David Naumann*
The ESRD Conditions for Coverage detail the responsibilities of a dialysis unit medical director, which encompass a variety of quality, safety, and instructional aspects. Many of these positions require leadership skills that are neither visible nor developed during the medical director's education. Due to the efforts of a competent medical director, patients and employees feel free to share their concerns about substandard systems without fear of retaliation, and there is a continuous iterative process of quality improvement and safety that values input from all stakeholders.
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