Curricula

Curricula

Geriatric Nephrology

Overview and Goals

The number of people age 65 years and older will triple over the period of your career in nephrology. Because the incidence of chronic kidney disease increases with age, nephrologists will increasingly be called upon to evaluate and manage geriatric patients. To prepare you for this role as a nephrologist, we have created a Geriatric Nephrology rotation based at the UofL affiliated Robley Rex VA Medical Center. This four week rotation will focus on education of fellows in the unique requirements of caring for a geriatric population with acute kidney injury, chronic kidney disease and End-Stage Renal Disease.

Site(s): Robley Rex VA Medical Center

Duration: 1months/year, additional elective time depending on interest

Educational Objectives

  1. Medical Knowledge

    1. Understand changes in kidney function and physiology as part of normal aging

    2. Understand the limitations in applying current measures of kidney function in the geriatric population

    3. Learn the main causes of acute and chronic kidney failure in the geriatric population

    4. Learn the benefits and risks of renal replacement therapy in this population

    5. Learn differences in pharmacokinetics in the elderly

    6. Learn differences in clinical guideline applications for the geriatric population

    7. Understand clinical scenarios associated with high risk for acute kidney injury or electrolyte disturbances in the elderly

  2. Patient Care

    1. Learn when and how to apply principles of conservative supportive care for ESRD

    2. Learn how to identify and avoid iatrogenic causes of AKI and electrolyte disturbances

    3. Learn how to be part of a multidisciplinary team including palliative and geriatric providers

  3. Communication

    1. Learn how to explain the risk/benefit ratio for RRT modalities to patients and their support systems in the acute and chronic settings

    2. Learn how to explain the distinction between quality and quantity of life in the context of kidney failure

  4. Professionalism

    1. Understand the importance of timely response to patient and family concerns

    2. Learn how to identify and incorporate the values articulated by older patients and their families in planning diagnostic testing and therapies

    3. Become proficient in the timely recording of inpatient and outpatient visits and encounters and in the transmission of these data to other providers

  5. Practice based learning and improvement

    1. Become familiar with resources necessary for the delivery of optimal geriatric nephrology care including journals, websites, curricula, and specialized databases

    2. Understand and perform self-evaluations for guideline adherence

  6. Systems based practice

    1. Become acquainted with transitions of care.

    2. Become familiar with multidisciplinary aspects of geriatric nephrology care

    3. Understand barriers to geriatric nephrology care

Specific Educational Components

  1. Inpatient rounding on the nephrology service at the Robley Rex VA Medical Center, including the care of acute and chronic kidney disease patients

  2. Participation in outpatient general nephrology clinics at the Robley Rex VA Medical Center

  3. Inpatient rounding on the Geriatric, Palliative, and Hospice services at the Robley Rex VA Medical Center

  4. Attendance at and participation in multidisciplinary evaluation and quality improvement conferences for the Geriatrics service

  5. Participation in end of life discussions with patients and families in the inpatient and outpatient settings

  6. Participation in the multidisciplinary ICU rounds

Educational Methods and Materials

  1. Supervised patient care: Experiential learning through management of geriatric inpatients and outpatients. Fellows will be encouraged to have initial patient interactions to allow for independent development of clinical assessments and care plans. Cases will then be presented to faculty supervisors at which time the supervising physicians will work with the fellow to finalize care plans. Fellows are under the full supervision of a faculty nephrologist in each inpatient and outpatient venue.

  2. Structured Didactics and Small Group Learning

    1. Fellows Curriculum Lecture 12noon – 1pm Tuesdays

    2. Nephrology Combined Conference 12noon-1PM Fridays

    3. Multidisciplinary geriatric conferences

  3. Independent Study (including core reading and other education resources)

    1. Texts

      1. Primer on Kidney Diseases

      2. Feehally Comprehensive Clinical Nephrology

    2. NephSAP

      1. Geriatric Nephrology. NephSAP Vol 10, 2011.
    3. Core Journals

      1. Clinical Journal of American Society of Nephrology (CJASN)

      2. Nature Nephrology Review

      3. Kidney International

      4. American Journal of Kidney Diseases (AJKD)

      5. American Journal of Transplantation

      6. Transplantation

    4. Curricula

      1. ASN Geriatric Nephrology Curriculum modules

Outpatient Dialysis

Overview and Rotation Goals

The Dialysis Rotation blocks are 8-week educational blocks completed in both first and second years of fellowship, for a total of four months of training. Core clinical teaching venues include: Home Dialysis Clinic (hemodialysis and peritoneal dialysis), Incenter Hemodialysis rounds, monthly Total Quality Management meetings, and Multidisciplinary Care Plan meetings. The dialysis curriculum includes management and complications of various dialysis therapies, economic considerations of dialysis, technical aspects of dialysis machine function, water purification and management, patient quality of life indicators, and understanding the role of dialysis unit medical directorship. Opportunities for scholarly activities include: designing and implementing a Quality Improvement Project concerning an area of clinical dialysis. Suggested topics include but are not limited to interdialytic weight gain, protein-calorie malnutrition, hypertension on dialysis, quality of life parameters, reduction of cardiovascular risk factors, bone mineral metabolism on dialysis, access to kidney transplantation, and anemia management. 

Site(s): UKC Outpatient Hemodialysis Units; Home Training Dialysis Clinics

Duration: 2 months each years 1 and 2

Educational Objectives

  1. Medical Knowledge

    1. Learn the scientific principles supporting the application of dialysis therapies to end stage renal disease

    2. Learn how to evaluate a patient for suitability for the different dialysis modalities

    3. Become knowledgeable in the complications of dialysis

    4. Gain experience and expertise in the dialysis prescription

    5. Learn the goals of dialysis therapy

    6. Understand the components of dialysis therapy: water supply, dialysis filters, PD cycling machines, PD fluid

  2. Patient Care

    1. Gain experience in the acute and long term follow up issues for dialysis patients

    2. Learn how to achieve the required goals for delivery of dialysis therapy to patients

  3. Communication

    1. Learn how to explain the process, risks and benefits of the different dialysis modalities to patients and families

    2. Learn how to review monthly labwork with members of the dialysis team and with patients

    3. Gain experience in interactions with key members of the dialysis team including nurses, social workers, clinic managers, and dietitians.

  4. Professionalism

    1. Understand the importance of timely response to patient concerns

    2. Accept the responsibility for primary adjustment of the dialysis prescription

    3. Become proficient in the timely recording of outpatient visits and encounters

    4. Treat all members of the healthcare delivery team, patients and families with respect and dignity

  5. Practice based learning and improvement

    1. Become familiar with resources necessary for the delivery of optimal dialysis care including journals, websites, curricula, and specialized databases such as the Renal Network

    2. Understand and perform self-evaluations for guideline adherence

  6. Systems based practice

    1. Become acquainted with transitions of care from dialysis to transplantation; transplantation to dialysis; inpatient to outpatient care; and vice versa.

    2. Become familiar with multidisciplinary aspects of dialysis care

    3. Understand barriers to the delivery of adequate dialysis

    4. Understand the regulatory components of dialysis care – the responsibilities of the medical director, the quality of care reporting requirements

Specific Educational Components

  1. Outpatient rounding in the dialysis units on assigned shifts of dialysis patients. This rotation also includes multidisciplinary rounds with the dialysis team

  2. Attendance at and participation in multidisciplinary evaluation and quality improvement conferences

  3. Attendance during vascular access puncture and needle withdrawal

  4. Rounding with the engineering staff to understand the water system, the maintenance of dialysis machines, and the monthly testing

  5. Rounding with the dietitian

  6. Rounding with the social worker

  7. Independent study

Educational Methods and Materials

  1. Supervised patient care: Experiential learning through management of inpatients and outpatients with solid organ transplants. Fellows will be encouraged to have initial patient interactions to allow for independent development of clinical assessments and care plans. Cases will then be presented to faculty supervisors at which time the supervising physicians will work with the fellow to finalize care plans. Fellows are under the full supervision of a faculty nephrologist in each outpatient venue.

  2. Structured Didactics and Small Group Learning

    1. Fellows Curriculum Lecture 12noon – 1pm Tuesdays

    2. Nephrology Combined Conference 12noon-1PM Fridays

    3. Multidisciplinary dialysis conferences

    4. Specialized one on one experiences with the social workers, dietitians

  3. Independent Study (including core reading and other education resources)

    1. Texts

      1. Primer on Kidney Diseases

      2. Feehally Comprehensive Clinical Nephrology

    2. NephSAP

      1. Endstage Renal Disease and Dialysis NephSAP 13:5, Nov 2014
    3. Core Journals

      1. Clinical Journal of American Society of Nephrology (CJASN)

      2. Nature Nephrology Review

      3. Kidney International

      4. American Journal of Kidney Diseases (AJKD)

    4. Curricula

      1. ASN Dialysis Curriculum modules

      2. RPA Business of Nephrology modules

Outpatient Subspecialty Nephrology

Glomerulonephritis, Nephrolithiasis and Tubulointerstitial Disease, Resistant and Secondary Hypertension

Overview and Rotation Goals

The fellow will rotate through outpatient Nephrology subspecialty clinics including General Chronic Kidney Disease Clinics, Glomerulonephritis Clinic, Interdisciplinary Lupus Clinic, Nephrolithiasis Clinic, and Hypertension Clinic. Additional outpatient clinic opportunities in other specialties including Rheumatology, Endocrinology, and Cardiology to enhance a multi-disciplinary approach to complex medical cases will also be provided. The purpose of this rotation is to gain expertise on the workup and treatment of primary and secondary glomerulonephritis, idiopathic and secondary nephrolithiasis, and resistant and secondary hypertension.

Site(s): ULP Outpatient Center

Duration: 2-3 months

Rotation Competency Objectives

The following provide an overview of the knowledge, skills, and conduct promoted in this rotation.

  1. Patient Care and Medical Knowledge - Upon completion of this rotation, fellows will demonstrate

    • Knowledge of the pathophysiology, clinical presentations, laboratory and radiological diagnosis and therapeutic modalities for treatment of complex kidney diseases in the outpatient setting including the following conditions:

      • Primary and Secondary Glomerulonephritis

      • Lupus Nephritis

      • Idiopathic and Secondary Nephrolithiasis

      • Tubulointerstitial Diseases

      • Resistant and Secondary Hypertension

      • Primary and Secondary Chronic Kidney Diseases

    • History taking and physical exam skills including a renal focused history and physical exam including recognition of assessment of volume status and identification of systemic complaints associated with renal pathology.

    • Appropriate ordering and interpretation of urinalysis, serum chemistries, 24 hour urine studies, urine protein to creatinine ratio, serologic testing, endocrine testing in the work up of secondary hypertension and nephrolithiasis, 24 hour urine testing for nephrolithiasis, radiographic studies, and when to order a kidney biopsy

  2. Interpersonal and Communication Skills:

    • Fellows will recognize the importance of patient education in renal dietary and drug compliance.

    • Demonstrate communication skills that support respectful patient-centered care.

    • Generate written documentation consistent with a hypothesis-generating approach to renal conditions.

  3. Professionalism: Throughout the rotation Fellows will:

    • Respectfully and compassionately respond to patients with a multitude of renal disorders.

    • Compassionately respond to socio-behavioral and psychiatric complexities of common renal conditions including the unique aspects of care for patients with chronic disease.

  4. Practice-Based Learning and Improvement:

    • Demonstrate willingness to learn from error, use it to support self-education and facilitate the learning of others
  5. Systems-Based Practices:

    • Fellows will participate in various quality improvement project meetings in the outpatient dialysis setting and learn the dynamics of advancing patient care.

    • Strive to provide cost-effective care incorporating awareness of available ancillary services.

Educational Components

  1. Hypertension Clinic staffed by Dr. Nina Vasavada

  2. Nephrolithiasis Clinic staffed by Dr. Eleanor Lederer

  3. Genetic Renal Disease Clinic staffed by Dr. Eleanor Lederer

  4. Glomerular Disease Clinic staffed by Drs. Dawn Caster, Liliane Hobeika, and Kenneth McLeish

  5. Interdisciplinary Lupus Clinic staffed by Drs. Dawn Caster, Liliane Hobeika, Kenneth McLeish, and W. Neal Roberts

  6. Refugee/Global Health Clinic staffed by Drs. Julio Ramirez, Rahel Bosson, and Paula Peyronie

  7. HIV Clinic staffed by Drs. Julio Ramirez, Paula Peyronie, and Raul Nakamatsu

  8. Chronic Kidney Disease Clinics staffed by Drs. Fred Arndt, Alfred Jacobs, Liliane Hobeika, Jon Klein

Teaching Methods

  1. Supervised patient care: The emphasis of the rotation is on experiential learning through management of outpatients with specific renal diseases. A variety of outpatient faculty supervised patient care activities will be provided in this rotation. Fellows will be encouraged to have initial patient interactions to allow for independent development of clinical assessments and care plans. Cases will then be presented to faculty supervisors at which time the supervising physicians will work with the fellow to finalize care plans. Fellows are under the full supervision of a faculty nephrologist in each outpatient venue.

  2. Structured Didactics and Small Group Learning- fellows are expected to attend each of the following.

    1. Fellows Curriculum Lecture 12noon – 1pm Tuesdays

    2. Nephrology Combined Conference 12noon-1PM Fridays

  3. Independent Study (including core reading and other education resources)

    1. Textbooks and Manuals

      1. Primer on Kidney Diseases

      2. Clinical Physiology of Acid-Base and Electrolyte Disorders

      3. KDIGO Clinical Practice Guideline for Glomerulonephritis 2012

      4. KDIGO Clinical Practice Guideline for the Management of Blood Pressure in Chronic Kidney Disease 2012

    2. NephSAP

      1. Primary and Secondary Glomerular Diseases July 2016

      2. Hypertension March 2016

      3. Renal Bone Disease, Disorders of Divalent Ions, and Nephrolithiasis September 2016

      4. Chronic Kidney Disease

    3. Core Journals

      1. Clinical Journal of American Society of Nephrology (CJASN)

      2. Nature Nephrology Review

      3. Kidney International

      4. American Journal of Kidney Diseases (AJKD)

Continuity Clinic: General Nephrology continuity clinic continues, ½ day weekly

Transplant Nephrology

Overview and Goals

Organ transplantation is a standard, albeit highly specialized and evolving, modality for the treatment of multiple organ failures including kidney, heart, lung, pancreas, and liver. This rotation will provide the trainee with experience in the evaluation, treatment, and follow up of kidney transplant recipients and in the renal complications of non-renal transplants.

Site(s): Jewish Hospital, Renal Tissue Typing Laboratory, KODA

Duration: 2-3 months depending on interest and activity level, minimum 2 months

Educational Objectives

  1. Medical Knowledge

    1. Identify qualifications for becoming a transplant candidate

    2. Learn how to evaluate a patient for suitability for immediate kidney transplantation

    3. Become knowledgeable in the complications of transplantation, immediate and long term, medical and surgical

    4. Gain experience and expertise in the use of immunosuppressive medications

    5. Learn the science and application of tissue typing

  2. Patient Care

    1. Gain experience in the acute and long term follow up issues for kidney transplant recipients

    2. Learn how to balance immunosuppressive regimens against long term complications for recipients

    3. Gain experience in both inpatient and outpatient specific issues

    4. Learn the indications, techniques, and pathology of kidney transplant biopsies

  3. Communication

    1. Learn how to explain the process, risks and benefits of transplantation to patients and families

    2. Understand the critical aspects of the transplant experience that should be recorded in follow up notes

    3. Gain experience in interactions with key members of the transplant team including surgeons, referring physicians, primary care physicians, coordinators, nurses.

  4. Professionalism

    1. Understand the importance of timely response to patient concerns

    2. Accept the responsibility for primary adjustment of immunosuppressive medications

    3. Become proficient in the timely recording of inpatient and outpatient visits and encounters

  5. Practice based learning and improvement

    1. Become familiar with resources necessary for the delivery of optimal transplant care including journals, websites, curricula, and specialized databases such as UNOS databases, pregnancy in transplantation registry, and tumor registries

    2. Understand and perform self-evaluations for guideline adherence

  6. Systems based practice

    1. Become acquainted with transitions of care from dialysis to transplantation; transplantation to dialysis; inpatient to outpatient care; and vice versa.

    2. Become familiar with multidisciplinary aspects of transplant care

    3. Understand barriers to transplantation and post-transplant care

Specific Educational Components

  1. Inpatient rounding on the transplant service at Jewish Hospital, including the care of new and established kidney transplant recipients as well as non-renal solid organ transplant recipients who have developed renal-related issues. This rotation also includes multidisciplinary rounds with the organ transplant team

  2. Participation in outpatient transplant clinics

  3. Attendance at and participation in multidisciplinary evaluation and quality improvement conferences

  4. Attendance at kidney transplant surgery

  5. Participation in the process of potential organ transplant donor identification and evaluation

Educational Methods and Materials

  1. Supervised patient care: Experiential learning through management of inpatients and outpatients with solid organ transplants. Fellows will be encouraged to have initial patient interactions to allow for independent development of clinical assessments and care plans. Cases will then be presented to faculty supervisors at which time the supervising physicians will work with the fellow to finalize care plans. Fellows are under the full supervision of a faculty nephrologist in each outpatient venue.

  2. Structured Didactics and Small Group Learning

    1. Fellows Curriculum Lecture 12noon – 1pm Tuesdays

    2. Nephrology Combined Conference 12noon-1PM Fridays

    3. Multidisciplinary transplant conferences

    4. Specialized one on one experiences at KODA, the tissue typing laboratory, organ donor evaluation and management events, and kidney transplantation surgery

  3. Independent Study (including core reading and other education resources)

    1. Texts

      1. Primer on Kidney Diseases

      2. Feehally Comprehensive Clinical Nephrology

    2. NephSAP

    3. Core Journals

      1. Clinical Journal of American Society of Nephrology (CJASN)

      2. Nature Nephrology Review

      3. Kidney International

      4. American Journal of Kidney Diseases (AJKD)

      5. American Journal of Transplantation

      6. Transplantation

    4. Curricula

      1. AST Curriculum modules

Acute Inpatient Nephrology Trauma/Public Hospital

Description: On this rotation, the fellow will have the opportunity to see and assume care for inpatients at the University Hospital which is a Level I Trauma Center and referral center for high risk pregnancy. This is exclusively a consult service. The educational focus of this rotation is to develop skills in the realms of inpatient consult service in a high acuity public hospital setting and in the inpatient management of medical complications seen in ESRD patients such as vascular access failure, infection, and acute cardiovascular events.

Site(s): University of Louisville Hospital

Duration: 2 months first year, 1-2 months second year

Educational Objectives

  1. Medical Knowledge

    1. Learn the diagnostic and therapeutic strategies for acute kidney injury in the hospital setting

    2. Learn how to evaluate a patient for the need for acute hemodialysis

    3. Learn the science and application of dialysis pheresis therapies

    4. Understand the acute and long term complications of acute kidney injury

    5. Learn the common complications of chronic kidney disease that result in hospitalization

    6. Learn the presentation and renal complications of high risk pregnancy

    7. Learn the application of acute dialysis therapies to drug overdose

  2. Patient Care

    1. Learn how to determine the optimal form of acute renal replacement therapy for the individual patient

    2. Gain experience and expertise in the prescription of acute intermittent and continuous dialysis therapies

    3. Understand and recognizes the complications of acute dialysis in the hospital setting

    4. Understand how to adjust medications in the face of changing kidney function or advanced kidney failure

  3. Communication

    1. Learn how to explain the process, risks and benefits of acute hemodialysis to patients and families

    2. Understand the critical aspects of writing an inpatient consult note

    3. Gain experience in interactions with key members of the inpatient health care delivery team including referring physicians, primary care physicians, other consulting physicians, primary and dialysis nurses, other health providers.

  4. Professionalism

    1. Understand the importance of timely response to patient concerns

    2. Accept the responsibility for primary evaluation of patient for renal replacement needs, medication adjustments

    3. Become proficient in the timely response to consultation and documentation of inpatient visits and encounters

  5. Practice based learning and improvement

    1. Become familiar with resources necessary for the delivery of optimal inpatient nephrology care including journals, websites, curricula

    2. Understand and perform self-evaluations for guideline adherence such as those applicable to delivery of acute dialysis therapies

  6. Systems based practice

    1. Become acquainted with transitions of care from inpatient to outpatient care and vice versa and inpatient initiation of dialysis to outpatient establishment of chronic dialysis.

    2. Become familiar with multidisciplinary aspects of inpatient acute nephrology care

    3. Understand barriers to post-discharge care

Specific Educational Components

  1. Inpatient rounding on the general nephrology service at University of Louisville Hospital, including the care of acute and chronic kidney failure patients on wards and the ICUs.

  2. Participation in outpatient hospital follow up clinics

  3. Attendance at and participation in multidisciplinary evaluation and quality improvement conferences for acute dialysis

Educational Methods and Materials

  1. Supervised patient care: Experiential learning through management of inpatients with acute kidney failure and subsequent outpatient follow up after hospitalization. Fellows will be encouraged to have initial patient interactions to allow for independent development of clinical assessments and care plans. Cases will then be presented to faculty supervisors at which time the supervising physicians will work with the fellow to finalize care plans. Fellows are under the full supervision of a faculty nephrologist in each outpatient venue.

  2. Structured Didactics and Small Group Learning

    1. Fellows Curriculum Lecture 12noon – 1pm Tuesdays

    2. Nephrology Combined Conference 12noon-1PM Fridays

  3. Independent Study (including core reading and other education resources)

    1. Texts

      1. Primer on Kidney Diseases

      2. Feehally Comprehensive Clinical Nephrology

    2. NephSAP

    3. Core Journals

      1. Clinical Journal of American Society of Nephrology (CJASN)

      2. Nature Nephrology Review

      3. Kidney International

      4. American Journal of Kidney Diseases (AJKD)

    4. Curricula

Acute Inpatient Nephrology Private Hospital

Description: On this rotation, the fellow will have the opportunity to see and assume care for inpatients at the affiliated private hospitals. This will be predominantly but not exclusively a consult service. The educational focus of this rotation is to develop skills in the realms of inpatient consult service in a private practice setting and in the inpatient management of medical complications seen in ESRD patients such as vascular access failure, infection, and acute cardiovascular events.

Site(s): Jewish Hospital, Norton Hospital

Duration: 2 months first year, 1-2 months second year

Educational Objectives

  1. Medical Knowledge

    1. Learn the diagnostic and therapeutic strategies for acute kidney injury in the hospital setting

    2. Learn how to evaluate a patient for the need for acute hemodialysis

    3. Learn the science and application of dialysis pheresis therapies

    4. Understand the acute and long term complications of acute kidney injury

    5. Learn the common complications of chronic kidney disease that result in hospitalization

  2. Patient Care

    1. Learn how to determine the optimal form of acute renal replacement therapy for the individual patient

    2. Gain experience and expertise in the prescription of acute intermittent and continuous dialysis therapies

    3. Understand and recognizes the complications of acute dialysis in the hospital setting

    4. Understand how to adjust medications in the face of changing kidney function or advanced kidney failure

  3. Communication

    1. Learn how to explain the process, risks and benefits of acute hemodialysis to patients and families

    2. Understand the critical aspects of writing an inpatient consult note

    3. Gain experience in interactions with key members of the inpatient health care delivery team including referring physicians, primary care physicians, other consulting physicians, primary and dialysis nurses.

  4. Professionalism

    1. Understand the importance of timely response to patient concerns

    2. Accept the responsibility for primary evaluation of patient for renal replacement needs, medication adjustments

    3. Become proficient in the timely response to consultation and documentation of inpatient visits and encounters

  5. Practice based learning and improvement

    1. Become familiar with resources necessary for the delivery of optimal inpatient nephrology care including journals, websites, curricula

    2. Understand and perform self-evaluations for guideline adherence such as those applicable to delivery of acute dialysis therapies

  6. Systems based practice

    1. Become acquainted with transitions of care from inpatient to outpatient care and vice versa and inpatient initiation of dialysis to outpatient establishment of chronic dialysis.

    2. Become familiar with multidisciplinary aspects of inpatient acute nephrology care

    3. Understand barriers to post-discharge care

Specific Educational Components

  1. Inpatient rounding on the general nephrology service at Jewish Hospital (and/or Norton Hospital depending on patient census and pathology), including the care of acute and chronic kidney failure patients on wards and the ICUs.

  2. Participation in outpatient hospital follow up clinics

  3. Attendance at and participation in multidisciplinary evaluation and quality improvement conferences for acute dialysis

Educational Methods and Materials

  1. Supervised patient care: Experiential learning through management of inpatients with acute and chronic kidney disease and subsequent outpatient evaluation of those patients. Fellows will be encouraged to have initial patient interactions to allow for independent development of clinical assessments and care plans. Cases will then be presented to faculty supervisors at which time the supervising physicians will work with the fellow to finalize care plans. Fellows are under the full supervision of a faculty nephrologist in each outpatient venue.

  2. Structured Didactics and Small Group Learning

    1. Fellows Curriculum Lecture 12noon – 1pm Tuesdays

    2. Nephrology Combined Conference 12noon-1PM Fridays

  3. Independent Study (including core reading and other education resources)

    1. Texts

      1. Primer on Kidney Diseases

      2. Feehally Comprehensive Clinical Nephrology

    2. NephSAP

    3. Core Journals

      1. Clinical Journal of American Society of Nephrology (CJASN)

      2. Nature Nephrology Review

      3. Kidney International

      4. American Journal of Kidney Diseases (AJKD)

    4. Curricula