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Nephrology Fellowship

Graduate Medical Education at YNHH

Fellowship & Education

Welcome from the Director
Photo by Harold Shapiro
Ursula Brewster, MD, serves as program director of the Nephrology Fellowship Program. Randy Luciano, MD, PhD, is associate program director.

In 1922, John Peters founded the metabolism section at Yale. His name has been synonymous with nephrology research and education. He was a pioneer in the application of quantitative clinical chemistry to clinical medicine – creating much of clinical medicine as you know it now. Many of the great leaders in nephrology around the globe have been trained by him or one of his trainees. He spent his entire career at Yale, and every year at the annual American Society of Nephrology meeting, the prestigious John P. Peters Award is given to a person who has made substantial contributions to the discipline of nephrology and have had ongoing achievement in academic clinical care, education and leadership.

Almost a hundred years later, our section is thriving. We have grown and changed with the times, but have maintained Dr. Peters’ mission of excellence in nephrology education, clinical practice, patient advocacy and research. At Yale, it is our mission to mentor our trainees into achieving all they want in their careers. We pride ourselves on training the future leaders in nephrology – some who wish to excel in clinical practice and others who wish to lead the country in nephrology education or basic and translational research. We see our mission as a global one, and recognize the importance of having our fellows be representative of that mission and purpose.

We offer a two-year clinical track program for those interested in careers in clinical medicine or as clinician educators. Our three (or more) year research track program is designed for those who plan a career in either clinical, translational, or basic science research. Some applicants are less solidified in their career plans. For them, we recommend applying to our clinical track, and at the end of the first year you may apply to be converted to the three-year research track if your career interests have changed. New in 2020-2021 is that as part of the AIRE program through the ACGME, Yale Nephrology will offer a two-year track that is a combined Nephrology-Hospice/Palliative Care Fellowship that will end with dual board eligibility after two years.

Dr. John P. Peters

All our fellows will spend their first year doing clinical training, the vast majority of which takes place at Yale New Haven Hospital, a thriving 1541-bed tertiary care hospital in New Haven with seven large ICUs that constantly push the boundaries of clinical innovation. We have a highly progressive transplant program that is one of the largest in the northeast. All fellows participate in our outpatient practice as well, which consists of general nephrology clinics, along with subspecialty based clinics based on our faculty expertise. We have a large dialysis home program as well as in-center hemodialysis clinics where our trainees become very comfortable with outpatient ESRD care. As a second year clinical fellow, you will spend a good deal of time there.

Yale is a very unique place in that excellence in patient care, clinical training and research opportunities are matched by a supportive faculty who prioritize the growth and success of our fellows.

We look forward to meeting you and introducing you to our program.

Ursula C. Brewster, MD
Nephrology Program Director

Program Leadership

  • Program Director

    Associate Professor of Medicine (Nephrology); Training Program Director, Nephrology Fellowship

    Dr. Brewster is a clinician educator in the Department of Medicine. She did her undergraduate work at Yale college and then went to Dartmouth Medical School. Her Internal Medicine Internship and Residency was at Yale New Haven Hospital. Following this, she did her fellowship at Yale in Nephrology and stayed on as faculty in the Nephrology Section.
    As a clinician-educator, Dr. Brewster's focus is primarily on the care of patients with kidney disease and on the education of the fellows and housestaff. She functions as the Program Director for the Nephrology Fellowship program and is the Firm Chief of the Peters Medical Firm, a medical house staff teaching firm dedicated to the specialized care of patients with kidney disease.
    In her clinical practice, she is a general nephrologist, seeing patients with chronic kidney disease or electrolyte disturbances, but has a subspecialized interest in the care of pregnant women with underlying kidney disease or hypertension. She practices both in the outpatient Yale Nephrology clinic, as well as on the inpatient acute nephrology consultative services. She is dedicated to the care of patients with end-stage kidney disease, and so sees patients in the outpatient dialysis clinics locally - with a more focused interest on home dialysis therapies.

  • Associate Program Director

    Associate Professor of Medicine; Associate Program Director - Nephrology Fellowship, Nephrology

    Dr. Luciano has expertise in treating patients with glomerular disease (a kind of kidney disease that affects the filtering aspect of the kidney) and kidney-related vasculitis. Additionally, Dr. Luciano treats patients with, but not limited to, minimal change disease, membranous nephropathy, FSGS, renal amyloidosis, Lupus nephritis, IgA nephropathy, and ANCA mediated vasculitis. He is directly involved in the diagnosis (through biopsy) and treatment of patients with glomerular disease. In addition, he coordinates several clinical trials to help further progress the treatment options for these diseases.