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Clinical Training

Yale-New Haven Children's Hospital (YNHCH) is the a full-spectrum pediatrics facility for the state of Connecticut. YNHCH provides primary care to children in the New Haven area, Level One trauma care, and tertiary care to patients from a wide referral base including Southern Connecticut and Eastern New York. There is a full range of pediatric subspecialists available 24 hours per day. The hospital is directly linked to the Yale University School of Medicine by a skywalk. The hospital's location within the larger 900-bed Yale-New Haven Hospital allows for the provision of a full complement of state-of-the art services while prioritizing the unique needs of children.

Fellows participate in the evaluation and management of patients on the pediatric inpatient service, pediatric ICU, neonatal ICU and pediatric specialty center. Patient problems encompass the full range of clinical renal disorders, including fluid and electrolyte disturbances, acute and chronic renal failure, glomerulonephritis, interstitial nephritis, nephrolithiasis, hypertension, intoxications, inherited renal diseases and urinary tract abnormalities. A pediatric nephrology faculty member serves as attending physician at all times, and conducts teaching rounds daily. These teaching sessions provide supervision and training in the practical aspects of patient management, as well as instruction in the pathophysiology that underlies the clinical practice of nephrology.

Fellows receive training in percutaneous renal biopsy and renal replacement therapies. They gain experience in the use of peritoneal dialysis, hemodialysis and continuous veno-venous hemofiltration/dialysis (CVVH). Experience in chronic dialysis is also provided, as fellows participate in the treatment of patients with chronic ambulatory peritoneal dialysis (CAPD) and in-center hemodialysis. Fellows are involved in an active renal transplantation program throughout their training acquiring expertise in managing the acute postoperative care and the long-term follow-up of these patients.

Fellows participate in outpatient renal clinics under the supervision of the faculty, where they gain expertise in the evaluation and management of common renal disorders not requiring hospitalization, the assessment and treatment of childhood hypertension and the long-term follow-up of patients after discharge from the inpatient and transplant services.