Skip Navigation
 
 
 
 
 
Print This Page
Share this page: More
 

Education

Second Year Clinical Training Program

Future Fellowship Graduates for 2015!

July 2013 New Fellows

The second year clinical experience is designed to build upon skills acquired during first year primarily through a wide array of outpatient clinical rotations.

  • Outpatient Chronic Hemodialysis

Through this experience, fellows along with a dedicated attending manage a cohort of patients undergoing chronic hemodialysis in the ambulatory setting for 3 to 6 months, depending on their career goals. Clinical issues encountered during this rotation include:

o Hemodialysis initiation
o Hemodialysis prescription and evaluation of adequacy
o Management and evaluation of vascular access and related complications
o Work-up and management of anemia
o Work-up and management of mineral bone disease and related complications
o Evaluation and management of risk factors for cardiovascular and peripheral arterial disease
o Evaluation and management of nutritional issues unique to patients receiving chronic hemodialysis
o Transplant referral and evaluation

  • Outpatient Chronic Peritoneal Dialysis Rotation and Home Hemodialysis

During this rotation, fellows will follow a cohort of patients undergoing chronic peritoneal dialysis and home hemodialysis under the supervision of a dedicated attending. Skills gained during this experience include:

o Evaluation of potential candidates for home dialysis therapies
o Referral, evaluation, and management of peritoneal dialysis catheters
o Diagnosis and management of acute and chronic peritoneal dialysis and home hemodialysis complications
o Evaluation and management of nutritional issues unique to patients receiving home dialysis therapies
o Transplant referral and evaluation

  • Ambulatory Continuity Clinic

As in the first year, fellows will evaluate and manage ambulatory patients with various renal issues longitudinally under the supervision of nephrology attendings in this one-half day weekly clinic. Renal issues encountered during this clinic are the same as those in the first year:

Acute kidney injury
Chronic kidney disease and related complications
Chronic post-renal transplantation care
Hypertension
Fluid, electrolyte, and acid-base disorders
Nephrolithiasis
Genetic renal diseases
Nephrotic and nephritic syndromes
Tubulointerstitial disease
Abnormalities of the urinary collecting system
Drug-related renal toxicity
Renovascular diseases

  • Ambulatory Acute Follow-up Clinic

During this one-half day clinic, fellows evaluate and manage patients who were recently hospitalized or who need urgent outpatient evaluation. Fellows alternate in staffing this clinic under the supervision of a nephrology attending. Renal issues encountered during this ambulatory experience include:

o Issues following hospitalization complicated by acute kidney injury
o Acute or sub-acute exacerbation of renal conditions

  • Ambulatory Subspecialty Renal Clinic

Second year fellows may also elect to follow outpatients in nephrology subspecialty clinics and/ or renal transplant clinic with nephrology faculty to gain additional specialized longitudinal experience. Subspecialty clinics available include:

o Inherited renal diseases
o Lupus nephritis
o Nephrolithiasis
o Vasculitis
o Secondary hypertension
o HIV-related kidney disease
o Retroperitoneal fibrosis
o Nephrotic syndrome

Learn more about our opportunities for education: 

Fellowship Options
Transplant Fellowship
Nephrology Fellowship Tracks

Clinical Training
First Year
Second Year
Conferences
Supervision
Application Process


Return to the top of this page.

 

Traveling for care?

blue suitcase

Whether crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins.

U.S. 1-410-464-6713 (toll free)
International +1-410-614-6424

 

 
 
 
 
 

© The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System. All rights reserved.

Privacy Policy and Disclaimer