Renal-Electrolyte Fellowship Program

Curriculum and Training

The Renal-Electrolyte Division offers our clinical trainees a broad-based didactic curriculum. All clinical trainees meet with the faculty for a series of lectures and discussions to provide an introduction to important areas of nephrology, and highlight areas pertinent to certification examination requirements. Throughout the year the Division hosts a regular series of clinical and research conferences; including Renal Grand Rounds, Biopsy Conference, Journal Club, Research Seminar Series, and a Clinical Lecture Series. Fellows present at Renal Grand Rounds and Journal Club, and participate in the teaching of University of Pittsburgh medical students. Weekly Research Seminar is designed to allow research trainees to present progress reports of ongoing work, and hear about current research from our faculty. In addition, weekly research conferences are held by the Departments of Cell Biology and Physiology, Pharmacology, Molecular Genetics and Biochemistry, Pathology and Biological Sciences.

First Year

INPATIENT
RotationTraining SitesNumber of MonthsTypes of ConsultsTeam Composition
A serviceUPMC Presbyterian and Montefiore Hospitals2General Nephrology, Critical Care nephrology-    1 Attending Physician
- 1 Fellow
- 1 Physician Assistant
- ≤2 Residents
- ≤2 Medical Students
B serviceUPMC Presbyterian and Montefiore Hospitals2General Nephrology, Critical care nephrology-    1 Attending Physician
- 1 Fellow
- 1 Physician Assistant
- ≤2 Residents
- ≤2 Medical Students
C and F servicesUPMC Presbyterian and Montefiore Hospitals2Transplant Nephrology-    1 Attending Physician
- 1 Fellow
- 1 Transplant Fellow
- 1 Physician Assistant
- ≤1 Resident
- ≤1 Medical Student
D serviceUPMC Magee-Womens Hospital and Select Specialty Hospital (Long-term acute care facility)2General Nephrology, Obstetric nephrology-    1 Attending Physician
- 1 Fellow
VA InpatientVA Pittsburgh Healthcare System Hospital2General Nephrology-    1 Attending Physician
- 1 Fellow
OUTPATIENT
RotationTraining SitesNumber of MonthsTypes of Consults-    Team Composition
Home dialysisDCI Oakland Dialysis Clinic1Peritoneal Dialysis and Home Hemodialysis Outpatient Clinics/ TAKE VACATION-    1 Attending Physician
- 1 Fellow
Continuity ClinicUPMC Medical Arts Clinic and VA Pittsburgh Healthcare System Clinic1 Half- Day Per Week General Nephrology-    2 Attending Physicians
- 2-3 Fellows
OTHER
RotationTraining SitesNumber of MonthsTypes of ConsultsTeam Composition
Scholarly activityN/A1Plan Research for 2nd year/ TAKE VACATIONN/A

Second Year

INPATIENT
RotationTraining SitesNumber of MonthsTypes of ConsultsTeam Composition
OnconephrologyUPMC Shadyside Hospital1Onconephrology- 1 Attending Physician
- 1 Fellow
OUTPATIENT
RotationTraining SitesNumber of monthsTypes of consultsTeam composition
VA outpatientVA Pittsburgh Healthcare System1In-Center Hemodialysis Outpatient Clinic- 1 Attending Physician
- 1 Fellow
Dialysis Oakland DCI and Canterbury DCI Outpatient Dialysis Clinics2 Half- Days Per Month In-Center Hemodialysis, Peritoneal Dialysis, and Home Hemodialysis Clinics- 1 Attending Physician
- 1 Fellow
Transplant clinicUPMC Starzl Institute1 Half-Day Per Week Transplant Nephrology- 1 Attending Physician
- 1 Fellow
Continuity ClinicUPMC Medical Arts Kidney Clinic and VA Pittsburgh Healthcare System1 Half-Day Per WeekGeneral Nephrology- 2-3 Attending Physicians
- 2-3 Fellows
OTHER
RotationTraining SitesNumber of MonthsTypes of ConsultsTeam Composition
Scholarly Activity, Clinical Electives, and Specialty ClinicsDepends on the Elective10Depends on the ElectiveDepends on the Elective

 

Clinical Electives

  • Renal Pathology
  • Pediatric Nephrology
  • Plasma Exchange
  • Transplant Nephrology
  • Senior Teaching Fellow
  • Critical Care Medicine
  • Interventional Nephrology (Outside elective at UNC)
  • Glomerular Disorders (Outside elective at Columbia)

Specialty Clinics

  • Transplant
  • Kidney Stones
  • Hypertension
  • Lupus
  • Renal Supportive Care

Didactic Conferences

Our program offers didactic sessions every single day of the week at noon and several hands-on workshops and one-day conferences throughout the year.

Renal Boot Camp
Each year academic year starts with an intense fellows’ boot camp, a daily conference series that lasts for 2 months and focuses on fundamental topics in nephrology.  The focus is on providing new fellows with key information to effectively serve on the renal consult service and clinics. Topics covered include acute kidney injury, principles of hemodialysis and peritoneal dialysis, etc.

 

Renal Lecture Series
Our daily lecture series is led by a faculty member and provides fellows with a deeper understanding of pathophysiology and clinical practice in core areas of renal medicine.  These lectures act as the primary supplement to the training fellows receive through their rotations.

 

Renal Grand Rounds
These clinical conferences take place approximately every 2 weeks and give fellows the opportunity to present to peers and faculty on important topics or interesting cases. Fellows present in a one-hour session on a rotating basis.

 

Journal Club
Fellows gain experience presenting and critically appraising articles from a variety of high-impact journals (NEJM, Lancet, JASN, CJASN, AJKD, Kidney International, etc.). The focus is on data interpretation, validity of conclusions, and potential application to nephrology practice. Fellows present on a rotating basis, usually in a one-hour session followed by a group discussion of the literature.

 

Visiting Professor Series

Nationally and internationally recognized physician scientist from the US and around the world visit our institution on a monthly basis to discuss their research. Fellows typically meet with visiting professors to discuss interesting cases and career advice.

 

Root Cause Analysis Conference
Fellows in their second year present a case history and identify an adverse outcome, followed by a review of the relevant literature. The focus of this conference is on identifying systems-based problems that can lead to adverse events and discussing possible solutions.

 

Renal Pathology Conference
Key renal pathology faculty moderate this conference by giving in-depth presentations of renal biopsy slides covering the spectrum of renal pathology. Cases are chosen for presentation from the clinical service’s biopsy specimens. Conferences take place once monthly.

 

Research Conference

Clinical and basic science research faculty present every Wednesday regarding topics related to their current research.

 

Renal Board Review
Weekly didactic conferences held for the second year fellows and led by expert faculty members. The spread of topics cover ABIM exam topics in preparation for certification after fellowship completion. Board review is typically held weekly throughout of the year.

 

Nephrotalk
One of the highlights of the first year, this is a 3-day nationally-recognized workshop focused on improving fellows’ communications skills. Fellows practice giving bad news, addressing prognosis, and assisting with treatment decision making. Course is moderated by both nephrology and palliative care faculty.

 

Kidney Biopsy Simulation Workshop

This yearly hands-on workshop takes place at the VA Pittsburgh Healthcare system and is facilitated by one of our kidney biopsy experts using a Blue Phantom mannequin.

 

Hemodialysis Catheter Placement Simulation Workshop

This yearly hands-on workshop takes place at the University of Pittsburgh WISER simulation institute and is facilitated by one of our critical care nephrologists.

 

Acute Kidney Injury Symposium

Organized in collaboration with the Center for Critical Care Nephrology, this  yearly 1-day symposium aims to foster across campus research collaboration on acute kidney injury and further acute kidney injury awareness, education and advocacy. The symposium hosts world-renowned speakers in the area of acute kidney injury and critical care nephrology. Fellows are encouraged to attend and some present their research work.

East by Southwest Annual Update in Nephrology Conference

Organized in collaboration with the Division of Nephrology at the University of New Mexico, this yearly 2-day conference aims to bring annual updates in different areas of Nephrology. Speakers include Nephrology faculty from our institution and the University of New Mexico as well as world-renowned guest faculty. Fellows are encouraged to attend.

 

Department of Medicine Grand Rounds

These weekly conferences give fellows an opportunity to hear lectures from faculty from other departments as well as renowned guest speakers. Our fellows stay up to date on evolving topics pertaining to areas outside of their core practice

 

Renal Jeopardy
Held every couple of months, this is a jeopardy game-style conference stimulating competitive learning in a fun environment for the fellows.

Contact

Jane Wuenschel
Fellowship Coordinator
Renal-Electrolyte Division
C1108 UPMC Presbyterian Hospital
200 Lothrop St.
Pittsburgh, PA 15219

Phone: 412-647-8394
Fax: 412-802-6852
wuenschelj@upmc.edu

Division of Renal-Electrolyte Academic Offices

A919 Scaife Hall
3550 Terrace Street
Pittsburgh, PA 15261
(412) 647-3118