Nephrology Fellowship Program
The nephrology program at UNMC began in 2007. We offer two positions each year through the National Resident Matching Program.
The clinical facilities utilized by the program include The Nebraska Medical Center which is a 550 bed facility, and the 100 bed Omaha VA Medical Center. The Section of Nephrology directs five outpatient dialysis units, and provides care for over 250 chronic dialysis patients, including peritoneal and home hemodialysis. The Section of Nephrology plays an active role in the renal transplant program at the University of Nebraska Medical Center, providing consultation/care to patients before, during, as well as long-term follow-up post transplant. The transplant program averages approximately 130 kidney and kidney–pancreas transplants annually.
First year fellows divide their time between three services: Acute Nephrology, Transplant Nephrology, and VA Nephrology.
The Acute Nephrology Service is our busiest rotation, providing inpatient consultative nephrology for all hospital services, excluding kidney and kidney pancreas transplant patients. In addition, this is our primary admitting service. This rotation provides the most exposure to evaluation and management of critical care patients, acute renal failure, fluid and electrolyte disorders, hemodialysis–related complications, as well as continuous renal replacement therapies. Nephrology fellows on this rotation supervise two Internal Medicine residents. The typical census for this service is typically between 15 and 25 patients.
The census on the Transplant Nephrology Service averages approximately 10 patients, which consists of primary patients and consults. Kidney transplant patients who are typically more than 6 months following transplant with medical issues are admitted to this service. Kidney and kidney–transplant patients who are peri-operative or with primary surgical issues are admitted to Transplant Surgery with Transplant Nephrology following as consultants. We have an active transplant center performing approximately 130 kidney and kidney–pancreas transplants yearly. In addition, we provide post–transplant care to over 700 patients, affording fellows exposure to acute and long-term complications of transplant. In addition to general nephrology continuity clinic, fellows attend two transplant clinics. One-half day is spent in the post–transplant clinic and one-half day is dedicated to pre–transplant evaluations and donor work-ups each week.
The VA nephrology rotation consists of inpatient and outpatient consultative nephrology. The census averages between 5 and 10 inpatients. While on this service, fellows also participate in two active nephrology clinics composed on general and consultative nephrology and the follow up of VA patients with kidney and kidney–pancreas transplants. These clinics meet a total of two one-half days per week.
Second year nephrology fellows divide their time between six months of inpatient rotations, and a six month block of time which is devoted to research and outpatient dialysis. Research is performed with either clinical or basic science faculty. Fellows with an interest in research and academic medicine are encouraged to pursue an additional year of training. Fellows interested in clinical research are encouraged to pursue a Masters Degree in Clinical Research or Public Health. The outpatient dialysis experience consists of rounding on six to eight in–center hemodialysis patients weekly, as well as providing care to home hemodialysis and peritoneal dialysis patients in two clinics monthly.
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