Clinical training for our pediatric nephrology fellows takes place at Riley Hospital for Children, a free-standing tertiary care children’s hospital with a high-volume pediatric nephrology program. We have a dedicated inpatient nephrology service supported by a resident team and provide consultative service across three intensive care units (neonatal, cardiac and pediatric) as well as inpatient consultation services.
Fellows also gain experience in outpatient clinical settings. Riley Hospital has an onsite dialysis unit, robust kidney transplant program (including a transition program which allows us to care for young adult patients), as well as specialty outpatient clinics (include advanced chronic kidney disease, neonatal kidney follow-up, kidney stones, glomerular disease) and multidisciplinary clinics (including congenital abnormalities of the kidney and urinary tract and kidney transplant transition clinic).
The clinical year typically includes six months of inpatient nephrology and five months of outpatient clinical training. During this year, fellows develop expertise in the management of acute kidney injury, acute renal replacement therapies, chronic outpatient hemodialysis, peritoneal dialysis and kidney transplantation. Fellows also see their own patients and develop longitudinal relationships with patients through their fellow clinic as well as providing care for dialysis patients. Fellows receive hands-on training in kidney biopsy and graduate with procedural competence.
A broad range of outpatient and specialty electives is available, including kidney pathology, urology, uroradiology, dialysis and transplant surgery. Fellows also have the opportunity to design individualized elective experiences aligned with their career goals.
Clinical training is flexible and can be tailored to emphasize areas such as critical care nephrology, outpatient dialysis, transplant and transition care, glomerular disease, clinical education or global health.