Supervised by Helmut G. Rennke, MD, this fellowship is available as a 2-week to 3-month elective or a year-long fellowship.
Goals and Objectives
To review the pathological features of the most important and common renal disorders and acquire the ability to diagnose them
To experience the nature and dynamics of an academic renal pathology service
To learn essential principles of the ancillary techniques used in the evaluation of the renal biops
Under the direction of Drs. Helmut Rennke and Astrid Weins, the resident will participate in all the daily activities of the renal pathology laboratory and will be involved with the renal staff pathologist in all the steps leading to the final diagnosis of all renal specimens submitted, including consults.
These steps involve the examination of the fresh tissue obtained in the ultrasound suite, using the stereomicroscope, evaluation of the suitability of the tissue for structural analysis, dividing the tissue for immunofluorescence, light, and electron microscopy, reading the results, and reporting the findings.
Self-teaching material includes carefully selected teaching cases in Powerpoint presentation format, with light and immunofluorescence microscopy images, electron micrographs, and clinical histories. Also, online learning tools including an interactive book and concept videos, and a pertinent list of reading material will be provided.
During this period, the resident should also become familiar with the immunofluorescence and electron microscopy techniques used in the evaluation of renal biopsies, including processing of the tissue, operating the electron microscope, morphometric principles and the evaluation of the basement membrane thickness, etc.
Conferences and other learning opportunities include:
Renal Grand Rounds – Weekly, one teaching case (often with pathology) is presented followed by a didactic talk (Renal Division)
Renal Pathology Conferences – Monthly, several cases are presented in the format of clinicopathologic conference, where clinical and pathologic correlations are discussed
Journal Club of the Renal Division
Review of current cases with staff nephrologists, nephrology fellows and house staff daily at 4 pm at the multiheaded microscope (Pathology Department)