Internal Medicine -- Nephrology/Transplant Nephrology - Rochester

Description:

The Saint Marys Hospital Nephrology Service is made up of patients with acute renal failure; fluid, electrolyte and acid-base problems; renal parenchymal disease; and hypertension. The Kidney/Pancreas Transplant Service admits patients for kidney and pancreas transplants and the management of transplant-related problems. There are weekly conferences, including Nephrology/Hypertension Division Grand Rounds, Renal Biopsy and Core Curriculum conferences. In addition, there are daily teaching sessions provided by the attending consultants.

Specific Goals:

1. To participate in the assessment of patients with a variety of medical and surgical problems with renal and urinary tract involvement.
2. To apply principles of renal physiology and acid-base metabolism to clinical medicine.
3. To Evaluate tests of renal anatomy, bacteriology and function as they apply to patients' problems (e.g., urinalysis, urine culture, renal clearance, renal radiography and angiography).
4. To demonstrate an effective approach to the diagnosis and management of patients with acute and chronic renal failure.

Activity Outline:

Students attend daily rounds, work up one new patient per on-call day, and review their findings and management plan with the resident prior to presenting the case to the consultant. Students pre-round and write daily progress notes on their patients.

Attendance at regularly scheduled teaching conferences also is required.

A specialized transplant nephrology track must be specifically requested; it provides a unique experience in the evaluation and management of transplant recipients.

Method of Evaluation:

The attending consultants and attending medical residents complete the evaluations, ranking students as "Honors," "Satisfactory," or "Unsatisfactory."