Training and Curriculum
Interested in joining our nephrology team? Get to know us and learn more about training tracks, services and rotation schedules:
The majority of fellows in our ACGME accredited program pursue a two-year clinical track. Selected fellows with outstanding research potential may be invited to join the research track, which consists of one year of clinical training and at least two years of laboratory or clinical research training.
The fellowship training curriculum consists of clinical rotations in the inpatient and outpatient settings, including renal dialysis, transplantation and research. The first year is almost entirely clinical in orientation, during which time the Nephrology trainee learns about salt and water balance, acid-base metabolism, dialysis methodology, renal biopsy and histology interpretation, renal consultation and general nephrology. Fellows are provided protected time to attend national meetings. They are also encouraged and afforded divisional resources to present their scholarly work at various local and national conferences.
The research training track is designed for fellows interested in pursuing academic careers that combine skills in kidney related research and teaching in clinical or basic science. Trainees in this program receive one year of clinical training, either at the beginning or at the end of their two-year research training in order to fulfill ABIM Subspecialty Board in Nephrology requirements. Two years are dedicated to research training. Both bench and patient-orientated/translational research training opportunities are available in the laboratories of one or more of the training faculty members. The goal of the research training track is to prepare trainees to become faculty and successfully compete for extramural funding.
This track is a combination of 1 year of critical care and 2 years of clinical nephrology training. At the end of this fellowship trainees will be dually eligible to take both critical care and nephrology boards. KUMC is a tertiary care center that has 8 ICU units that provides diverse training experience. This includes
- 2 medical ICU,
- 1 Transplant ICU,
- 1 Burn ICU,
- 1 Surgical ICU,
- 1 Cardiothoracic Surgical ICU,
- 1 Cardiac ICU, and
- 1 Neurological/neurosurgical ICU.
This is a separate one-year fellowship for board-eligible nephrologists interested in pursuing a career in kidney transplantation. The program is accredited by the American Society of Transplantation and accommodates up to one trainee per year. Fellows are exposed to a large number of routine kidney and pancreas transplants, as well as to highly complex cases requiring specialized expertise. Daily teaching rounds, inpatient and outpatient service, and weekly conferences are an integral part of training offered.
Five months a year.
The Nephrology Consult Service performs most of the adult nephrology consultations in KU Hospital. The service is divided into A, B and C services staffed by three faculty. The service is weighted toward acute kidney injury, and fluid and electrolyte disorders in patients in the medical and surgical intensive care units.
Fellows learn to manage a broad spectrum of kidney disorders in critically ill patients with cardiac disease, liver failure, post-solid organ and bone marrow transplant and multi-organ failure. They have ample opportunity to get hands-on experience at acute hemodialysis, continuous venovenous hemodiafiltration, hemodialysis catheter placement and kidney biopsies.
two months a year
The Inpatient Service at KU hospital takes primary responsibility for the care of patients receiving kidney transplants as well as transplant recipients readmitted for medical complications. We perform more than 120 kidney transplants per year.
Fellows learn acute management of post-op transplant patients, dosing of immunosuppressive medications, and the diagnosis and management of acute and chronic rejection, opportunistic infections, and other complications. They learn to interface closely with the transplant surgical team and with various consult services, including infectious diseases
two months a year
On the Outpatient Transplant Service at KU, nephrology fellows learn pre-transplant donor and recipient evaluation and post-transplant care of patients with kidney, simultaneous pancreas-kidney, pancreas only, and simultaneous liver-kidney transplant patients in the clinic setting. They also participate in regular multidisciplinary meetings in which individual patients are presented and discussed in detail.
two months a year
On the Outpatient Dialysis Service, fellows round daily in the University's 40-station outpatient dialysis unit located nearby the hospital.
The emphasis of the rotation is on learning to evaluate and manage patients undergoing in-center hemodialysis including managing dialysis prescriptions, hematologic and bone mineral parameters, and handling infectious and vascular access complications. Fellows attend a weekly home dialysis clinic where we follow 24 patients who receive home hemodialysis and continuous ambulatory or cycling peritoneal dialysis.
Fellows receive education in water treatment, dialysis machine operation, and are trained in cannulating hemodialysis accesses and performing peritoneal exchanges. They actively participate in multidisciplinary patient evaluations, and in the quality improvement activities of the dialysis unit.
one month a year
Fellows can customize this rotation to fit their interest. Options include:
- Research: You may design your own project and focus on an area of interest. You will select a research mentor from the program faculty who will help guide you on the project of your choice.
- Interventional Nephrology: This rotation involves experience in an outpatient access center that exclusive preforms procedures on dialysis patients by an interventional nephrologist.
- Renal pathology: This rotation is spent with a pathologist who specializes in renal pathology reading several kidney biopsies that are performed over the month
- Plasmapheresis: KUMC has a strong plasmapheresis program that is managed by pathology. This rotation allows for fellows get comfortable prescribing plasmapheresis.
- Dialysis: Fellows can choose to spend more time in outpatient dialysis unit, focusing on either home or incenter.
- Transplant: Fellows can choose to spend more time working with transplant team working with the Midwest Transplant Network or working with the clinical transplant team.
The continuity clinics for nephrology fellows at KU Medical Center have been designed so that each fellow has their own clinic and patient panel with rotating attending preceptors. The clinic is 1 half day per week for the entirety of their fellowship training. In this way, the fellow can follow the same group of patients throughout. Clinical skills are developed through feedback from the attending physician.
The clinics are structured such that the fellow sees a wide variety of patients including those with acute and chronic kidney diseases, refractory hypertension, proteinuria, hematuria, electrolyte abnormalities, acid-base disturbances, cystic diseases, nephrolithiasis, and renal abnormalities associated with other medical illnesses such as end-stage liver disease, lupus and multiple myeloma. Due to the chronicity of many diseases seen in these clinics, most patients will be seen in follow-up several times per year by the same fellow.
All fellows are assigned a small panel of dialysis patients at the start fellowship. They round on theses patients once a month for the duration of their fellowship with the attending staffing the dialysis unit that month. This provides a longitude experience for the fellows in managing chronic dialysis patients on top of the intensive 1-month rotation in the unit.
Overall, the department has 3 faculty that specialize in home dialysis with around 60 home patients. This includes peritoneal dialysis, home hemodialysis, and nocturnal dialysis. Fellows are expected to attend all home clinics when on dialysis rotations and elective rotations.
Our department has 4 specialty clinics a glomerulonephritis clinic, PKD clinics, and Stone Clinic. Fellows can elect to attend any of these clinics during their elective rotations.
All fellows take overnight call from home from 5 p.m. -7 a.m. A fellow can expect to have 5 night calls a month; this does not change based on number of fellows the program takes.
University of Kansas Hospital
The University of Kansas Hospital is the major educational institution for the University of Kansas School of Medicine and is a 623-bed tertiary care medical center including 8 ICU units, with a full complement of supporting clinical departments and ancillary services. It is a Level I Trauma Center, NCI-designated Cancer Center, PCMH-designated Ambulatory Practice, and is home to the only regional burn center. It is also the primary subspecialty hospital for a large area of the central US, covering all of Kansas, western Missouri, and parts of Arkansas, Oklahoma, Nebraska, and Iowa.
Our department staffs three different outpatient dialysis unit throughout Kansas City metro area with Fresenius:
- Rainbow Dialysis Unit - Westwood, KS
- Parallel Dialysis Unit - Kansas City, KS
- Lenexa Dialysis Unit - Lenexa, KS
Fellow Rotation Schedule
|Cx A||Dialysis||Cx C||Tx Consult||Elect/Res||Tx Clinic||Cx B||Dialysis||Cx A||Tx Consult||Tx Clinic||CxB|
|Fellow B||Tx Clinic||Tx Consult||Cx A||Dialysis||Cx B||Tx Consult||Cx C||Tx Clinic||Dialysis||Cx B||Elect/Res||CxA|
|Fellow C||Dialysis||Cx A||Tx Clinic||Cx B||Tx Consult||Cx A||Elect/Res||Cx B||Tx Clinic||Dialysis||CxC||TxConsult|