The University Nephrology Consult Service forms the core of the fellow's clinical learning experience. Fellows will spend 7 to 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 attending nephrologist, the fellow will oversee the daily management and diagnostic evaluation of all patients on whom the service consults and learn how to manage acid base and electrolyte disorders, acute and chronic kidney disease, hypertension, intoxications, and other renal-related diseases. The fellow’s responsibilities will include decisions regarding initiation of dialysis, selection of modality and writing and/or supervising dialysis prescription for patients with acute kidney injury. The fellow will become familiar with all the modalities of continuous renal replacement therapy (CRRT), the role of hemoperfusion in the management of drug intoxication and the use of ultrafiltration techniques. In addition, the fellow will also become adept at hemodialysis catheter placement and percutaneous renal biopsies. The fellow will also be intimately involved in teaching medical students and residents on the nephrology consult team and will function as a liaison between the consultation service at the University Hospitals and the referring physicians/teams.