Clinical Inpatient Rotations
RIH Consults
Consultative care for patients admitted to intensive care units and general medical/surgical floors at Rhode Island Hospital as well as Women’s and Infants Hospital. Team includes an attending, a fellow, and usually 2-3 residents and medical students.
RIH Dialysis
Primary and consultative care for patients admitted to intensive care units and general medical/surgical floors on maintenance hemodialysis or peritoneal dialysis.
RIH Transplant
Primary and consultative care for patients admitted to Rhode Island Hospital with a history of solid organ transplant. General nephrology fellows take the role of the “transplant fellow” on this rotation and gain exposure to the full gamut of transplant care including immunosuppression management, common complications, and transplant kidney biopsy.
Miriam
Consultative care for patients admitted to the Miriam Hospital typically including Acute Kidney Injury, electrolyte disturbances, maintenance hemodialysis and peritoneal dialysis, and transplantation.
VAMC
Consultative care for patients admitted to the Providence Veteran’s Hospital typically including Acute Kidney Injury, electrolyte disturbances, maintenance hemodialysis and peritoneal dialysis, and transplantation.
Outpatient experience
Ambulatory Block
While on ambulatory block fellows have an opportunity to rotate with experts in various niche fields of nephrology including transplant nephrology, pediatric nephrology, stone clinic, interventional nephrology, peritoneal dialysis, home hemodialysis, resistant hypertension clinic and renal pathology. Fellows with a particular interest can tailor their block experience to garner exposure early in fellowship.
Continuity Clinic
For the outpatient continuity clinic, the fellow is paired with a faculty member for the entirety of the two years. This allows for the fellow to develop their own panel of patients during the course of the fellowship.
Outpatient Dialysis
For 6 months in the second year of fellowship, fellows work 1:1 with a faculty member seeing outpatients who are receiving maintenance dialysis. This experience includes exposure to the full gamut of ESKD care including Dialysis prescriptions, Anemia management, Bone-mineral management, and transplantation support.
Conferences
Summer Lecture Series
Held daily at noon during the summer, these lectures are designed to give the first-year fellows a rapid introduction to key topics in nephrology and also serve to reinforce basic concepts for second year fellows.
Board Review Series
Held Monday at noon during the winter and spring, these lectures are designed to be interactive, with faculty presenting cases and questions for the fellows to discuss.
Case Management Conference
Held every Tuesday at noon, the case conference is a chance for the fellows to present cases from their rotations to the faculty. The fellow presents the cases to open a discussion on how other fellows or faculty would approach the clinical scenario prior to reviewing the relevant pathophysiology and treatment options.
Journal Club
Nephrology Journal Club is held on Wednesdays with Dr. Tang and Dr. Shah. Fellows alternate between presenting a recent trial or a classic trial in nephrology. Particular emphasis is placed on critical appraisal of the literature. Once a month, fellows participate in a international peritoneal dialysis journal club.
Renal Pathology Conference
Held monthly, the renal pathology conference is run by our Tony Chang and Kammi Henriksen, nephropathologists at the University of Chicago, to provide an in-depth review adult and pediatric cases using findings on light microscopy, immunofluorescence, and electron microscopy to discuss the differential and most likely diagnosis.
Renal Grand Rounds
Held every Friday at noon, renal grand rounds invites local, national, and international leaders to present on topics in clinical care, basic science, and translational research. The last Friday of each month is reserved for Transplant Grand Rounds.
Medicine Grand Rounds
Held every Tuesday morning at 8 AM, the Department of Medicine Grand Rounds invites local and national leaders in medicine, medical education, and research to discuss cutting edge topics.