The design of the one clinical year of the fellowship is to help the fellow acquire the knowledge, management and technical skills, clinical judgement and attitudes essential to the practice of nephrology as outlined in the ACGME Program Requirements for Residency Education in Nephrology.
The educational experience includes formal didactic talks, clinical renal practice, acquisition of expertise in a wide variety of renal, hypertensive and fluid-electrolyte disorders, extensive training in renal transplantation, dialysis, and extracorporeal therapy and versatility in performing a number of specialized procedures. Clinical learning and experience is largely acquired through one-on-one supervised patient care.
The bulk of the clinical rotation is comprised of time spent at each of the two major teaching hospitals, Brigham and Women's Hospital and Massachusetts General Hospital on dialysis, consult, ICU, transplant and peritoneal dialysis services. At least a one-month rotation as the renal consult at the West Roxbury VA Hospital is also included in the clinical rotation. Each fellow will also have one-half day a week in an outpatient rotation with a faculty member, during which the fellow is exposed to the spectrum of patients with renal disease, and acquires the management skills needed to treat and follow this patient population.
The clinical training experience encompasses therefore the following: General Nephrology, Dialysis and Extracorporeal Therapy, Renal Transplantation, Ambulatory Renal Service, Electives, and other skills.
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