For over a decade, nephrology nurses, including those with dialysis expertise, have been in short supply, reflecting a broader nursing shortage in the United States.1,2 By 2030, experts project a national deficit of more than 900,000 nurses, largely attributed to a growing elderly population and limitations in nursing school capacity.3,4 Vacancies across nursing positions are estimated at 8%-17%, depending on region and specialty.2,3 In nephrology, data from the US Renal Data System estimate an annual 5%-7% deficit in registered nurse positions at outpatient dialysis facilities since 2004 (Fig 1).