In April 2022, the American Society of Nephrology (ASN) established an expert task force to examine training requirements in nephrology. The task force used the opportunity to also respond to changes occurring in the practice of nephrology, to “ensure nephrologists are prepared to provide high-quality care.” In the task force’s report,1 there was recognition that models for delivering kidney care have evolved but that “the educational continuum for nephrologists remains more static than other medical specialties.” For that reason, the approach was to seek changes in fellowship training that would support the rapidly changing reality of nephrology practice.