Clinical Nephrology Fellowship

The two-year nephrology academic clinician track is designed to focus nephrology fellows on clinical skills, teaching, and education. As a fellow in this track, you will spend their first year on the inpatient services, and your second year on both inpatient and outpatient rotations.

Time is built in to work on research projects, and to develop and practice clinical and didactic teaching skills. Graduates of this track tend to pursue careers as clinician educators in academic settings or as practicing nephrologists in a private setting.

The second year of this program contains some inpatient time, but is flexible and tailored to your goals and career plans. This may include more time in sub-specialty clinics, pathology, or pursuing academic projects depending on your interests. There are also opportunities to work on your teaching skills through our physiology teaching series, involvement in the Yale School of Medicine teaching module, or as a mentor to medical and PA students.

As a fellow in the two-year clinical track, you will rotate through five major inpatient rotations in their first year:

Yale New Haven Consult Services: These general consultative rotations are based at Yale New Haven Hospital’s York Street Campus, and consists of one attending, two fellows, and medical students and residents as necessary. One of our consult services focuses on critical care nephrology, and the other on more general nephrology patients. You will cover all the medical and surgical units where nephrology assistance is requested.

You will gain experience in:

• General consultative care
• Acute kidney failure
• Electrolytes and acid-base imbalances
• Acute dialysis
• Cardiovascular disease in chronic kidney disease

Yale End-Stage Renal Disease Service: This consultative only service covers all those patients with end-stage renal disease admitted to Yale New Haven Hospital. You will see patients of Yale Medicine Nephrology group or affiliated physicians that do not round at Yale New Haven. This service has one attending, and one renal fellow who work closely throughout the day. We have a large home dialysis program so you will get experience seeing these patients.

On this service, you will gain experience with all dialysis modalities and their complications, and work across all disciplines.

Yale Transplant Service: The Yale Transplant service 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.

As a fellow on this service, you will follow both patients with kidney transplants as well as those who need consultation with other transplanted organs (liver, heart, bone marrow). You will 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 in West Haven.

It is a smaller inpatient service, so you will also gain experience covering an outpatient dialysis shift with a faculty mentor.

YNHH Saint Raphael’s Campus Service: The general nephrology consultative service at the Saint Raphael Campus consists of one fellow and one attending who work closely together.

You will 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.

Continuity Clinics: You will join a faculty mentor for a continuity experience during your first and second years of fellowship. These clinics are located as part of our faculty practice at both Yale New Haven Hospital campuses or at the VA Connecticut Healthcare System. You are assigned to the clinic for one year at a time and are paired with a faculty mentor who you will work with for one year at a time.

Outpatient Chronic Dialysis: During your second year as a clinical track fellow, you will round on and manage an outpatient dialysis shift with a faculty mentor. You will also rotate through the busy home therapy dialysis clinic, and participate in the training and management of a large peritoneal dialysis population and a growing home hemodialysis population.

Outpatient Subspecialty Clinics: In your second year, you may elect to join the faculty in subspecialty clinics as your own career interests dictate.

The available clinics, among others, include caring for patients with:

• Transplant
  • Test nested bullet
• Complex hypertension
• Pregnancy-related renal disease
• Glomerular disease
• Cardio-renal disease
• Inherited kidney diseases
• Onco-nephrology
• Polycystic kidney disease
• Kidney stones

Application to Yale’s Clinical Nephrology Fellowship is done exclusively through ERAS.

Interested applicants should submit their application through ERAS when the application cycle opens in the spring of the year. We recommend you complete the ERAS application early, and secure all letters of recommendation because interview slots are given out based on the timing of the receipt of the application.

To be considered for the program, you must have completed a three-year ACGME-accredited internal medicine residency by start of fellowship.

Along with the application, we require:

• Three letters of recommendation
  • One letter must be from your residency program director
• A personal statement
• ERAS application
• USMLE or COMPLEX transcript

We sponsor J-1 and H1B visas for applicants.

Interviews are by invitation only and usually occur in September through early October.

All applicants interested in training the Yale Nephrology fellowship training program will be considered without regard to race, color, religion, sex, or national origin.

Begin your ERAS fellowship application.