kidney disease (CKD); chronic renal failure (CRF)

Knowledge

To know the epidemiology, causes of CKD
To know the investigations required in a child with new presentation, including assessment of the degree of renal failure and reversibility of the condition
To understand the natural history and prognosis of common diseases causing CKD, and treatment strategies that may ameliorate the condition
To understand factors involved in failure to thrive
To describe the pathophysiology, investigation and indications for treatment in mineral bone disease
To describe the pathophysiology of renal anemia, its investigation and appropriate management

Skills

To identify/appropriately manage the underlying cause
To diagnose and treat the child with CKD including biochemical disturbance, bone disease and anemia

To appropriately counsel the family to facilitate the selection of dialysis modality and prior to referral for renal transplantation
To make an accurate assessment of nutritional status & use appropriate advice with the assistance of dietitians
To show ability to prevent, diagnose and manage mineral bone disease

Transplantation

Knowledge

Pre-Transplantation

To understand the ethical issues surrounding organ donation/ transplant; principles of recipient selection, indications and contraindications

· To know what is involved in a transplant work- up

Transplantation

To know the basic surgical procedures involved
To know the medications used, including side- effects

Post-Transplantation

To know the indications for renal transplant biopsy
To understand the immune mechanisms of rejection, know the recurrence rate of disease & complications

Skills

Pre-transplantation

To assess the suitability of a patient, discuss issues of transplantation

Post-transplantation

To be able to manage the stable transplant patient
To be able to advise the child, family and school

DIALYSIS

Haemodialysis

Knowledge

To describe the principles of hemodialysis & compare & contrast with other methods
To describe the methods of vascular access, and their complications
To list the complications occurring during dialysis

Skills

To be able to plan the initiation of hemodialysis
To manage different forms of vascular access
To adjust the prescription, manage the complications of hemodialysis

Peritoneal Dialysis

Knowledge	To describe the principles of acute and chronic dialysis, & the advantages/disadvantages compared to hemodialysis To know the complications of peritoneal dialysis, both infective and mechanical
Skills	To be able to prescribe/monitor patients on dialysis To manage the complications of peritoneal dialysis

Pharmacology

Knowledge	To define principles of pharmacokinetics and drug handling in renal impairment To list ways in which different classes of drugs act on the nephron and affect renal function To list the effects of hemodialysis, hemofiltration and peritoneal dialysis on drug prescribing To describe principles of drug interactions, especially immunosuppressive agents
Skills	• To prescribe disease safely to patients with renal diseases.

Other areas in which knowledge is to be acquired:

Biostatistics, Research Methodology and Clinical Epidemiology
Ethics
Medico-legal aspects relevant to the discipline
Health Policy issues as may be applicable to the discipline

Career Options

After completing FNB Paediatric Nephrology, candidates will get employment opportunities in Government and the Private sector.

In the Government sector, candidates have various options to choose from which include Junior research fellow, Teaching at academic medical centers, and Consultants.

While in the Private sector, the options are Fellow (Paediatric Nephrology), Junior research fellow, Senior Research fellow (Paediatric Nephrology), and Consultants.

Frequently Asked Questions (FAQs) –FNB Paediatric Nephrology Course /FNB in Paediatric Nephrology

Question: What is the complete full form of FNB?

Answer: The full form of FNB is Fellow of National board.

Question: What is FNB Paediatric Nephrology?

Answer: FNB in Paediatric Nephrology or Fellow of National Board in Paediatric Nephrology is a doctoral fellowship program for doctors in India that is done by them after completion of their postgraduate medical degree course.

Question: What is the duration of FNB in Paediatric Nephrology?

Answer: FNB in Paediatric Nephrology is a doctoral fellowship program of two years.

Question: What is the eligibility of FNB in Paediatric Nephrology?

Answer: The candidate must have DNB/MD Paediatrics degree from any college/university recognized by the Medical Council of India (Now NMC)/NBE. The prerequisite requirements mentioned here are as of 2022. For any further changes, please refer to the NBE website.

Question: What is the scope of FNB Paediatric Nephrology?

Answer: FNB Paediatric Nephrology offers candidates various employment opportunities and career prospects.

Question: What is the average salary for an FNB Paediatric Nephrology candidate?

Answer: The FNB Paediatric Nephrology candidate’s average salary is between Rs.25 lakhs to Rs. 40 lakhs per annum depending on the experience.

Question: Can you teach after completing FNB Paediatric Nephrology Course?

Answer: Yes, the candidate can teach in a medical college/hospital after completing the fellowship.

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Dr Nitisha Kalia

Fact checking Lead

Nitisha graduated with an MD in Medicine from O.O. Bogomolets National Medical University in Kyiv, Ukraine, in 2024. She joined Medical Dialogues in 2022. Her interests lie in healthcare management, medical writing, and fact-checking to combat the widespread medical misinformation in society.