Kidney Disease & Hypertension - Fellowship Program
The Nephrology Fellowship program began in 1966 and since that time has trained over 85 fellows, and over the last 25 years every graduate who has sat for the certification examination in Nephrology given by the American Board of Internal Medicine has been certified. The fellowship is a two-year program with an optional third year of training for individuals who wish to continue research projects. Three or four fellows are accepted each year to start training on July 1. Our curriculum meets the requirements of the Accreditation Council for Graduate Medical Education, and incorporates the ACGME competencies: patient care, medical knowledge, practice-based learning, communication skills, professionalism and system-based practice.
Clinical training is the focus of the first year and a half of fellowship and consists of four months each on the Rhode Island Hospital Consult Service, Dialysis Service, Transplantation Service, and The Miriam Hospital Renal Service. In addition, a two month ambulatory block experience is provided in transplant nephrology, pediatric nephrology, interventional nephrology, hypertension management and renal pathology. Full exposure to all aspects of clinical nephrology is assured by an annual patient load of 950 inpatient consultations, 3,800 outpatient visits and 3,800 hemodialyses. Currently 86 renal biopsies and a large number of internal jugular and femoral vein line placements are performed annually. Chronic peritoneal dialysis, continuous arteriovenous hemofiltration, and plasmapheresis are also part of the program. In addition, fellows perform renal consultations on obstetric and gynecologic patients at Women & Infants Hospital.
During the second year, fellows attend an outpatient dialysis unit once a week to provide ongoing care to a panel of hemodialysis patients. This complements the fellows' weekly renal and hypertension clinic where they perform outpatient consultations and provide continuing care to varied group of patients.
The Renal Transplantation Program began at the Rhode Island Hospital in early 1997 and is now the largest in New England. Clinical training in renal transplantation involves evaluation of prospective transplant recipients and donors, care of patients during the post transplant period, longitudinal follow-up of stable recipients, and management of complications of transplantation in both the office and hospital setting.
Conferences are scheduled five times per week. Each week includes a Case Management Conference for discussion of interesting clinical cases, a Journal Club, a Board Review Conference, and Renal Grand Rounds consisting of talks by faculty, fellows and invited speakers. In addition, there are monthly Basic Science, Transplant, Clinic, Dialysis, Kinetic Modeling, and Renal Pathology Conferences. A twelve-week introductory lecture series in basic nephrology is given each summer for new fellows, and there are three radiology lectures each year.
Six months of the second year are devoted to scholarly research. Fellows select faculty members to work with them in the planning of clinical or laboratory projects, and to provide training and guidance during the course of their studies. These projects provide the fellow with in-depth knowledge in a specific area of Nephrology and will hopefully yield worthwhile findings that can be published in medical literature.
Teaching nephrology to interns, residents, and medical students is an important facet of the fellows' training. This involves informal contacts on the wards, and formal lectures to residents and Brown University medical students taking the Renal Elective.
Call schedule for fellows is one out of every fourth night and one out of every fourth weekend. Night call is taken by long-range pager or from home, and mainly involves both handling problems by telephone, and going to the hospital for an emergency consultation or dialysis.
Positions Obtained by Fellowship Graduates
Nephrologists who have completed Brown University School of Medicine's Nephrology Fellowship are fortunate to have a variety of career choices ranging from academic nephrology to solo practices and a variety of geographic choices from north to south. Indeed, estimates of manpower needs in nephrology forecast increased employment opportunities in the United States over the next decade. Our graduated fellows report a high degree of satisfaction with their preparation for the practice of nephrology. This impression is supported by their success in passing the American Board of Internal Medicine nephrology certifying examination. Over the last 25 years our fellowship continues to have a perfect record: every graduate who has sat for the board examination has been certified in nephrology.
Completion of three years of residency in internal medicine is a prerequisite for the renal fellowship. International medical graduates are required to obtain a "J-1 Exchange Visitor visa." However, Rhode Island Hospital will consider sponsoring individuals for an H-1B1 visa if they presently hold an H-1B1 visa.
Candidates can apply through the Electronic Residency Application Service (ERAS) (www.aamc.org/eras) for fellowship. Interviews generally take place in September and October. All of our positions are awarded through the NRMP Fellowship Match. For difficulties or questions, please contact:
Division of Renal Diseases
593 Eddy Street
Providence, RI 02903