During the first year, fellows rotate at both the University of Michigan Hospital (UH) and the Ann Arbor VA (VA). At UH, the fellows rotate through the general floor consult, ICU consult, chronic dialysis, and transplant services. The consult service offers a rich and diverse exposure to both common and obscure renal diseases. The ICU service will train you in all aspects of critical care nephrology, including CRRT with regional citrate anticoagulation. The chronic dialysis service provides ongoing dialysis support for patients hospitalized for dialysis related complications as well as other medical and surgical problems. This service is staffed by one attending, one fellow, and one physician assistant. The transplant service cares for all renal transplants (new transplants and post-transplant complications) as well as renal disease in other solid organ transplant patients. This service is staffed by a transplant nephrologist, a transplant fellow, and a nephrology fellow. There is also an ongoing, daily interaction with the transplant surgery team. On all UH nephrology rotations, our fellows serve exclusively in a consulting role. The VA service provides comprehensive nephrology consultation and is staffed by one attending, one fellow, two medical residents, and additional medical students.
We have many support systems in place for our first year fellows. Each fellow is paired up with a second year fellow as a resource for logistical questions and general support. The interventional nephrology unit faculty are available for training in nephrology procedures. The chief fellow works to address any scheduling needs and advocate for the fellows.
During the second year, fellows have the flexibility to define their clinical training based on their interests. The core training during this year is focused on training in the outpatient nephrology setting. Fellows continue their 1/2 day continuity clinic. Additionally, they will have their own outpatient dialysis shift and transplant clinic. Rotations are available in nephrolithiasis, glomerular diseases, lupus clinic, home hemodialysis and peritoneal dialysis, vascular access clinic, interventional nephrology, as well as palliative care. Outside of nephrology, fellows may also rotate in renal pathology, GU radiology, pheresis, and pediatric nephrology. A structured curriculum in research and quality improvement, led by faculty experts, is provided with participation in a second year group QI project. All fellows have the opportunity to attend the American Society of Nephrology Kidney Week.