The University Nephrology Consult Service forms the core of the fellow's clinical learning experience. Fellows will ordinarily spend 5-8 months in this rotation over the course of the two-year program. During this time the fellow assumes significant responsibility for running the Nephrology Consult Service. Under the supervision of the nephrology attending, the fellow will oversee the daily management and diagnostic evaluation of all patients on whom the service consults. These responsibilities include the decisions regarding initiation of dialysis in acute renal failure, choosing the appropriate mode of dialysis, and writing and/or supervising the dialysis orders. The fellow will also be intimately involved in teaching medical students and residents on the nephrology consult team. In addition, the fellow will function as a liaison between the consultation service at the University Hospitals and the outside physicians regarding admission for evaluation and treatment of renal problems.
While on the consult service the nephrology fellow will learn how to manage acid base and electrolyte disorders, acute and chronic renal failure, hypertension, and other renal related diseases. He/she will become familiar with the role of hemoperfusion in the management of drug intoxication and the use of ultrafiltration techniques. The fellow will also become adept at hemodialysis and peritoneal dialysis catheter placement and percutaneous renal biopsies.