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Areas of Expertise
Pediatric Pulmonary Fellowship Program. Psychosomatic Medicine Fellowship Program. Rheumatology Fellowship Program. Surgical Critical Care Fellowship Program. Message from Program Director Program Overview and Curriculum How to Apply Contact Us Dear future Nephrology fellows, I would like to welcome you to our program and share with you our experience with nephrology training. Additional allied professional staff include senior attendings, fellows, house staff and medical staff, who participate in all aspects of inpatient and outpatient care.
Clinical care is provided with a pathophysiological approach. Team members are also actively involved in clinical and basic science research, where they participate in NIH and industry sponsored research; studies involve chronic kidney disease, transplantation of new kidneys and dialysis disorders. The renal team provides the entire scope of advanced critical care nephrology, including continuous and intermittent dialysis support for heart transplants, heart assist devices, trauma and burn patients, liver and kidney transplants and oncology patients.
More than 2, kidney transplants have been performed at Westchester Medical Center. The renal team provides primary nephrology and consulting services for transplantation, which also include kidney-heart and kidney-liver tandem transplants. More than 6, inpatient hemodialysis treatments are done each year at Westchester Medical Center. Attending nephrologists conduct more than 35, dialysis treatments. Additional Fellowship Training is available for Interventional Nephrology and Transplant Nephrology, Research opportunities for Fellows are available in both clinical and basic science research.
A wide array of research opportunities are available in labs throughout the Medical Center that focus on many facets of acute and chronic kidney disease. Faculty mentors may be based in Nephrology or other clinical or basic science divisions or departments. Research experiences are supported by NIH training grants and other fellowship grants that are available to trainees. Thank you for your interest in our Nephrology Fellowship Program. We encourage applicants to have their application completed in time for the July 15 download.
Selected applicants will be invited to interview. Please go to the ERAS website to submit your application.
Nephrology Services - UAB Medicine
We look forward to receiving your application. Mission The mission of the Division of Nephrology Fellowship training program is to produce physicians who are clinically competent in the broad field of Nephrology; highly effective in a variety of clinical settings; and possess habits of life-long learning to allow for continued growth in knowledge, skills and other aspects of a professional career in Nephrology.
Goals The specific goals of the training program are derived from the Mission Statement: The training of clinically competent Nephrologists. Clinical competence is essential for all physicians. Clinical competence in Nephrology is defined as: A basic core understanding of anatomy, histology, physiology, biochemistry, immunology, genetics, pharmacology, epidemiology, statistics, ethics and human behavior relative to the practice of Nephrology. A basic core knowledge of the pathogenesis, histopathology, pathophysiology, clinical manifestations and management of kidney diseases or systemic diseases with renal manifestations.
The clinical skill of data collection including history-taking, physical examination and the appropriate use of radiologic and laboratory tests particularly as pertaining to the diagnosis of kidney disease. The ability to formulate appropriate differential diagnoses and therapeutic plans based on an ability to critically analyze the clinical data and integrate this analysis with the basic fund of medical knowledge.
In This Section:
The knowledge of the treatment of the common and uncommon diseases found in the practice of Nephrology including an understanding of the principles, indications, contra-indications, risks, costs and expected outcome of the various treatments. The ability to perform competently as either a consultant or a health-care team leader through effective communication with patients, peers and paramedical personnel. The ability to recognize the need and appropriately seek input from colleagues in other specialties through consultation.
The development of qualities of professionalism and humanistic skills including integrity, compassion and respect for patients, peers and paramedical personnel. An understanding of current research methods-all Fellows must be capable of demonstrating an understanding of the design, implementation and interpretation of research studies, specifically including research methodology, critical interpretation of data, critical interpretation of published research and the responsible use of informed consent.
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Training The training of Nephrologists who are highly effective in a variety of settings. To function most effectively in a modern healthcare delivery system, a Nephrologist must be able to work well in a variety of different clinical settings as: Primary health care provider in the acute inpatient setting, intensive care unit ambulatory clinic and emergency department.
Consultant to other internists or non-internists in the acute inpatient setting, intensive care unit, ambulatory clinic and emergency department. The development of skills and habits of professional life-long learning in Nephrology trainees. Continuous education is an essential component for clinically competent physicians and required for the acquisition, critical analysis, synthesis and reassessment of knowledge, skills and professionalism. The Fellowship program will foster and support this by encouraging: Independent study habits in the acquisition of clinical and research knowledge and skills.
Active participation in Department of Medicine and Division of Nephrology educational conferences including regular attendance and presentation of selected topics. Specific Objectives Upon the completion of the Nephrology Fellowship training, the Fellow should have mastered the following Specific Objectives as they pertain to each of the specific goals of the curriculum:Specific objectives which will foster the training of clinically competent Nephrologists include: Mastering those specific clinical objectives for the majority of diseases seen in the practice of Nephrology, including the uncommon and complicated diseases.
Honing communication skills that allow the trainee to perform as a health care team leader with peers and professionals. The development of proficiency in clinical skills to a level at which trainees are not only able to demonstrate their own proficiency, but are capable of teaching these skills to trainees at junior levels. The development of a familiarity with areas of active Nephrology research such that trainees have an understanding of some of the major research questions in the field and; an appreciation of the design, performance, potential strengths and shortcomings of a variety of experimental protocols.
Specific objectives to foster the goal of training Nephrologists that are highly effective in a variety of settings include: The development of proficiency as the primary health care provider in the acute inpatient setting, intensive care unit, ambulatory clinic and emergency department. The development of proficiency as a consultant to other internists or non-internists in the acute inpatient setting, intensive care unit, ambulatory clinic and emergency department.
Specific objectives to foster the development of skills and habits of professional life-long learning in Nephrology include: Regular attendance at Department of Medicine and Division of Nephrology teaching conferences and participation in the coordination of conference topics and schedules. Demonstration of mastery of teaching skills through interaction with trainees in junior levels of training including supervised teaching interactions with junior-level Fellows, residents and medical students.
Involvement in a research project sufficient to enable submission of work as first author for either presentation at national or regional scientific meetings or in peer-reviewed journals. Successful grant application for research funding for Fellows planning to go on to an academic career. What will you be doing during Nephrology Fellowship?
Division of Nephrology
The ward service houses patients on the 8th floor of the Spain-Wallace building, and also houses the inpatient dialysis unit. The nursing staff is specifically trained to care for patients with renal disease, including the routine management of peritoneal dialysis.
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The Nephrology ward team includes the Nephrology Attending, one or two Nephrology Fellows, two upper-level and two intern-level house staff each month. Fourth-year medical students may also be included on the team. Responsibilities of the renal Fellow on this rotation include, but are not limited to: Evaluating the need for dialysis in patients on the ward service Prescribing and adjusting hemodialysis and peritoneal dialysis prescriptions for patients with a wide range of medical problems Evaluating patients presenting in the emergency room with renal issues Performing renal biopsies in inpatients Learning about dialysis access issues Teaching the house staff the rudiments of the care of the patient with CKD and ESRD Supervising the house staff and providing guidance on therapy related to ESRD management.
Essential in this role is the development and refinement of clinical skills in the evaluation, diagnosis, treatment, and follow-up of patients with renal disease. These skills include developing appropriate differential diagnoses, assessing the need for hospitalization, and implementing diagnostic strategies and treatment plans.
Through this experience the Fellow will also develop a comprehensive understanding of the indications, contraindications, techniques, and complications of hemodialysis, peritoneal dialysis, vascular access placement, and renal biopsies.
The Fellow will also acquire skill in educating patients about these procedures and in obtaining informed consent. The Acute Consult Fellows will be exposed to a wide range of renal pathology in patients admitted to other medical and surgical services. This is a busy service with the average number of patients followed by this service being 25 to 30, and the average number of new consults being 5 per day.
UAB has 8 different intensive care units, providing a broad exposure to acute renal failure in several different clinical settings. Additionally, the Acute Consult Fellow will have an opportunity to see new presentations of glomerulonephritis, tubulointerstitial diseases, obstructive uropathy, toxic nephropathies, and a diverse array of challenging acid-base and electrolyte problems, as well as assessing the need for and performing renal biopsies.
A single Nephrology Attending Physician is assigned to this service for the entire month. Three Fellows, in addition to two to four second and third-year internal medicine residents, are assigned to the Acute Consult Service in any given month.
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The schedule is designed to ensure that when one Fellow is in clinic there is always another Fellow available to take consults. The Acute Consult Fellow will also be responsible for any biopsies deemed necessary by the consult service. There is a Renal Consult Template to be used for all new consults. The First Year Fellow on the Chronic Consult Service provides renal replacement therapy for these patients, makes adjustments in their dialysis prescription as necessary, and learns about the challenges of dialysis access in patients with a wide range of co-morbid conditions.
Hemodialysis access responsibilities consist of placement of femoral hemodialysis catheters in the inpatient dialysis unit IDU and the removal of tunneled catheters in the Kirklin Clinic on the 4th floor Cardiovascular Suite. This Fellow will also have ample opportunity to learn the important art of cooperating with services to achieve the best outcome for the patient.
There are no residents on this service.
The consult service is covered by Nephrology Fellows in the second year of training. However, some of first-year Fellows will have an opportunity to participate in the weekly Nephrology clinic throughout the year. Their responsibilities include rounding on patients seen by the consult service during the week. The hospital is designed to admit patients primarily with orthopedic and elective surgeries.
A Hospitalist service will care for these patients. UAB Nephrology Transplant Ward Service UAB boasts one of the largest Nephrology transplantation programs in the country, with over combined living-donor and cadaveric-donor transplants per year. The transplant ward service provides an opportunity to see transplant recipients at all stages of the process, including newly transplanted patients, patients with existing allografts with other medical problems requiring hospitalization, and patients with allograft dysfunction. The relationship between the transplant Nephrologists and surgeons is very good, and Fellows often benefit from the synergy of the interaction, as the Nephrology and surgical teams have made it a habit of rounding together.
Exposure to current topics in transplantation will be provided through participation in weekly conferences dedicated to discussion of current research articles relating to transplantation. UAB is one of the few programs in the country that offers a separate Nephrology transplant Fellowship to interested and motivated Nephrology Fellows. Successful completion of the general Nephrology Fellowship, along with completion of the transplant Fellowship is currently sufficient to become board-certified in transplant Nephrology by the American Society of Transplantation. This rotation will give the 2nd year Fellows continued exposure to Transplant topics.
The Fellow will help other teams manage transplant patients not admitted to the medical Transplant floor. Consults will usually consist of transplant patients admitted to ICUs or surgical floors outside of S7s. The Consult Transplant Fellow will also aid in outpatient transplant biopsies performed on S7 in the mornings.