The first year of fellowship is dedicated to general nephrology training. After an initial orientation that includes didactic lectures on major clinical topics, the fellows start monthly rotations on three inpatient consultative services. These include:
- General Consult Service that provides service for non-ICU patients with acute kidney injury or various acid-base and fluid/electrolyte disorders
- ICU Consult Service that is responsible for patients with renal issues admitted to several medical and surgical ICUs and the Shock-Trauma Center ICUs
- VA/ESRD Service provides care for all the ESRD patients on hemodialysis or peritoneal dialysis who are admitted to UMMC or VA Medical Center, as well as non-ESRD consults at VA Hospital.
- Night coverage is through a night float system which involves a fellow to stay in-house 5 nights a week. Fellows on night float do not attend any daytime activities and are required to go home and rest. A call room with adequate facilities for the night float is provided. The night float system allows the convenience of no night coverage for the daytime fellows.
During the second year, fellows have 1-2 months of consultative service on transplant rotations. This period will be divided between Transplant Surgery Service, Transplant Medicine Service, Transplant Transitional Care Unit, and Transplant Clinic.
The remainder of the year will be divided between research and elective time. Elective rotations are available on Radiology, Interventional Radiology, Pediatric Nephrology, Nephro-pathology, Urology, and Transplant services.
First year fellows attend a once a week continuity clinic. They see patients with various pathologies including CKD, GN and learn to arrange dialysis for patients heading towards ESRD
The second-year fellows have a weekly dialysis clinic at the Parkview IDF unit on Monday afternoons, during which they manage 10-15 hemodialysis patients and 5-10 peritoneal dialysis patients. The fellows have a general nephrology clinic on Thursday afternoons throughout the two years of training.
In addition, the first and second year fellows attend the VA Renal Clinic on Wednesday mornings while on the VA rotation. Kidney transplant patients are slated for fellows on their Thursday Clinic schedule throughout the two years. Second-year fellows also attend the daily transplant clinic for at least one month. Additional months may be scheduled during elective time for those trainees with special interest in transplant medicine. (See the sample schedule below)
We strictly adhere to ACGME work hour rules in all clinical and elective rotations for the fellows.For detailed schedules, please visit www.amion.com