Nephrology / Critical Care Medicine Fellowship

As a fellow in this track, your first year will consist of 12 months of inpatient nephrology with the rest of your fellowship class. Time will be divided among three different sites.

Yale New Haven Hospital’s York Street Campus (YNHH-YSC): A teaching hospital with 1000+ medical and surgical beds. You will divide your time between rotations focused on transplant nephrology, end stage renal disease, and nephrology consults. There is also a night float system, and you will be periodically on evening night call during your time at YNHH-YSC.

In addition to consultative care covering all aspect of inpatient nephrology consultation, inpatient time will expose you to the following:

• Continuous renal replacement therapy, intermittent hemodialysis, and peritoneal dialysis
• Training to perform ultrasound guided native and transplant kidney biopsies
• Insertion of non-tunneled dialysis catheters (optional)
• Point-of-care ultrasound, focused on volume assessment and acute kidney injury
• Urine microscopy
• Exposure to donor and recipient transplant surgeries

Yale New Haven Hospital’s Saint Raphael Campus (YNHH-SRC): A 500-bed hospital where you will be exposed to inpatient nephrology consults.

VA Connecticut Healthcare System: A 200-bed hospital in West Haven where you will be exposed to inpatient nephrology consults and both inpatient and outpatient end stage renal disease care.

In addition to the above inpatient time, during your first year, you will have an outpatient general nephrology continuity clinic either at YNHH-YSC or the VA’s West Haven location.

Approximately 80% of inpatient time will be spent at YNHH-YSC, with 10% of time at YNHH-SRC and 10% at the VA Connecticut Healthcare System.

You will spend approximately 4-6 months on inpatient rotations at any of the three sites (YNHH-YSC, YNHH-SRC, or the VA Connecticut Healthcare System).

For the remaining 6-8 months of second year, you will spend them in the outpatient setting. Outpatient learning will include the following:

• Continuity on an outpatient hemodialysis shift
• Weekly exposure to home hemodialysis and peritoneal dialysis at an outpatient home dialysis unit consisting of 75 patients
• Outpatient clinics including kidney stone, onco-nephrology, glomerular disease, hypertension, and transplant
• Opportunity for outpatient native kidney biopsies
• Opportunity for exposure to pediatric nephrology, interventional nephrology, palliative care
• Electives and procedures focused on critical care medicine are possible

In addition, you will be responsible for inpatient coverage while your co-fellows are on vacation and rotating through the night float schedule.

During the second year, you will also have a yearlong general nephrology continuity clinic either at YNHH-YSC or the VA.

During the first two years, didactics and conferences are focused on nephrology, including:

• Fellows nephrology conference
• Hypertension conference
• Transplant conference
• Kidney pathology conference
• Fellows physiology seminar series
• Nephrology grand rounds
• Nephrology journal club

During the third year, fellows join the Yale Internal Medicine Subspecialty Critical Care Medicine Fellowship for a dedicated year of training in critical care medicine. The fellowship provides broad multidisciplinary training across medical, cardiac, surgical, cardiothoracic, neurologic, and burn intensive care, as well as dedicated procedural and elective experiences.

Nephrology–Critical Care fellows bring their advanced nephrology training to the care of critically ill patients while developing comprehensive expertise in the evaluation and management of complex critical illness. Elective opportunities allow fellows to further individualize their training based on prior experience and career goals.

Upon successful completion of the three-year Nephrology–Critical Care Medicine pathway, fellows are eligible for board certification in both Nephrology and Critical Care Medicine.

For additional information about the third-year curriculum, clinical rotations, electives, faculty, and educational program, please visit the Yale Internal Medicine Subspecialty Critical Care Medicine Fellowship website.