During the course of the year, the 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 (COC) clinic meets weekly for a half day and actively involves the fellow in the long-term management of renal-related problems. In this clinic, individual patients will be followed by a specific fellow for the course of his or her fellowship training. Each patient will also be staffed by an attending nephrologist; however, the fellow is responsible for making diagnostic and therapeutic decisions, contacting the patient with test results, and functioning 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, under the direction of Dr. Satyarth Kulshrestha, is a clinic that guides the metabolic evaluation of the patient with nephrolithiasis and provides management strategies for prevention (pharmacologic, dietary and lifestyle modifications) and definitive treatment (urology referral) of stone disease.
The Veterans Administration Clinic is a general nephrology clinic that exposes the fellow to the unique aspects of care in this patient population, with a predominance of renovascular hypertension, diabetes, and geriatric renal disease, in a predominantly male population.
The Transplantation clinics at the UIHC and VAMC provide the opportunity for the fellow to participate in the outpatient evaluation of the pre-transplant patient and potential donors, as well as the immediate and long-term management of the immunosuppressive therapies and complications of the post-transplant patient.
We are very excited about the newest multidisciplinary clinic developed in 2015 at the VAMC that provides consultative renal care to VA patients in the Geriatrics Clinic. This clinic provides a wonderful opportunity to discuss unique aspects of aging in the renal population. The fellow will have the opportunity to rotate through this clinic, under the direction of Dr. Sarika Deshmukh.