The clinical curriculum is designed to provide broad exposure to all aspects of nephrology, and prepare fellows to function as high quality, independent nephrologists following fellowship.  Flexibility is built into the curriculum in order to tailor the fellowship experience to the career interest of each fellow.

The Fellowship Years

The First Year  

First year fellows divide their inpatient time among the three nephrology services: 

  • Consult
  • Transplant
  • VAMC

Fellows also attend an outpatient longitudinal nephrology continuity clinic. 

In addition to clinical rotations, fellows participate in an educational curriculum including didactic sessions, hands on experiential workshops, and interactive conferences.  

We cover costs for first year fellows to attend the National Kidney Foundation Spring Clinical Meeting.

A breakdown of the first year is provided below:


The Second Year  

The second year curriculum is tailored to provide flexibility, allowing fellows to pursue specific areas of interest within nephrology.  Second year fellows spend six months rotating through the three inpatient services, and then have six months of elective time, designed to align with fellows’ interest.  During these six months, fellows will also participate in an outpatient longitudinal dialysis curriculum where fellows become comfortable managing patients at an outpatient dialysis center.  Trainees will also be immersed in the home hemodialysis and peritoneal dialysis clinics in order to gain familiarity managing patients on home modalities.  Fellows will continue the half day per week continuity clinic.

Elective time is designed to best fit the needs and interest of the fellow.  This time is routinely used to design and conduct clinical research projects, QI projects, or other scholarly activities.  Several recent fellows have used elective time to develop expertise in the area of interventional nephrology and achieved procedural certification.  Elective options also include clinical emphasis in transplantation, critical care, home dialysis, hypertension, renal pathology, or other interests a fellow may want to pursue.

Below is an example of the second year breakdown:


Call Schedule  

In order to optimize work/life balance for our fellows, our call schedule has been designed to allow fellows to be free from all clinical duties for 3 out of every 4 weekends.  We incorporate residents into the call schedule, allowing fellows to only cover evening call approximately 1 night per week.  All overnight call is home call.

An example monthly call schedule is shown below: