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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 Hospital, Saint Marys Campus, and Mayo Clinic Hospital, Methodist Campus, are very active and are supported by state-of-the-art clinical laboratories devoted to special renal function testing and renal pathology.

During the clinical career track you will identify an area of research interest and complete a project. The majority of fellows spend pursue a full year of research in association with a staff consultant and find it to be very productive.


Year 1

  • Renal Function Laboratory - Renal Physiology
  • Renal Pathology Laboratory - Renal Biopsy and Interpretation
  • Outpatient Hemodialysis Unit
  • Mayo Clinic Hospital, Saint Marys Campus (non-ICU) Consult Service
  • Critical Care Nephrology Consult Service
  • Mayo Clinic Hospital, Methodist Campus Nephrology Consult Service
  • Kidney and Pancreas Transplantation - Outpatient and Inpatient Services

Year 2

  • Research

Year 3

  • Kidney and Pancreas Transplantation - Outpatient and Inpatient Services
  • Mayo Clinic Hospital, Methodist Campus Nephrology Consult Service
  • Critical Care Nephrology Consult Service
  • General Nephrology Clinics
  • Hypertension Clinic
  • Renal Stone Clinic
  • Elective

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.

Renal function laboratory 

During assignments in renal physiology and renal function testing, you will learn the physiology of the kidney under the direction of an expert staff nephrologist and physiologist; in addition, you will supervise special renal function tests of glomerular and tubular function and learn to interpret urinalyses.

Renal pathology laboratory 

During the renal pathology rotation, you will learn to interpret renal biopsies through one-on-one interaction with experienced staff renal pathologists. Also, you will have the opportunity to learn the technique of ultrasound-guided native kidney and renal allograft biopsy under the supervision of staff radiologists.

Outpatient experiences

Outpatient experiences in consultative nephrology, the hemodialysis unit, chronic kidney disease, transplant, stone, and hypertension clinics provide exposure to a wide variety of patient care problems.

Hospital services 

During hospital services, you will function as the first assistant to a staff consultant in evaluating and managing renal problems. The inpatient consultation services consist of the Saint Marys Critical Care Nephrology Consult Service, the Rochester Methodist Nephrology Consult Service, and two non-ICU Saint Marys Consult Services. Also, in conjunction with the transplant surgery team, you will be caring for post-transplant patients and living kidney donors on the Kidney/Pancreas Transplant Service.


Elective rotations in clinical nutrition, pediatric nephrology, critical care, and other special interest areas are available.

Research career track 

Your research opportunities at Mayo Clinic are outstanding. A wide range of laboratory-based and clinical research programs are available in both the clinical and research tracks.

The Division of Nephrology and Hypertension has an internationally recognized research faculty. The peer-reviewed research track, partially funded by the National Institutes of Health, has consistently prepared interested fellows for competitive academic positions.

When you enroll in the research track, you will undertake an in-depth research project under the direction and supervision of a staff consultant. The goal is to eventually establish your independence as a full-time investigator in nephrology in an academic setting. The clinical experience is individualized to coincide with your career goals and to fulfill subspecialty certification requirements for nephrology.


Year 1

  • Research

Year 2

  • Research

Year 3

  • Outpatient clinics:
    • Consultative Nephrology
    • Transplant Clinic
    • Stone Clinic
    • Hypertension Clinic
  • Critical Care Nephrology Consult Service
  • Mayo Clinic Hospital, Methodist Campus Nephrology Consult Service
  • Kidney and Pancreas Transplantation - Outpatient and Inpatient Services

In the Nephrology Research Unit (the research arm of the division), established, internationally recognized investigators closely supervise research projects. Opportunities in basic renal research include studies of renal hemodynamics, electrolyte and water transport, molecular biology and biochemistry, genetics, proteomics, immunology, and intrarenal hormone physiology.

Current programs bridging laboratory-based and clinical research include studies of the pathophysiology and treatment of acute and chronic renal failure, nephrolithiasis, parenchymal disease, renal cystic disease, transplantation, dysproteinemia-related kidney disease, edema, and hypertension.

Publication of research is supported by excellent editorial services. Trainees seeking independent investigative careers receive assistance in preparing research grants for funding.

Didactic training

Clinical conferences, seminars, small discussion groups, journal clubs and one-on-one instruction are integral parts of the Nephrology Fellowship Program. During your training, you will attend the following:

  • Monday
    • Polycystic Kidney Disease Journal Club
    • Transplant Center Grand Rounds
  • Tuesday
    • Nephrology Grand Rounds
  • Wednesday
    • Internal Medicine Grand Rounds
  • Thursday
    • Nephrology Trainee Core Lecture Series
  • Friday
    • Journal Club
    • Renal Biopsy Conference
  • Monthly
    • Nephrology Research Forum
    • Renal Radiology Conference

Teaching opportunities

If interested, you may have the opportunity to teach basic and clinical nephrology in the Mayo Clinic Alix School of Medicine. During hospital rotations, you may supervise and teach internal medicine residents and medical students.

Additional training opportunities

Upon completing the Nephrology Fellowship, you may wish to consider further training opportunities at Mayo Clinic School of Graduate Medical Education.

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