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Curriculum

The large volume and broad range of patients seen by Mayo Clinic nephrologists ensure that you receive an optimal clinical experience 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 and ambulatory blood pressure monitoring unit.

Ambulatory rotations focus on the mangement 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. Each month, you will have dedicated clinic time for new glomerulonephritis consults to enhance exposure and skills in management of glomerulonephritis.

In addition, you rotate at Valleywise Health 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. A new rotation at the Phoenix VA Medical Center started in 2020. It provides a unique experience at a dedicated outpatient acute dialysis unit.

As a nephrology fellow, you also have dedicated training in interventional nephrology, renal pathology, kidney stones, and apheresis. Additional clinical elective time and research electives will allow you to build an individualized curriculum that meets your career plans. A high volume of transplant procedures provides you with an excellent experience in managing kidney and pancreas recipients in both inpatient and outpatient settings. You have ample exposure to become proficient in the prescription of commonly utilized renal replacement modalities such as hemodialysis, sustained low-efficiency dialysis, continuous renal replacement therapy, and apheresis. 

Rotation schedules

Year 1

Rotation

Length

Location

Inpatient apheresis

1 week

Mayo Clinic Hospital

Inpatient community nephrology and high-risk obstetrics

6 weeks

Valleywise Health Medical Center

Inpatient general nephrology

22 weeks

Mayo Clinic Hospital

Inpatient transplant nephrology

5 weeks

Mayo Clinic Hospital

Interventional nephrology

1 week

Interventional Center

Outpatient kidney transplant clinic

5 weeks

Mayo Clinic Hospital

Renal pathology

4 weeks

Mayo Clinic Hospital

VA Medical Center

1 week

VA Medical Center in Phoenix

Research

4 weeks

Mayo Clinic Hospital

Clinical Elective

2 weeks

Mayo Clinic Hospital

Year 2

Rotation

Length

Location

Inpatient community nephrology and high-risk obstetrics

6 weeks

Valleywise Health Medical Center

Inpatient general nephrology

19 weeks

Mayo Clinic Hospital

Inpatient transplant nephrology

8 weeks

Mayo Clinic Hospital

Outpatient kidney transplant clinic

8 weeks

Mayo Clinic Hospital

Renal physiology

2 weeks

Mayo Clinic in Rochester

Research

6 weeks

Mayo Clinic Hospital

Clinical electives

3 weeks

Mayo Clinic Hospital

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 always available to provide backup support. Mayo Clinic follows the recommendations of the Accreditation Council for Graduate Medical Education (ACGME).

Didactics

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 fellows and rotating residents — twice a month
  • Renal pathology conference presented by renal pathologists and fellows — 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 Department of Medicine's 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

As a nephrology fellow, you are required to identify an area of research interest and complete a research project that you will present to the division before the end of training. You 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 you to conduct research. Dedicated statistician help is available.

Conferences

You are given the opportunity to attend one national conference (National Kidney Foundation annual meeting or American Society of Nephrology annual meeting) during your fellowship for attendance. Additional presentation trips are considered for accepted research work.

Teaching opportunities

During hospital rotations, opportunities are available for you to supervise and teach rotating residents and medical students.

Evaluation

You 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 you to review evaluations and discuss professional growth. In addition, allied health staff and residents are asked to evaluate your performance periodically.

You will have access to view your evaluations electronically. Final cumulative evaluations are completed for each fellow upon completion of the fellowship. In addition, you will regularly evaluate the faculty to confirm that your educational needs are being met.