Rotations in Nephrology and Hypertension

• Consults
• Transplant
• Outpatient Dialysis
• Interventional Nephrology
• Plasmapheresis
• Palliative Care
• Research/ Electives

Sample Rotation Schedule

Fellows receive extensive experience in all modalities of dialysis during rotations on the consultation service and the outpatient hemodialysis unit. Fellows are responsible for most temporary central venous hemodialysis catheter placements and for orders related to dialytic procedures, with staff supervision.

Fellows are assigned chronic in-center and home hemodialysis and peritoneal dialysis patients to follow monthly in longitudinal fashion. Fellows see these patients with supervision and mentoring by Nephrology staff. In addition, fellows see hemodialysis patients during the outpatient dialysis rotations.

During the course of their fellowship, fellows have the opportunity to select five electives in clinically related specialties. These elective opportunities may include:

• Medical intensive care
• Transplant surgery
• Vascular access surgery
• Interventional nephrology
• Urology
• Rheumatology
• Additional months in outpatient dialysis, radiology, toxicology, and renal pathology

As fellows progress during the fellowship, their level of individual responsibility and decision-making autonomy increases. In addition, the fellow's participation in the education of residents and medical students also increases. One chief fellow in the second year is also selected to assist with developing call schedules and solving administrative problems as they arise.

Nephrology fellows receive written evaluations from their senior staff supervisor following each rotation. These are distributed electronically, and confidentially, to the fellows. Fellow evaluations are reviewed quarterly, in aggregate, by the Clinical Competency Committee, comprised of core faculty members. Remedial action is required for any fellows who demonstrate significant deficiencies on their evaluation forms.