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Nephrology has an active fellowship
program for both practice-bound physicians (two years) and those with an
interest in academic nephrology (three years).
We are currently
accepting applications for the two positions we have to offer via the
ERAS website for 2009. The deadline for applying will be the end of
January 08. We will be participating in the match this year. Visas
we are currently accepting are J1s.
Adult Services
The clinical training program in
nephrology covers a full array of experiences in dialysis, renal
transplantation, hypertension, inpatient service, consultation service,
and outpatient consultative and long-term follow-up activities. All
modalities of dialysis are available, including chronic hemodialysis,
acute hemodialysis hemofiltration, chronic
ambulatory peritoneal dialysis (CAPD), chronic cyclic peritoneal dialysis
(CCPD), and continuous venoveno hemofiltration dialysis (CVVHD). A
cadre of fifty dialysis patients are followed long-term.
Additionally, dialysis is performed as necessary for patients undergoing
kidney transplant and for transients visiting the area. The kidney
transplant service is active performing 100 kidney transplant per year.
This program also performs combined kidney/pancreas transplants and liver
transplants as well. The inpatient and consultation service are combined
into one active service that follows an inpatient census of 15 to 20
patients. The outpatient clinic sees a broad spectrum of clinical renal
diseases, including renal stones, renal tubular acidosis, glomerular
diseases, hematuria/proteinuria, chronic renal
insufficiency, nephrolithiasis and complicated
hypertension. Fellowship training experience includes the opportunity to
perform procedures to gain vascular access for acute dialysis and kidney
biopsies, which are performed with ultrasound guidance.
Residents rotate on the service as an
elective, and fourth-year medical students also rotate through the
service three at a time. Medical students and residents in training at
other institutions are also welcome to rotate on the nephrology service.
The consultation service encounters patients
with a wide variety of diseases as typically encountered in a tertiary
referral center. These include various fluid and electrolytes problems.
Hereditary renal disease, systemic diseases affecting the kidney,
(Wegener’s, SLE), etc., glomerulonephritis, interstitial
nephritis, diabetic nephropathy, acute and chronic renal failure,
hypertension and hypertension emergencies, transplant-related problems,
and patients with renal lesions caused by immunologic reactions to drugs
or by nephrotoxins.
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