UNMC_Acronym_Vert_sm_4c
University of Nebraska Medical Center

Curriculum

Fellows receive POCUS ultrasound training

We provide a fellow-centered supportive learning environment that includes outpatient and inpatient clinical rotations, research opportunities, quality improvement projects and didactic experiences.

Our fellows work with our experienced faculty to deliver exceptional care to patients with kidney disease through UNMC's primary clinical partner, Nebraska Medicine.

Fellows at UNMC are exposed to broad clinical experiences covering all aspects of inpatient and outpatient nephrology. Dedicated UNMC faculty strive to deliver unparalleled training, preparing fellows to excel in their future careers, whether that be in private practice or academia. We emphasize both personal and professional development, with the schedule and curriculum designed to promote work/life balance. 

Our innovative curriculum offers considerable flexibility in order to tailor the curriculum to specific interests of the fellow, allowing fellows the opportunity to explore and gain expertise in areas of their choosing, whether that be interventional nephrology, critical care nephrology, transplantation, home dialysis, research, education, or other areas of their choosing.

Core Curriculum Didactic Series
This fellow-focused educational series aims to cover all aspects of nephrology over the course of a year. The sessions are led by nephrology (or ancillary) faculty with a particular expertise in a given area. Topics range from electrolyte disorders, physiology, transplantation, glomerular disease, dialysis, hypertension, genetics, nutrition, etc. This conference is usually held once per week. 

2022-2023 UNMC Fellowship Core Curriculum Didactic Series
Procedural Training and Interventional Nephrology

Fellows have an opportunity to develop exposure and proficiency in all nephrology related procedures. At the start of fellowship, we utilize the UNMC Clinical Simulation Lab in the  beautiful new Davis Global Center, which is the headquarters for iEXCEL, a visionary and world class program designed to provide transformative and innovative educational experiences.   Our fellows receive training in proper technique for dialysis catheter insertion and a variety of POCUS workshops, in addition to utilizing the minimally-embalmed cadaver lab to provide fellows an opportunity to receive kidney biopsy training in a low pressure setting. All fellows have opportunities to participate in our popular Interventional Nephrology electives.  We have two interventional nephology faculty who supervise fellows in the interventional cath lab to develop skills across the spectrum of interventional nephrology including tunneled catheter insertion, endovascular procedures (e.g fistulagram, declot), percutaneous fistula creation, and PD catheter insertion.  Fellows interested in Interventional Nephrology have ample opportunities to develop procedural skills, with several prior fellows achieving certification through the American Society of Diagnostic and Interventional Nephrology (ASDIN) during their two year fellowship, without having to do an additional year.

Fellow Research and QI Opportunities

Fellows interested in research and/or quality improvement have the opportunity to develop, implement, present, and publish their work with mentored support from a nephrology faculty member.  Our division has a wide range of clinical research interests including numerous actively enrolling clinical trials, as well as several registry and large database studies.

Elective time is provided to first year fellows to identify a research mentor and initiate project development. During the second year of fellowship, up to 6 months of elective time can be allotted for research.  We provide support for fellows to participate in the UNMC Clinical Research Symposium.  We hold monthly divisional nephrology research conferences which allow faculty and fellows to discuss ongoing or completed clinical or translational research.

Fellows consistently present their research at national meetings including the NKF Spring Clinicals, ASN Kidney Week, and the American Transplant Conference, and have a track record of successful peer-reviewed publications.

Presentations
Once per year, a nephrology fellow chooses a clinical or basic science nephrology topic of interest, and gives a presentation overview of the topic. These presentations allow fellows to develop an expertise over the material presented. A faculty mentor is available to assist with development and direction of the topic.
Renal-Rheumatology Conference
This combined, multidisciplinary catered lunch conference is attended by faculty and fellows from the nephrology and rheumatology division, as well as a renal pathologist. Interesting cases that highlight the important overlap between nephrology and rheumatology are discussed at these conferences.
M&M Conference – QI Conference
Twice per year, we meet to perform a Root Cause Analysis where issues regarding morbidity and mortality of patients in the hospital or clinic will be discussed. Issues regarding patient safety and quality improvement processes are discussed during these sessions.
Journal Club
Fellows and faculty present interesting and impactful journal articles at this monthly conference. Journal club provides the opportunity to debate the merits and limitations of a study, as well as discuss the potential application of a given study to clinical practice. Both clinical and basic research articles may be presented.
Point of Care Ultrasound Workshops
Fellows will receive dedicated hands-on instruction regarding the power and utility of POCUS in nephrology. Fellows participate in multiple POCUS workshops led by Dr. Ryan Mullane (twitter: @rmullane7) and Dr. Jared Marx (twitter: @pocusgeek). Fellows will develop proficiency in ultrasound assessment of the renal-urinary system as well as cardiac, lung, and volume assessment. In addition to these workshops, ultrasound probes, tablets, and ultrasound equipment dedicated for fellow use are readily available and incorporated during rounds.
Board Review
Dr. Marius Florescu leads the fellows in this monthly board review series. The aim of these sessions is to work through numerous board-style questions in order to improve understanding of the material and gain familiarity with testable nephrology-related concepts.
Grand Rounds
Internal Medicine Grand Rounds take place on Fridays over the lunch hour. Topics are presented either by UNMC faculty or by invited outside faculty. Grand Rounds are an integral component of medical education, teaching new information and enhancing clinical reasoning skills.
Dr. Shikha Shailly
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Nephrology fellows at UNMC
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Second year fellows
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Davis Global Center
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Dr. Marius Florescu
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Dr. Hettenbaugh teaching Dr. Magliulo
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Dr. Shailly performing an ultrasound on Dr. Hettenbaugh
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