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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. Nephrology outpatient clinics and hospital services at Mayo Clinic in Florida are very active and are supported by state-of-the-art clinical laboratories devoted to renal function testing and renal pathology.

Rotation schedule

Year one

  • Ambulatory clinic
  • Inpatient nephrology
  • Outpatient dialysis
  • Renal pathology
  • Elective rotation: hypertension lab or renal imaging
  • Research
  • Transplant nephrology
  • Continuity clinic: general nephrology and transplant nephrology

Year two

  • Ambulatory clinic
  • Inpatient nephrology
  • Research
  • Transplant nephrology
  • Continuity clinic: general nephrology and transplant nephrology

During each clinical rotation, you will work one-on-one with the supervising staff consultant. Rotation blocks are typically one to two months in length.

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 will attend the following:

  • Core curriculum lecture series (once a week)
  • Clinical conference (once a week), including Nephrology Grand Rounds (three each month) and biopsy conference (once a month)
  • Journal club (once a month)
  • Research conference (once a month)
  • Transplant morbidity and mortality (once a month)
  • Dialysis vascular access (once a month)

Fellows present once a month during the nephrology clinical conference. Fellows also present an article at the nephrology journal club once a month.

Research training

During the fellowship, each 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 research project.

All fellows must complete at least one scholarly project suitable for publication or presentation at a national meeting. The Division of Nephrology & Hypertension at Mayo Clinic in Florida provides scholarship opportunities in ongoing National Institutes of Health-funded research projects, pharmaceutical trials, data bases, population registries and clinical trials.

In addition, fellows spend one month during the first year and five months during the second year on a research block, mentored by a faculty nephrologist. Fellows learn the main research components of the curriculum, including standards of ethical conduct of research, design and interpretation of research studies, responsible use of informed consent, research methodology, and interpretation of data.

Call frequency

Nephrology fellows do not have in-house call. You are assigned to home-call once every four days. 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 required to attend all the core curriculum lectures, clinical conferences, journal clubs, and morbidity and mortality conferences. During the first year of the fellowship, nephrology fellows attend the National Kidney Foundation annual meeting. Second-year fellows attend the American Society of Nephrology annual meeting. Fellows are encouraged to present their research during these conferences.

Evaluation

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 program.

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