Today is Thursday, Nov. 22, 2018

Department of Internal Medicine

Nephrology and Hypertension

Clinical Training & Education

Fellowship training and Education is prioritized and individualized to meet the career interests of incoming trainees while maintaining the integrity of CORE rotations to ensure that the fundamental skills and learning objectives are achieved.

Our Nephrology Program Evaluation Committee (PEC) makes significant contributions with regard to the fellowship design & curriculum, and nearly all aspects of the fellowship are reviewed and updated through this committee. This allows, among many things, the ability for the Fellowship Program to continually assess and make improvements in the areas of education, service, and research. The PEC is comprised of both Nephrology Faculty as well as our Nephrology Fellows to ensure that our trainees have significant input with regard to the evolution of the program.

First-year Fellows benefit from a structured and robust Nephrology orientation schedule and typically will not take over the services until late into their second week. The orientation includes lectures and shadow/observer opportunities meant to boost the fellow’s practical knowledge base as well as confidence prior to taking over the services. Breakfast and lunch are provided during teaching/lectures scheduled during those times. Click here to see this year's Nephrology orientation schedule.

Also, NEW to the program is an opportunity to pursue a one year Critical Care Track after completing Nephrology Fellowship training.  Please click here for more information.

CORE Rotations & Electives:

The CORE rotations offers our Fellows an exciting and in-depth opportunity to see a wide range of pathology and critical cases in a state-of-the-art environment. Furthermore, the rotations are setup so that the Fellows experience close teaching and guidance from the Attending physicians on service. The Fellows will complete at least one year total of inpatient CORE rotations during their 2-year fellowship which include:

  • University of Cincinnati Medical Center (UCMC) Inpatient Consult service
    • The flagship service in our large 726 bed primary teaching hospital that allows for exposure to a diverse acute care experience including the Medical ICU (MICU), Cardiovascular ICU (CVICU), Surgical ICU (SICU), Neuro ICU (NICU)
    • Tremendous and unique opportunities for learning dialysis modalities including:
      • Ample learning opportunities regarding CVVH/CVVHD modalities utilizing NxStage CRRT machines
      • Inpatient hemodialysis & peritoneal dialysis
    • Numerous teaching cases requiring Plasmapheresis
    • Opportunities for acute line placement and renal biopsies
    • Nurse-practitioners help enhance the educational value while also reducing service needs and workload
  • Veterans Affairs (VA) Inpatient Consult service
    • Excellent opportunity to gain unique experience in the VA setting
    • Ample learning opportunities regarding CVVHDF modality utilizing Baxter CRRT machines
    • Opportunities to learn outpatient dialysis at the VA
  • UCMC Transplant Consult service
    • Significant opportunity to learn from dedicated Transplant Nephrologists and world renowned surgical experts
    • Learn transplant care for all solid-organ transplants admitted for acute care needs
    • Ample exposure for pre- & post-kidney transplant care with over 100 kidney transplants performed yearly
    • Opportunities for renal allograft biopsies
  • Drake Long-Term Acute Care (LTAC) community experience (1 month minimum required)
    • Allows for excellent inpatient community hospital-type experience
    • Additional time available for self-study and elective time
    • Fellows work closely with attending and nurse practitioner

 

This allows for the ample remaining time during the two years to be used as part of the Ambulatory/Elective and Elective experiences, which are customized based on the fellow’s career interests/goals. The Ambulatory/Elective rotation involves four, half day clinics UCMC (1/2 day), VA (2 half days), and Transplant (1/2 day) during the week. The rest of the time can be used per the Fellow’s preference with regard to elective experience, research, and self-study time. During Elective rotations, the fellows can choose from a wide array of opportunities and include:

  • Drake Long-Term Acute Care (LTAC) community experience
  • Vascular Access/Interventional Nephrology
  • Research
  • Outpatient Hemodialysis (HD)/Peritoneal Dialysis (PD)/Home modalities exposure – including attending Quality Assurance and Performance Improvement (QAPI)/Dialysis Unit Medical Director meetings
  • Ambulatory clinic experience
  • Transplant inpatient and outpatient clinics
  • Urology elective
  • Inpatient Plasmapheresis elective

Ambulatory/Continuity Clinics:

Fellows at this program have the benefit of experiencing one half day clinic in the VA system as well as their own half day continuity clinic at UCMC.  

Conferences:

Conferences are structured to ensure a proper balance between learning and personal time so that comprehension is optimized.

  • Monthly Pathology conference/Special Lectures – Monday (12:30-1:30 pm)
  • Weekly Fellows’ Case conference – Tuesdays (12:30pm-1:30 pm)
    • Opportunity for Fellows’ to present interesting cases or challenging questions seen on rounds that are discussed with faculty audience
  • Weekly Faculty-led CORE Curriculum lecture conference – Wednesdays (8-9 am)
    • See below “CORE Curriculum Lecture series”
  • Weekly Medical Grand Rounds – Wednesdays (12-1 pm)
    • Attendance encouraged but not required
    • Lunch provided
  • Weekly Kidney CARE grand rounds/Fellow Journal club – Fridays (12:30-1:30 pm)
    • National & international experts invited to present Nephrology-related topics
    • Lunch provided

CORE Curriculum Lecture series:

The CORE Curriculum lecture series has been redesigned under the direction of our Nephrology Program Evaluation Committee (PEC). This lectures series, which is presented by our Division Faculty, has been updated to improve the consistency and flow of topics, and to also allow our fellows to prepare to receive the lecture in advance. As such, the latest (7th edition) NKF Primer is being used as the primary text for the intended lectures so as to cover the fundamental learning objectives. The lectures are organized around 10 themes:

  • Structure & Function of the Kidney
  • Acid-Base & Electrolytes
  • Glomerular Diseases
  • Kidney in Systemic Diseases
  • Drugs and the Kidneys
  • Hereditary Kidney Disease
  • Tubulointerstitial Diseases
  • Special Circumstances
  • CKD
  • Dialysis and Transplantation

 

These lectures in addition to those given during the Nephrology orientation cover every topic in the Primer textbook.  Each lecture in the schedule has a corresponding chapter(s) and corresponding date on which the lecture will be given. Faculty are assigned to give the lectures on those dates and in the order of appearance in the book to optimize flow and comprehension around these themes. The fellows will optimize their learning by reading the assigned chapter(s) ahead of the lecture.

The CORE Curriculum lecture series is viewed by the Nephrology Division with the highest level of importance and professionalism and on par with Grand Rounds lecturesClick here to see this year's CORE Curriculum lecture series schedule.

Special Lectures:

Special lectures include monthly Pathology conferences presented by experts from our Renal Pathology Section. Additionally, lectures designed to assist Fellows in their long-term endeavors are also presented for the Special Lectures series and include topics such as Finance/Investing, How to Read and Interpret Job Contracts, The Business of Nephrology, Physician Wellness, Interventional Nephrology/Vascular Access.

Teaching on Rounds

More Information

Academic Office:
University of Cincinnati | Division of Nephrology and Hypertension 
231 Albert Sabin Way, ML 0585
Cincinnati, OH 45267-0585
Phone: 513-558-5471
Fax: 513-558-4309

Division Director:
Charuhas Thakar, MD

Business Administrator:
Kelly Niederhausen
513-558-4705
kelly.niederhausen@uc.edu