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Second Year Curriculum
The second year clinical experience is designed to build upon skills acquired during the first year primarily through a wide array of outpatient clinical rotations.
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.
The Nephrology Night Float system was 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.
Fellows learn how to manage outpatient hemodialysis patients in his longitudinal rotation. Fellows work one-on-one with attendings during this 8 month long rotation. Each fellow rotates at two different dialysis units. Hemodialysis prescription and evaluation of adequacy
Home Dialysis Clinic
Fellows learn how to manage home dialysis patients in this longitudinal rotation. Fellows follow a cohort of peritoneal dialysis patients for 8 months under the supervision of a dedicated attending. Each fellow will attend at least 2 home hemodialysis clinics with opportunity for more in-depth home HD training if desired.
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.
Second year fellows rotate through Nephrology subspecialty clinics and Transplant Nephrology clinics. Clinical fellows are expected to attend at least 30 sessions. Examples of specialty clinics include:
- Fibromuscular dysplasia
- Genetic renal diseases
- Glomerular disease
- HIV-related kidney disease
- Home hemodialysis clinic
- Lupus nephritis
- Secondary hypertension
- Thrombotic microangiopathy
- Transplant clinic (recipient continuity)
- Transplant donor clinic
- Transplant evaluation clinic
Fellows have research mentors/advisors to monitor their research progress. Fellows must complete at least one scholarly project during their 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
Second year fellows are encouraged to attend, at a minimum, ASN Kidney Week and the NKF Spring Clinical Meetings. In addition, most fellows choose to attend several other conferences and training courses throughout the year.
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