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Curriculum

Clinical training

The large volume and broad range of patients seen by Mayo Clinic nephrologists ensure an optimal clinical experience for trainees in the Nephrology Fellowship. Nephrology outpatient clinics and hospital services at Mayo Clinic's campus in Arizona are very active and are supported by state-of-the-art clinical laboratories devoted to renal pathology and renal function testing, including a dedicated renal studies unit.

In addition, the nephrology fellow rotates at Maricopa Medical Center, a Level 1 Trauma Center. This provides complementary experience with a variety of clinical cases, such as intoxication-related kidney injury, obstetrics and pregnancy-related disease, HIV nephropathy, and more.

The nephrology fellow also has dedicated training in interventional nephrology. Mayo Clinic's Arizona campus has a well-established and cohesive partnership with the Arizona Kidney Disease and Hypertension Center (AKDHC). There is a dedicated rotation in interventional nephrology at the AKDHC Surgery Center, where each year approximately 800 arterial venous fistulae are created and approximately 4,000 interventions on hemodialysis fistula, grafts or catheters, and peritoneal dialysis catheters are performed.

A high volume of transplant procedures provides the trainee with an excellent experience in managing kidney and pancreas recipients in both inpatient and outpatient settings.

Rotation schedule

Year 1

Rotation Length Location
Inpatient apheresis 2 weeks Mayo Clinic Hospital
Inpatient community nephrology and high-risk obstetrics 6 weeks Maricopa Medical Center
Inpatient general nephrology 20 weeks Mayo Clinic Hospital
Inpatient transplant nephrology 5 weeks Mayo Clinic Hospital
Interventional nephrology 2 weeks Arizona Surgery Center
Outpatient kidney transplant clinic 5 weeks Mayo Clinic Hospital
Outpatient kidney stone clinic 2 weeks Mayo Clinic Hospital
Renal pathology 4 weeks Mayo Clinic Hospital
Research or elective rotation 4 weeks Mayo Clinic Hospital

Year 2

Rotation Length Location
Inpatient community nephrology and high-risk obstetrics 6 weeks Maricopa Medical Center
Inpatient general nephrology 14 weeks Mayo Clinic Hospital
Inpatient transplant nephrology 9 weeks Mayo Clinic Hospital
Outpatient interventional nephrology 2 weeks Arizona Surgery Center
Outpatient kidney stone clinic 1 week Mayo Clinic Hospital
Outpatient kidney transplant clinic 8 weeks Mayo Clinic Hospital
Renal pathology 2 weeks Mayo Clinic Hospital
Research or elective rotation 8 weeks Mayo Clinic Hospital

Rotation descriptions

Inpatient nephrology hospital service

The inpatient clinical nephrology fellowship experience includes training at Mayo Clinic Hospital in Arizona, which is a 268-bed tertiary referral center. This experience allows for wide exposure to complex renal pathology, including the care and management of patients on the medical and surgical wards, intensive care units, and step-down units.

Hospital rotations focus on the management of acute kidney injury, chronic kidney disease states, electrolyte disturbances and care of post-kidney transplant patients. In addition to the exposure at Mayo Clinic Hospital, the fellow rotates at Maricopa Medical Center, a Level 1 Trauma Center, which provides complementary experience involving a variety of clinical cases, such as intoxication-related kidney injury, obstetrics and pregnancy-related disease, HIV nephropathy, and more.

Fellows have ample exposure to become proficient in the prescription of commonly utilized renal replacement modalities such as hemodialysis, peritoneal dialysis, sustained low-efficiency dialysis, continuous renal replacement therapy and apheresis.

Ambulatory clinic

Ambulatory rotations focus on the management of chronic kidney diseases, end-stage renal disease, hypertension, electrolyte disorders, nephrolithiasis, and rare kidney diseases including glomerulonephritis. Experiences include dedicated hemodialysis, peritoneal dialysis and general nephrology clinic rotations.

Didactic training

Clinical conferences, seminars, small discussion groups, journal clubs and one-on-one instruction are integral parts of the Nephrology Fellowship. During your training, you attend:

  • Core curriculum nephrology lecture series presented by faculty — once a week
  • Nephrology journal club presented by faculty and rotating resident — twice a month
  • Renal pathology conference presented by renal pathologist Maxwell L. Smith, M.D., and fellow — twice a month
  • General nephrology in-depth discussion presented by nephrology fellow in consultation with a designated faculty member — once a month
  • Transplant morbidity and mortality conference presented by faculty and transplant nephrology fellow — once a month
  • Transplant academic conference presented by the transplant nephrology fellow or transplant nephrologist — once a month
  • Transplant Grand Rounds presented by invited speaker — once a month

In addition, there are several other lectures and presentations, including weekly Medical Grand Rounds, periodic biostatistics and epidemiology lectures, and presentations specifically geared toward trainees on issues related to time management, culture of safety, communication skills in clinical medicine and more.

Research training

Each nephrology fellow is required to identify an area of research interest and complete a research project. Fellows present a research lecture before and after completion of their project.

All fellows must complete at least one scholarly project suitable for publication or presentation at a national meeting. Dedicated elective time is structured into the curriculum for the fellow to conduct research. Dedicated statistician help is available.

Call frequency

The nephrology fellow is on home call only during inpatient rotations. There is no in-house call. Fellows are required to come into the hospital to evaluate only emergent consults while on home call. During home call, a supervising attending physician is available at all times to provide backup support.

Teaching opportunities

During hospital rotations, fellows supervise and teach internal medicine residents and medical students.

Conferences

Fellows are provided the opportunity to attend one national conference (National Kidney Foundation annual meeting or American Society of Nephrology annual meeting) during their fellowship for attendance. However, additional trip requests are accommodated if fellows are presenting their research.

Evaluation

Nephrology fellows are evaluated at the completion of each rotation. Evaluations assess competence in:

  • Patient care
  • Medical knowledge
  • Professionalism
  • Systems-based practice
  • Practice-based learning and improvement
  • Interpersonal and communication skills

At least twice a year, the program director meets with each fellow to review evaluations and discuss professional growth. In addition, allied health staff and residents are asked to evaluate fellows' performance periodically.

Fellows are able to view their evaluations electronically. Final cumulative evaluations are completed for each fellow upon completion of the Nephrology Fellowship. Additionally, fellows complete a confidential evaluation of the supervising faculty members monthly.

  • July 24, 2015
  • ART267948