Our program is committed to provide excellent training for those pursuing a career in nephrology. The first year is dedicated to clinical training through various inpatient consultation services, inpatient renal transplantation service, weekly outpatient continuity clinic, direct experience in the various modalities of renal replacement therapy and renal procedures. The second year is designed to home those skills further for the clinical fellows, or in the case of the research track fellows, introduce them to the laboratory environment and basic research skills.
Inpatient Clinical Rotations
Fellows will rotate through four 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, two 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 one - two 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 combines and inpatient and outpatient experience to enhance the education of the fellows. The inpatient service consists of one attending and two 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.
- VA Connecticut Healthcare System Nephrology Service: This service is made up of one fellow and one 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 Saint Raphael’s Campus Service: This is a general nephrology consultative service at the Saint Raphael’s campus. It consists of one fellow and one 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 both YNHH campuses or at the VA CT Healthcare System. Fellows are assigned to the clinic for one 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.