In 1922 John Peters founded the metabolism section at Yale. His name has been synonymous with nephrology research and education; many of the great leaders in nephrology around the globe have been trained by him or one of his trainees. He was a pioneer in the application of quantitative clinical chemistry to clinical medicine. Fifty years after the section was founded, it split into its two parts – endocrinology and nephrology. Since then, the section of nephrology here at Yale has continued to grow, and has always prioritized our three part mission of excellence in nephrology education, clinical practice and research. We are dedicated to training of future leaders in nephrology. We believe that leadership in both the areas of clinical nephrology and nephrology research go hand in hand, but often have different training goals. To that end, Yale has two separate fellowship tracks. One designed to produce academic leaders in clinical nephrology, and one designed to produce leaders in either basic science of clinical nephrology research.
Dr. Ursula Brewster (Program Director)
Dr. Randy Luciano (Associate Program Director)
Jody Irwin (Fellowship Contact)
Clinical Track: This is a 2-year track. Fellows will spend 18 months on the clinical inpatient services, rotating between a general consultative nephrology service, transplant service and end stage renal disease service. In addition to their inpatient time, they will have 6 months of dedicated outpatient and research time where they spent time in out large outpatient peritoneal dialysis clinic, as well as the outpatient hemodialysis units, transplant clinics and HTN specialty clinics. Fellows will also participate in a general nephrology continuity clinic ½ day per week for their two years.
Research Track: This is a 3-year program designed for people interested in pursuing a research career in the area of bench or clinical research. Fellows in this track will rotate through the inpatient services of general consultative nephrology, transplant and end stage renal disease for 1 year, and then join the lab of their designated research mentor. In their second year, they will maintain their continuity clinic ½ day per week, and rotate through some coverage time at the West Haven VA to continue to grow their clinical skills. Most of their time though in that year is spent with their research mentor. Research mentors are chosen often at the end of the first year, once the candidate has had time to get to know the faculty and match their research interest accordingly. We offer excellent mentors in both the areas of bench research and clinical/translational research. The Yale Program for Applied Translational Research as well as the George M. O’Brien Kidney Center at Yale offer many resources and support to those fellows interested in this career path.
Application to either the clinical or research tracks of the Yale Nephrology Fellowship is done exclusively through ERAS. Our program is totally committed to the match process and will offer no positions outside the NRMP match. Any questions about the application process should be directed toward Jody Irwin, our fellowship contact person.
Living In New Haven:
We understand that for many of our fellows, New Haven is an area they know little about. While we will fill you in more on your interview day, here are some links to get you started.
Yale University: Living in New Haven
Yale New Haven Hospital: Life in New Haven
Life in Wooster Square, New Haven (a video about a popular area to live in)
Inpatient Clinical Rotations:
Fellows will rotate through 4 major inpatient rotations in their first year:
Yale New Haven Consult Service: This is a general consultative rotation based at YNHH. It is made up of one attending, 2 fellows and often has medical students and residents rotating. Fellows will cover all the medical and surgical units where their help is requested. They will gain experience in general consultative care, including AKI, electrolytes and acid-base, acute dialysis, and CV.
Yale End-Stage Renal Disease Service: This service covers all those patients with ESRD admitted to YNHH that are patients of the faculty practice or those whose physicians don’t come to our hospital. It has one attending, and 1-2 renal fellows. On this service, fellows gain experience with all dialysis modalities and their complications, and work across all disciplines. It is a consultative service.
Yale Transplant Service: The Yale Transplant service (Link) combines and inpatient and outpatient experience to enhance the education of the fellows. The inpatient service consists of 1 attending and 2 fellows that work closely with the surgical transplant team. Fellows will follow both patients with kidney transplants as well as those who have a reason for consultation with other transplanted organs (liver, heart, bone marrow). Fellows also spend time in the transplant clinic.
West Haven VA Nephrology Service: This service is made up of 1 Fellow and 1 Attending who cover the nephrology consults at the VA hospital. As it is a smaller inpatient service, fellows also gain experience covering an outpatient dialysis shift with a faculty mentor.
YNHH-St. Raphael’s Campus Service: This is a general nephrology consultative service at the St. Raphael’s campus which is only a few blocks from the main Yale hospital. It consists of 1fellow and 1 attending who work closely together. Fellows here continue to expand their general nephrology consultative skills. This is a smaller hospital, but still has an active ICU and broad range of nephrology pathology to enhance the education of our fellows.
Outpatient Clinical Opportunities:
Continuity clinics: fellows will join a faculty mentor for their continuity experience for their first and second years. These clinics are located as part of our faculty practice at Yale (both campuses) or at the West Haven VA hospital. Fellows are assigned to the clinic for 1 year at a time and work with a consistent faculty mentor.
Outpatient Chronic Dialysis: Clinical track fellows in their second year will have an opportunity to round and manage an outpatient dialysis shift with a faculty mentor. They also will rotate through the busy home therapy dialysis clinic, participating in the training and management of a large peritoneal dialysis population and a growing home hemodialysis population.
Outpatient Subspecialty Clinics: Fellows may elect in their second year to join the faculty in subspecialty clinics as their own career interests dictate. This includes clinics such as those devoted to the care of transplant or HTN patients, as well as other clinics that have an emphasis on pregnancy related renal disease, glomerular disease, cardio-renal disease, inherited kidney diseases or onco-nephrology as examples.
Yale Nephrology has a long and rich history of developing successful physician scientists. Some of our trainees have had substantial exposure to research before coming to Yale, while others simply have a passion for trying research and found Yale a wonderful place to develop that interest into a research career. Research opportunities for fellows are available in both basic science and translational research programs. Fellows in the research track are supported by our T32 training grant and a research mentoring program, and have full access to Yale core research facilities including The George M. O'Brien Kidney Center at Yale, the Center for Polycystic Kidney Disease Research, the Program of Applied Translational Research, the Yale Center for Clinical Research, the Yale Transgenic Facility and the Yale Center for Genome Analysis. Research fellows who wish to include specific areas of didactic training during their research time can choose to participate in one of several advanced degree granting programs as outlined below.
Components of the research training include:
- Presentations by research faculty that provide an overview of the research opportunities available to trainees.
- Establishment of a Research Oversight Committee for each research fellow to insure progress towards a successful career as a Physician-Scientist
- Ability to pursue research in disciplines outside of the Nephrology Section such as Physiology, Vascular Biology, Immunobiology, and Human Genetics
- Ability to pursue a PhD degree through the Investigative Medicine Program offered by the Department of Medicine
- Ability to pursue training in chronic disease epidemiology via obtaining a Master of Science degree in Epidemiology and Public Health
- Ability to pursue training in Health Services through the National Clinical Scholars Program
- Tuition support for approved formal class work
All Nephrology Teaching conferences at Yale are mandatory for all fellows, as we believe that nephrology is best taught through a combination of clinical practice and formal didactics. These didactic talks work through a 2-year curriculum to insure that fellows have had an opportunity to learn about all the core topics in nephrology from experts in the field. A more thorough list of conferences is available if requested.
Regularly Scheduled conferences include:
Tuesday Afternoon Dialysis Conference Series: An informal lecture by core clinical faculty covering a full curriculum of ESRD subject matter. Also included in this series are some case based conferences.
Friday Morning Renal Grand Rounds: Presentation by faculty and fellows on a variety of topics.
Friday Noon Conference: This conference has a core summer conference series on electrolytes and acid base. Once this has been completed, this conference includes “Research in Progress” talked by faculty and fellows as well as a journal club series.
Fellows Physiology Series (once per month): A fellow organized series where second year fellows divide up the core physiology topics and work with a faculty mentor to teach them to each other in an informal interactive conference.
Fellows Pathology Slide Review (once per month): Fellows review Kidney Biopsy cases with select faculty and each other on a multi-headed scope.
VA Case Conference Series (once per month): Informal case based conference series run by the VA faculty where a case is presented and then discussed around a table.