- Jennifer Yee, M.D. 7/1/2017 – 6/30/2020
- Dorota Marchel, M.D. 7/7/2018 – 7/6/2021
Mission and Overview
The Pediatric Nephrology Fellowship Program comprises three years of training with the goal of preparing trainees for an academic career in Pediatric Nephrology.
The program is structured to provide incoming fellows with comprehensive exposure to clinical care in the first year. 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. When not on inpatient service, fellows provide care to patients in the outpatient setting in general nephrology, transplant and dialysis clinics.
During the second and third years, fellows have significant protected time for research and scholarly activity. Clinical time is limited to six weeks of service each year and one half-day clinic weekly.
Past trainees currently hold faculty positions at the University of Michigan, Johns Hopkins University, Duke University, Mayo Clinic, State University of New York (Syracuse), Wake Forest University, and the University of Iowa. Currently a maximum of two first year fellows join each year.
The Pediatric Nephrology Fellowship Program is under the direction of David Kershaw, M.D. and Rebecca Lombel, M.D.
Fellows participate in the clinical care of patients at the C.S. Mott Children's Hospital. With construction completed in 2011, the hospital is a state-of-the-art facility, providing comprehensive pediatric care to patients in the Midwest region.
Inpatient clinical duties include direct involvement in the evaluation and management of children with renal disease, acute kidney injury, hypertension, acute and chronic dialysis needs (peritoneal dialysis and hemodialysis) and solid organ transplantation. The inpatient service boasts robust critical care nephrology exposure with continuous renal replacement therapy (CRRT) and therapeutic plasma exchange.
The inpatient volume varies from approximately 10-25 patients and includes patients on the Pediatric Nephrology service and those seen in consultation on the general care floors and in the ICUs. The service follows 15-20 new kidney transplants per year, performs 60-80 renal biopsies per year and performs over 450 acute renal replacement daysfor inpatients per year.
During their inpatient time, fellows have unique opportunities to participate in the post-operative care of renal revascularization patients; prescribe and supervise therapeutic plasma exchange; prescribe and supervise continuous renal replacement therapy in the ICU setting; participate in the care of new transplant patients; manage transplant rejection; perform native and transplant kidney biopsies; and perform insertion of acute peritoneal dialysis catheters.
In the outpatient setting, fellows gain exposure to the breadth of pediatric renal disease. General nephrology clinics are held five days a week and outpatient consultations encompass many diagnoses. Fellows will become proficient in the evaluation and management of chronic kidney disease and its associated complications; hypertension; nephrotic syndrome; glomerulonephritis; nephrolithiasis among other conditions.
Fellows will also participate in dialysis clinic (held monthly), kidney transplant clinic (held weekly) and combined clinic with pediatric rheumatology (Interdisciplinary Systemic Inflammation Clinic, held monthly). During the second and third year, fellows have the opportunity to see patients in their own continuity clinic. Fellows also participate in care of chronic dialysis patients and are assigned primary hemodialysis and peritoneal dialysis patients during their first year.
There are multiple educational conferences to extend the fellows’ knowledge of nephrology. A particular strength of our training program is our close collaboration with our colleagues in other divisions and departments. Through weekly combined meetings including Pediatric Uro-Radiology conference, Nephrology Board Review Conference and Combined Conference with the Division of Internal Medicine Nephrology, working relationships are strengthened and enhanced through the discussion and sharing of ideas. Within the division of Pediatric Nephrology, fellows participate weekly in the outpatient discussion conference, attend the Pediatric Nephrology didactic curriculum series and division meeting. Attendance at additional educational series – such as Pediatrics Grand Rounds, Renal Grand Rounds, Renal Basic Science Seminar, Basic Science Rounds – is encouraged. Invited speakers for these seminars include investigators from the University, as well as renowned national and international speakers.
The majority of our fellows are supported by NIH training grants that allow for significant protected time for research pursuits. Fellows are provided challenging opportunities for either clinical, translational, or basic research projects. They will be taught how to prepare abstracts and manuscripts for submission as well as how to prepare posters and oral presentations for national meetings.
In order to be eligible to sit for the Pediatric Nephrology Subspecialty Board Examination, fellows must participate in scholarly activity that results in the production of a written work product (most commonly, a peer-reviewed publication or manuscript). A research project and mentor will be identified during the first year of training. The project may be under the direction of a pediatric nephrologist, adult nephrologist, or (with arrangement) another faculty member at the University of Michigan. A fellow’s progress during the research years will be monitored by his/her Scholarly Oversight Committee.
Clinical research training opportunities both within and outside the Pediatric Nephrology division. Pediatric Nephrology faculty are involved in multicenter large-scale research and are enthusiastic about fellow participation. The Kidney Epidemiology and Cost Center provides for unique opportunities in outcomes research. Additionally, there is opportunity for advanced degrees. Fellows can apply for participation in a master’s degree in Clinical Research Design and Statistical Analysis through the School of Public Health.
Basic science research opportunities exist both within the division and in numerous labs throughout the medical school including in the internal medicine nephrology division. Opportunities in applied genomics research of pediatric kidney conditions, and nephrotic syndrome specifically, are also availablewithin the division. A 10-week postdoctoral research-training course is also available for selected trainees at the beginning of their second year.
Graduates of 3 year ACGME approved residencies or equivalent are encouraged to apply. We accept applications from foreign medical graduates; however, fellows are supported during the second and third years on an NIH-funded institutional training grant and NIH restrictions on support apply. We are only able to accept applicants to the fellowship program who are US citizens or have permanent residency. We are unable to accept applicants with J1 visa.
How To Apply
Our fellowship program participates in the Pediatric Specialties Fall Match. Applications must be submitted through ERAS.
To be considered by the fellowship selection committee, applicants must meet our eligibility criteria and submit the required documents through the ERAS program:
- Curriculum vitae
- Personal statement
- 3 letters of recommendation from members of your faculty
- MSPE (Medical Student Performance Evaluation) USMLE transcript of Step scores
- Photograph ECFMG Transcripts (if applicable)
Interviews will be offered to select applicants after review of their application and supporting documents in ERAS. After applications have been screened, selected applicants will be invited for interviews to meet our faculty, current fellows, and staff and to tour the facility.
For more information about the Pediatric Nephrology fellowship program, please contact:
David Kershaw, M.D.
Fellowship Program Director
Rebecca Lombel, M.D.
Fellowship Program Assistant Director
Fellowship Program Coordinator
Division of Pediatric Nephrology
C.S. Mott Children’s Hospital Room 12-250
1540 East Hospital Drive
Ann Arbor, MI 48109-4297