Our training program provides a comprehensive approach to inpatient nephrology consultative services. After an initial orientation that includes didactic lectures on major clinical topics, the fellows start monthly rotations in one of the 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 Service provides general nephrology consultative services to patients admitted to the Baltimore Veterans Affairs Medical Center.
- Night coverage is through a night float system which involves a fellow to cover all new consults throughout all the services afterhours, 5 nights a week. Fellows on night float do not attend any daytime activities and are required to go home and rest. Rest assured, we make every effort to record daytime lectures and educational activities as well as making sure important communication and information is passed along for the night float fellow to review at their convenience. A call room with adequate facilities for the night float is provided to use as needed. The night float system allows the convenience of no night coverage for the daytime fellows.
- Transplant Nephrology Service provides comprehensive and multidisciplinary care to the organ transplant recipient, both outpatient and inpatient. This experience provides exposure to most areas of transplant nephrology, from the pre-transplant evaluation of potential recipients, to complex transplant complications.
The remainder of the training years will be divided between research and elective time. Elective rotations are available on Radiology, Interventional Radiology, Interventional Nephrology (outside rotation), Pediatric Nephrology, Nephro-pathology, Urology, Transplant services, and ICU nephrology-ECMO
Fellows attend a once a week outpatient clinic throughout their 2 years of training where they follow their own panel of patients allowing for adequate continuity of care. They see patients with various pathologies including CKD, GNs and learn to arrange dialysis for patients heading towards ESRD.
In addition, second-year fellows have a weekly dialysis clinic at the Parkview IDF unit on Monday afternoons, during which they manage 10-15 chronic hemodialysis patients and 5-10 peritoneal dialysis patients. This is protected time for the fellows so they can focus on their ESRD outpatient experience.
We strictly adhere to ACGME work hour rules in all clinical and elective rotations for the fellows. We take this VERY seriously. Trainee wellness and work-life balance is important to us.