Elective

Nephrology

Learn about the pathogenesis, clinical presentation, treatment modalities and prognosis of the full range of nephrologic diseases in both didactic and clinical settings.

Among conditions you will see are: 

  • end-stage renal disease
  • acute and chronic renal failure
  • tubulointerstitial diseases
  • glomerulonephritides

You will also gain proficiency with diagnostic testing and monitoring methods key to the discipline of nephrology.

Educational Goals

You must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care including but limited to:

  • understands the principles, and demonstrates competence in treating ESRD patients
  • understands the principles, and demonstrates competence in the evaluation, work-up and management of medical problems and renal disorders, including acute and chronic renal failure
  • understands the principles, and demonstrates competence in transplant nephrology to include direct patient care experience in the evaluation and management of transplant patients admitted for acute rejection, infection, or other types of medical illness

Objectives

Residents at all levels are expected to acquire knowledge in EDMM disorders appropriate for an internist, focusing on: 

  • basic science aspects of nephrology including renal physiology and pathophysiology in systemic disease, anatomy of the renal system including structure and function
  • diagnosis, evaluation and management of acute and chronic renal failure
  • end-stage renal disease and evaluation of these patients for various forms of therapy and their instruction regarding treatment options
  • evaluation and management of medical complications in patients during and between dialyses and other extracorporeal therapies, including dialysis access, and an understanding of the pathogenesis and prevention of such complications
  • long-term follow-up of patients undergoing chronic dialysis
  • hypertensive disorders
  • disorders of fluid, electrolyte, and acid-base regulation
  • tubulointerstitial renal diseases, including inherited diseases of transport, cystic diseases, and other congenital disorders
  • glomerular and vascular diseases, including the glomerulonephritides, diabetic nephropathy, and atheroembolic renal diseases
  • disorders of drug metabolism, pharmacokinetics, and nephrotoxicity
  • disorders of mineral metabolism, including nephrolithiasis and renal osteodystrophy
  • urinary tract infections
  • evaluation and management of complications related to transplant nephrology
  • geriatric aspects of nephrology 
  • renal disorders of pregnancy

Inpatient Consultation Service

Residents rotating through the nephrology elective will participate in daily walk rounds on renal consult patients and are the first to see new renal consults, which they then discuss with the fellow and/or nephrology attending.

Years Taken

  • PGY-2, PGY-3 or PGY-4

Length of Rotation

4 weeks

Clinical Sites