Training Detail by Year

Year 1

The first year of the fellowship program is dedicated to learning the clinical care of patients. Inpatient and outpatient service alternates weekly over the first year. Cumulatively, fellows have 6 months of inpatient service, 5 months of outpatient service and 4 weeks of vacation time.

Inpatient: During the first year, fellows spend 6 months participating in the direct care of hospitalized patients. The Pediatric Nephrology service admits patients to the general care floor and provides consultation for patients on the general care floors and in the intensive care units. This service includes needs for acute dialysis (peritoneal dialysis, hemodialysis and continuous renal replacement therapy) and therapeutic plasma exchange.

Fellows will become proficient in the prescribing and supervising all modalities of dialysis; performing native and transplant kidney biopsies; providing care to new kidney transplant patients and post-operative renal revascularization patients. Fellows will learn how to place acute peritoneal dialysis catheters. Fellows are supervised at all times by faculty members.

Outpatient: Fellows spend 5 months in the outpatient setting. Fellows participate in three half-day clinics weekly (general nephrology and kidney transplant clinics). They are involved in the care of chronic dialysis patients and participate in one half-day dialysis clinic monthly. Fellows are supervised in clinic by faculty members.

During their outpatient time, fellows will participate in phone triage and reviewing new outpatient consultation requests.

Call: Fellows are on call only during their inpatient blocks. Fellows are first-call on Monday and Wednesday nights. On Tuesday and Thursday nights, faculty covers first-call responsibilities. Fellows are first-call on Friday through Sunday nights, though faculty members may offer to cover first-call duties to mitigate fatigue depending on clinical volume.

During outpatient weeks, fellows do not participate in overnight call.

Year 2

Research: The majority of our fellows are supported by NIH training grants such that they have significant protected time (80%) during the second and third years for research.

Inpatient: Fellows have six weeks and six to eight weekends of inpatient service during the second year.

Outpatient: Fellows participate in one half-day clinic weekly. Two clinics per month will be the fellows’ continuity clinic. The other weekly clinics will be in the general nephrology or kidney transplant clinics.

Call: Fellows are only on call during their weeks/weekends of inpatient service.

Outpatient: One half-day per week will be spent in the general pediatric nephrology, renal transplant, or PD clinics.

Year 3

Research: The majority of our fellows are supported by NIH training grants such that they have significant protected time (80%) during the second and third years for research.

Inpatient: Fellows have six weeks and six to eight weekends of inpatient service during the third year.

Outpatient: Fellows participate in one half-day clinic weekly. Two clinics per month will be the fellows’ continuity clinic. The other weekly clinics will be in the general nephrology or kidney transplant clinics.

Call: Fellows are only on call during their weeks/weekends of inpatient service.

Outpatient: One half-day per week will be spent in the general pediatric nephrology, renal transplant, or PD clinics.