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Clinical Training

Clinical Training

The goals of this program are to provide training in the treatment and diagnosis of clinical disorders of the kidney along with the use of necessary diagnostic and therapeutic tools including analysis of fluid, electrolytes and acid base disorders.   We provide the opportunity for the trainees to develop strong teaching skills and to become proficient in fundamental research principles applied to the study of the kidney and renal disease.

The training program integrates an initial general nephrology clinical year with a subsequent year of training in more specialized aspects of nephrology, including kidney and pancreas transplantation, and training in basic or clinical research (see Clinical Rotations). The first year provides extensive experience in consultative nephrology, acute and chronic hemodialysis, peritoneal dialysis, management of hypertension and evaluation and treatment of fluid and electrolyte disorders, and nephrolithiasis. Fellows rotate at the University of Maryland Medical Center and the Baltimore Veterans Administration (VA) Medical Center. These venues provide diverse and comprehensive exposure to inpatient clinical nephrology. Fellows also participate in various outpatient clinics including an outpatient end stage renal disease (ESRD) program carried out in the affiliated Independent Dialysis Foundation (IDF) Dialysis Clinic. Fellows attend a weekly continuity nephrology clinic throughout two years of fellowship training. Other regularly scheduled outpatient clinic experiences include VA Renal Clinic, Post-kidney/Pancreas Transplant Clinic, and Kidney Transplant Donor and Recipient Evaluation Clinics.

Daily teaching rounds with the faculty in conjunction with a broad variety of conferences provide a rich learning environment.

The fellows perform a large number of diagnostic native and transplant kidney biopsies during their training. All renal biopsies are reviewed on a daily basis with the nephrologists, nephrology fellows, and nephropathologist. In addition, they actively participate in the weekly multidisciplinary meetings to review all the kidney and pancreas transplant biopsies of the week and monthly meeting for an in-depth discussion of selected cases undergone native kidney biopsy.

As part of the renal curriculum, introduction to renal biopsy lectures and selected topics are scheduled annually. The Renal Pathologists also lecture at Renal Grand Rounds and the weekly Fellows’ Conference. Fellows have the option to spend elective time within the Renal Pathology Department where they are involved in the daily diagnostic activities and renal pathology related research.