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Curriculum

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's campus in Jacksonville, Florida, are very active and are supported by state-of-the-art clinical laboratories devoted to renal function testing and renal pathology.

Rotation schedule

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

Year 1

  • Ambulatory clinic
  • Inpatient nephrology: During the general inpatient nephrology rotation, you will evaluate and manage renal problems as a consulting team. The inpatient nephrology service is performed at the Mayo Clinic Florida hospital, which is on-campus and connected to the outpatient clinic buildings. Experiences encompass acute outpatient dialysis, general nephrology, transplant, and intensive care unit patient care. Fellows will receive training on diverse skills including temporary hemodialysis catheter insertion under ultrasound guidance, urine sediment microscopy, native kidney biopsies, intermittent hemodialysis, peritoneal dialysis, and continuous renal replacement therapy.
  • Outpatient: The Outpatient experiences in the hemodialysis unit, home dialysis clinic (both peritoneal dialysis and home hemodialysis), and outpatient clinics with chronic kidney disease, transplant, glomerulonephritis, electrolyte disorders, stone and hypertension clinics provide an exposure to a wide variety of patient care problems. Continuity clinics consisting of a panel of your own patients also serve as a core training experience.
  • Renal pathology: During the renal pathology rotation, you will learn to interpret renal biopsies through one-on-one interaction with experienced staff renal pathologists. 
  • Electives: Elective rotations in clinical nutrition, pediatric nephrology, critical care, and other special interest areas are available. In renal imaging, you will have the opportunity to learn the technique of ultrasound-guided native kidney and renal allograft biopsy under the supervision of staff interventional radiologists. This will complement the renal biopsy training you receive from staff nephrologists during clinical rotations.
  • Research
  • Transplant nephrology: You will care for post-transplant patients on the Kidney/Pancreas Transplant Service. In addition, you will be learn to take care of other transplant-related issues via consultations for nephrology issues in non-renal transplant recipients.
  • Continuity clinic: General nephrology and transplant nephrology

Year 2

  • Ambulatory clinic
  • Inpatient nephrology: During the general inpatient nephrology rotation, you will evaluate and manage renal problems as a consulting team. The inpatient nephrology service is performed at the Mayo Clinic Florida hospital, which is on-campus and connected to the outpatient clinic buildings. Experiences encompass acute outpatient dialysis, general nephrology, transplant, and intensive care unit patient care. Fellows will receive training on diverse skills including temporary hemodialysis catheter insertion under ultrasound guidance, urine sediment microscopy, native kidney biopsies, intermittent hemodialysis, peritoneal dialysis, and continuous renal replacement therapy.
  • Research
  • Transplant nephrology: You will be caring for post-transplant patients on the Kidney/Pancreas Transplant Service. In addition, you will be learn to take care of other transplant-related issues via consultations for nephrology issues in non-renal transplant recipients.
  • Continuity clinic: General nephrology and transplant nephrology
  • Continuity dialysis rounds
  • Apheresis

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 lecture series (weekly)
  • Nephrology grand rounds (three each month)
  • Journal club (monthly)
  • Research conference (monthly)
  • Transplant morbidity and mortality (monthly)
  • Biopsy conferences (both internal and joint conferences with Mayo Clinic Rochester)
  • Dialysis vascular access
  • Physiology study circle (twice monthly)
  • Simulation Center training
  • Board review (monthly)
  • Internal medicine grand rounds (weekly)
  • Rheumatology/nephrology joint conference (quarterly)
  • Wellness session (monthly)
  • General nephrology morbidity and mortality (biannually)

Research training

During the fellowship, you are required to identify an area of research interest and complete a research project. You present a research lecture before and after completion of your research project.

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

In addition, you 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. You are scheduled for home call, on average, 13 of the 52 weekends per year. You will enjoy up to 75% of all weekends free of home call.

When on home call, you are required to come into the hospital and evaluate only emergent consults. During your home call, a supervising attending physician is available at all times to provide back up support.

Conferences

You are required to attend all the core curriculum lectures, clinical conferences, journal clubs, and morbidity and mortality conferences. During the fellowship, you may attend the National Kidney Foundation annual meeting and the American Society of Nephrology annual meeting. You are encouraged to present your research during these conferences.

Mayo Clinic School of Graduate Medical Education recognizes the importance of trainee participation in professional activities away from Mayo Clinic. Such participation develops the individual's professional competence, broadens knowledge, enhances the individual's and Mayo Clinic's reputation, strengthens recruitment, and introduces the trainees to professional groups.

Trips for presentation of work or research done at Mayo Clinic are sponsored by Mayo Clinic. In addition, you are eligible for one trip during the course of your training program for attendance at a recognized society meeting, elective course, or workshop with Category 1 CME credit. Attendance trips are intended to introduce you to national experts and evolving concepts and technology at national society meetings, as well as provide an opportunity to network and make contacts outside the institution.

Dialysis center

The Mayo Clinic Dialysis Center provides dialysis services to Mayo Clinic patients in a comfortable, home-like facility. The unique design of the unit optimizes the staff's ability to observe patients while preserving the quietness and feeling of being in a private room.

The facility design, along with state-of-the-art equipment — featuring real-time, online monitoring — allows staff to observe the patient's progress throughout each dialysis treatment. As a fellow, you provide longitudinal care to your own panel of dialysis patients.

Simulation center

The simulation center transforms clinical medical education by helping educators to develop, implement, and evaluate experiential curricula that advance patient care. Simulation-based medical education provides a controlled environment that imitates a real-life patient care setting. In a simulated situation, learners master skills without putting patients at risk.

Nephrology fellows conduct kidney biopsies, dialysis catheter placement, and other procedures in the simulation center. Nephrology fellows also practice simulated Ob/Gyn clinical cases under the guidance of a nephrology consultant.

Access a virtual tour of the Simulation Center live on Mayo Clinic’s YouTube channel.

Teaching opportunities

During hospital rotations, nephrology fellows will have the opportunity to supervise and teach internal medicine residents and medical students. This teaching can be at bedside informally or through formal didactics.

Evaluation

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

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

At least four times per 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 are able to view your evaluations electronically. Final cumulative evaluations are compiled upon completion of the program.