Clinical Track
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Transplant + chronic kidney disease training in nephrology fellowship

Our active and robust kidney transplant program gives fellows the opportunity to manage a wide range of issues related to transplantation and chronic immunosuppression. Continuity activities cover all stages of chronic kidney disease, including outpatient hemodialysis, home hemodialysis and peritoneal dialysis, providing a unique and comprehensive clinical nephrology experience.

At the end of their first year, fellows choose an area of focus. During the second year, they spend three to six months developing expertise in that area through faculty mentorship, customized rotations and quality improvement and research projects.

Clinical experiences – 1st year
Ten months of inpatient rotations
  • Exposure to a wide range of acute and chronic kidney diseases
  • A care team consisting of an attending, a fellow, internal medicine residents, and 4th year medical students
  • 5-15 patients per fellow
Two months on the Float/Education block
  • Fellows have dedicated time for reading, learning, preparing teaching sessions, and developing conferences
  • By covering other fellows who are out on vacation or with illness, fellows on inpatient rotations are not asked to cover expanded services
Two ½-day nephrology continuity clinics per week
  • Develop a cohort of patients with various kidney disease that is managed for the duration of your training
  • See the course of kidney diseases over extended time
  • Hands-on teaching with 1-to-1 engagement with attendings.
A monthly home dialysis continuity clinic
  • Manage a group of peritoneal dialysis and home hemodialysis patients over the course of a year
  • Multidisciplinary clinics with an attending, a dialysis nurse, social workers, pharmacist , and dietician

Clinical experiences – 2nd year
Six-to-eight months of inpatient rotations
  • Leading the service as a junior attending
  • Emphasis on challenging, unique, and rare cases
Four-to-six months of Nephrology Focused Pathway
  • Rotations focused on unique career interests
  • One-on-one mentorship for career guidance
  • Exclusive curriculum based on your interest and needs
  • Protected time for attendance at national conferences within pathway
Two months on the Float/Education block
  • Dedicated time for board preparation, teaching medical students and internal medicine residents, and preparing manuscripts, presentations, posters, and abstracts
  • Covering other fellows who are out on vacation or with illness
A yearlong continuity experience in chronic hemodialysis
  • Manage an on-site shift of 25 chronic hemodialysis patients
  • Weekly rounding with an attending
  • Monthly lab review with interdisciplinary rounds
One ½-day nephrology continuity clinic per week
  • Develop a cohort of patients with various kidney disease that is managed for the duration of your training
  • See the course of kidney diseases over extended time
  • Hands-on teaching with 1-to-1 engagement with attendings.
A monthly home dialysis continuity clinic
  • Manage a group of peritoneal dialysis and home hemodialysis patients over the course of a year
  • Multidisciplinary clinics with an attending, a dialysis nurse, social workers, pharmacist , and dietician
Contact
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Scott J. Gilbert, MD
Fellowship Director
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William B. Schwartz Division of Nephrology
Tufts Medical Center
800 Washington Street, #391
Boston, MA 02111