Directed by Chief Astrid Weins, MD, PhD, the BWH Renal Pathology Fellowship is a year-long fellowship under the supervision of two senior renal pathologists, Dr. Weins and Dr. Rennke. We also offer shorter clinical electives, rotations or observerships depending on availability.
Goals and Objectives
During our fellowship, trainees will be able to
independently review and recognize the pathologic features of the most important and common renal disorders, understand relevant pathomechanisms, and acquire the ability to formulate a diagnosis.
experience the challenges and dynamics of an academic renal pathology service.
learn the technical aspects of all ancillary diagnostics used in the evaluation of the renal biopsy, including tissue processing, immunofluorescence and electron microscopy.
Under the direction of Drs. Helmut Rennke and Astrid Weins, the trainee will participate in all the daily activities of the renal pathology laboratory and will be actively 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: 1) assessment of fresh biopsies obtained at BWH using the stereomicroscope; 2) tissue allocation for light, immunofluorescence and electron microscopy, 3) biopsy evaluation by light, immunofluorescence and electron microscopy, and 4) generation of written diagnostic reports.
Self-teaching materials available to the trainee includes carefully adjudicated 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 to the trainee.
The trainee is expected to attend and participate in twice monthly renal pathology conferences and is strongly encouraged to take advantage of daily departmental teaching and diagnostic conferences.
Conferences and Other Learning Opportunities
Renal Grand Rounds – Weekly, one teaching case (often with pathology) is presented followed by a didactic talk (Renal Division)
Renal Pathology Conferences – Twice monthly, several cases are presented in the format of clinicopathologic conference; 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 the multiheaded microscope (Pathology Department)