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Clinical Learning Objectives

These clinical experiences are designed to provide progressive education and expertise in the care of children with renal disorders and related diseases.

Year 1

Fellows spend 5 months of the first year staffing the inpatient service. A dedicated fellows’ clinic in which each fellows manages his/her own panel of patients occurs twice monthly throughout all years of the fellowship, providing an opportunity to develop deep longitudinal relationships with a subset of patients. Fellows are also required to participate in a variety of general nephrology clinics which provide substantial exposure to common nephrological conditions. Fellows will also spend a significant portion of the first year gaining experience managing chronic dialysis patients in our off-site unit. The dialysis component of the training program also provides another continuity experience as fellows will continue to staff these patients throughout all years of training. It is expected that fellows will identify a scholarly project during the 2nd half of the first year. Ample time is provided for each fellow to explore potential projects and mentors.
  • Learn to gather accurate and essential information from families, children, and medical records from referring physicians.
  • Develop and implement effective management plans.
  • Use information technology and other resources to access new knowledge.
  • Obtain initial introduction to therapeutic and diagnostic procedures.

Years 2 and 3

Fellows spend 2 months during each of the 2nd and 3rd year staffing the inpatient service. Fellows’ continuity clinics and dialysis coverage continue during these years as noted above. Fellows have the option to pursue electives in pathology, radiology and urology. Other rotations may be organized based on the particular learning objectives of each trainee. The major focus of the latter years of training is the development of a set of research skills and substantial progress on a scholarly project.
  • Acquire new knowledge through analysis and evaluation of therapeutic initiatives.
  • Exercise accountability and responsibility for learning from past experience.
  • Begin to develop strategies to optimize patient care.
  • Perform competently essential procedures.
  • Interact with broad spectrum of health care professionals to provide effective, complex care.
  • Demonstrate excellence and sensitivity in caring for patients and families.
  • Provide effective and professional consultation to referring physicians.
  • Refine clinical judgment and decision-making regarding diagnostic and therapeutic dilemmas.
  • Understand evidence based and cost-conscious strategies to develop effective care.