RENE should be administered (ideally) to first-year nephrology fellows in the beginning of their training.  This is a formative assessment tool to identify ways to improve their clinical reasoning skills.  

Fellows will respond to the clinical reasoning case (simulated AKI case) with responses in three domains:  problem representation, differential diagnosis with justification, diagnostic plan with justification.  

Fellow responses can be emailed to their program director.  To score the responses in each domain, use the Scoring Instrument (under Scoring Resources) and the Score Report Form. 

The Scoring Interpretation Guide (under Scoring Resources) will explain what each score means and ways that fellows can be coached to improve their skills.

Coaching Resources has several videos that illustrate coaching exercises.

A report on the development and validation of RENE for assessment of a fellow’s clinical reasoning was published in the Clinical Journal of the American Society of Nephrology in 2023.