Renal Outpatient Rotations

During the course of the year, the individual nephrology fellow will rotate through several outpatient nephrology clinics. The individual clinics emphasize different areas of nephrology, allowing the fellow to participate in all aspects of outpatient care.

The Continuity of Care clinic actively involves the renal fellow in the long-term management of renal-related problems. In this clinic, individual patients will be followed by a specific fellow during the course of his or her fellowship training. Each patient will be staffed by an attending nephrologist; however, the fellow is responsible for making diagnostic and therapeutic decisions, contacting the patient with test results, and function as the primary nephrologist for the care of the renal problems. Increased responsibility will be given as the fellow advances through the training program.

The Renal Stone Clinic is designed to expose the Nephrology Fellow to the medical work up and management of the patient with nephrolithiasis. The clinic is staffed by a nephrologist, with a nutritionist available to provide consultation in arranging specialized diets for diagnostic and therapeutic purposes.

The Veterans Administration clinic exposes the fellow to the unique aspects of care in this patient population including renal-vascular hypertension, diabetes and geriatric renal disease together with the socio-economic issues relevant to these patients.

The Transplantation clinic provides exposure to the outpatient evaluation of the pre-transplant patient and potential donors and permits immediate- and long-term management of the immunosuppressive therapies and complications of the transplant patient.