The Iowa City Veterans Affairs Medical Center is conveniently located adjacent to the University of Iowa Hospitals. The nephrology fellow is not assigned to a specific VA inpatient rotation; however, the fellow serves three basic services at the Iowa City VA Health Care System. First, the fellow will periodically rotate through the VA outpatient renal clinic and take an active role in the management of various aspects of renal diseases and hypertension. Second, the fellows and staff assigned to the University Dialysis service will serve as the consult team at the VA, seeing 3-4 consults per week. Third, the renal fellow on call will be available during off hours to respond to emergent consults at the VA Health Care System. This interaction with the VA is designed to provide maximum exposure to the unique aspects of nephrologic care in this patient population without the renal fellow spending time in activities not educational in nature.