Nephrologists who have completed Brown University School of Medicine’s Nephrology Fellowship are fortunate to have a variety of career choices ranging from academic nephrology to solo practices and a variety of geographic choices from north to south. Indeed, estimates of manpower needs in nephrology forecast increased employment opportunities in the United States over the next decade. Our graduated fellows report a high degree of satisfaction with their preparation for the practice of nephrology. This impression is supported by their success in passing the American Board of Internal Medicine nephrology certifying examination. Over the last 25 years our fellowship continues to have a perfect record: every graduate who has sat for the board examination has been certified in nephrology.