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Curriculum

Clinical training

The Onco-Nephrology Advanced Nephrology Fellowship curriculum encompasses rotations that maximize your experience with patients with both oncologic-hematologic and renal issues.

Rotation schedule

  • Research, 3 months
  • Mayo Clinic Hospital — Rochester, Methodist Campus, 3 months
  • Nephrology clinic (BMT*, oncology, MGRS**), 3 months
  • Dysproteinemia clinic, 1 month
  • Uro-oncology clinic, 2 weeks
  • Oncology pharmacy, 2 weeks
  • Post-BMT clinic, 2 weeks
  • Palliative care, 2 weeks

*Bone marrow transplant (BMT)

**Monoclonal gammopathy of renal significance (MGRS)

Rotation descriptions

Research

You are required to participate in a research project pertaining to one of the disciplines of onco-nephrology. This would include topics in pharmacology, chronic kidney disease in patients with hematologic or oncologic concerns, kidney transplantation in patients with malignancy or MGRS, or kidney diseases in patients with malignancy or MGRS.

Mayo Clinic Hospital — Rochester, Methodist Campus

This inpatient service exposes you to patients with hematologic or oncologic malignancies who develop kidney diseases. You learn to recognize and deal with the kidney disease as well as its complications in these patients.

Nephrology clinic (BMT, oncology, MGRS)

During this outpatient rotation, you see patients with nephrologic disorders either as a result or independent of their hematologic disorders, malignancy, or hematopoietic stem cell transplant. Conditions would include chronic kidney disease, acute kidney injury, electrolyte disorders, hypertension, and others.

Dysproteinemia clinic

This outpatient rotation provides experience in managing patients with monoclonal gammopathy of undetermined significance, monoclonal gammopathy of renal significance, smoldering multiple myeloma, multiple myeloma, and Waldenstrom's macroglobulinemia.

Uro-oncology clinic

This outpatient service offers exposure to patients with urologic malignancies and resulting renal complications.

Oncology pharmacy

This rotation is designed to give you a better understanding of the pharmacodynamics and pharmacokinetics of chemotherapy as they relate to patients with chronic kidney disease, end-stage renal disease, and kidney transplantation.

Post-BMT clinic

Patients with hematopoietic stem cell transplantation are seen in this outpatient clinic, where you are exposed to kidney complications.

Palliative care

During this inpatient consultative service, you gain experience with end-of-life issues in patients with kidney disease and malignancy.

Call frequency

Your call schedule is different for each rotation, but does not exceed one in four days for any rotation. Mayo Clinic College of Medicine and Science follows the recommendations of the Accreditation Council for Graduate Medical Education (ACGME).

Moonlighting

You may moonlight with program director approval, but only during outpatient rotations. Moonlighting should not interfere with required learning and must not violate the duty-hour rules of the Accreditation Council for Graduate Medical Education (ACGME) or visa regulations.

Didactic training

In addition to clinical rotations, fellows are expected to attend conferences for didactic teaching:

  • Renal Biopsy Conference
  • Nephrology and Hypertension Grand Rounds
  • Hematology Thursday Morning Clinical Conference
  • Oncology Wednesday Morning Core Conference
  • Nephrology Core Conference
  • Kidney transplant recipient review conferences
  • Research forum

Teaching opportunities

You share responsibility for resident supervision and teaching on the inpatient service. You also present at conferences such as Grand Rounds and journal club.

Evaluation

To ensure that you acquire adequate knowledge and develop the appropriate technical skills to meet program expectations, your performance is monitored carefully during the Onco-Nephrology Advanced Nephrology Fellowship. Competency-based electronic evaluations are completed by supervising faculty members on a regular basis, and you meet with the program director to review these evaluations. In addition, you regularly evaluate the faculty to confirm that your educational needs are being met.