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First Year Curriculum
During the first year of the fellowship program, fellows are immersed in clinical nephrology training to develop the fundamental knowledge and skills required to become an outstanding clinical nephrologist. Through clinical experiences in the first year, fellows become proficient in the evaluation and management of Nephrology-relevant medical problems, interpretation of urine sediment, renal replacement therapy, placement and management of temporary vascular catheters and performance of percutaneous native and transplant kidney biopsies.
First year fellows participate in five consultative inpatient services, nephrology continuity clinic, and electives at the Johns Hopkins Hospital and the Johns Hopkins Bayview Medical Center.
JHH Intensive Care Unit Consultation
This service consults on patients in 5 different ICUs, as well as floor patients geographically located within the ICU building. This team consists of a nephrology fellow, supervising attending, and occasionally a critical care fellow, urology resident, medicine resident, and/or medical student.
JHH Oncology and Surgical Consultation
This service provides consultative services to Oncology, Gynecology, and surgical ICU and floor patients located within the Oncology building. This team consists of a nephrology fellow, supervising attending, medicine resident, and/or medical student.
JHH General Consultation
This service provides consultative services to non-ICU Medicine, Psychiatry, and Urology patients. This team consists of a nephrology fellow, supervising attending, medicine resident, and/or medical student.
JHH Nephrology Transplantation
The Nephrology Transplantation Service is co-managed with the renal transplant surgery team. The inpatient nephrology transplant team consists of a transplant nephrology fellow, general nephrology fellow, supervising transplant nephrology attending, advanced practitioner, and internal medicine residents. During this rotation, fellows will gain substantial experience in the management of post-operative and chronic renal and liver transplant patients.
Bayview Inpatient Consultation
This service provides consultative services to all of the general inpatient and intensive care units, which includes the John R. Burton Geriatric Care Center, and Maryland's only regional burn center. This team consists of a nephrology fellow, supervising attending, and on occasion a medicine resident, and/or medical student.
The Nephrology Night Float system was instituted instituted to reduce fatigue experienced by fellows and to ensure patient safety. Night Float prevents an on-call fellow from having to work the following day after a night filled with frequent sleep interruptions. The night float fellow is present in-house at Johns Hopkins Hospital from Sunday to Friday 7 pm to 7 am. Saturday night coverage is provided by the weekend fellow on first call. The night float fellow is expected to finish all sign-out and continuity of care and be able to leave the hospital no later than 8 a.m. each morning. The responsibility of the night float fellow is to provide fellow coverage for overnight nephrology issues.
Renal Replacement Therapy Week
This is a 1-week rotation early in the 1st year of fellowship to orient and educate fellows to outpatient HD, outpatient PD, vascular access, and operation and setup of CVVHD machines.
Nephrology Continuity Clinic
In this one-half day weekly clinic (on the Bayview campus), fellows evaluate and longitudinally manage ambulatory patients with wide-ranging renal issues under the supervision of nephrology attendings. This is a true continuity clinic, with fellows following their own panel of patients (rather than an attending’s patients) for the duration of fellowship.
Examples of elective opportunities include:
- Line service
- Renal Pathology
- Radiology (Ultrasound)
- Pediatric Nephrology
- Outpatient vascular access center
- Therapeutic apheresis services
- Urology clinic
- Vascular surgery
- Specialty clinics
- Outpatient hemodialysis and peritoneal dialysis clinics
- Scholarly activity / research
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