Education

NEPHROLOGY FELLOWSHIP PROGRAM

III.  Specific Formal Instruction

The following topics will be covered by formal instruction in the >2 years of Nephrology training.

• Disorders of fluid, electrolyte, and acid-base regulation
• Acute renal failure
• Chronic renal failure and its management including nutritional management of uremia
• Hypertensive disorders – normal and abnormal blood pressure regulation
• Renal disorders of pregnancy
• Urinary tract infections
• Tubulointerstitial renal diseases, inherited diseases of transport, cystic diseases, and other congenital disorders
• Glomerular and vascular diseases, glomerulonephritides, diabetic nephropathy
• Renal anatomy, physiology, and pathology
• Congenital and acquired diseases of the kidney and urinary tract renal diseases associated with systemic disorders, diabetes and collagen-vascular diseases.
• Normal mineral metabolism, metabolic bone disease, renal osteodystrophy and nephrolithiasis.
• Clinical pharmacology, drug metabolism and pharmacokinetics and the effects of drugs on renal structure and function; disorders of drug metabolism and renal drug toxicity.
• Nutritional aspects of renal disorders
• Immunology
• Transplantation
  1. biology of transplantation rejection
  2. indications for and contraindications to renal transplantation
  3. principles of transplant recipient evaluation and selection
  4. principles of evaluation of transplant donors, both live and cadaveric, including histocompatibility testing
  5. principles of organ harvesting, preservation, and sharing
  6. psychosocial aspects of organ donation and transplantation
  7. the pathogenesis and management of urinary tract infections
  8. the pathogenesis and management of acute renal failure
  9. indications for and interpretations of radiologic tests of the kidney and urinary tract; and
  10. disorders of fluids and electrolytes and acid-base balance specific to transplantation
• Indications for and interpretations of radiologic tests of the kidney and urinary tract
• End-stage renal disease/dialysis
  1. the kinetic principles of hemodialysis and peritoneal dialysis
  2. the indication for each mode of dialysis
  3. the short-term and long-term complications of each mode of dialysis and  management
  4. the principles of dialysis access (acute and long-term vascular and peritoneal), including indications, techniques and complications
  5. urea kinetics and protein catabolic rate
  6. dialysis modes and their relation to metabolism
  7. nutritional management of dialysis patients
  8. dialysis water treatment, delivery systems, and reuse of artificial kidneys
  9. the artificial membranes used in hemodialysis and biocompatibility; and
  10. the psychosocial and ethical issues of dialysis
• Geriatric aspects of Nephrology
  1. physiology and pathology of the aging kidney and
  2. drug dosing and renal toxicity in elderly patients

IV. Evaluations

V. Procedures