The fellow will perform supervised care for kidney transplant and kidney-pancreas transplant recipient patients, inpatient and outpatient, at the University of Alberta Hospital in Edmonton, Alberta, Canada.
List of Accredited Transplant Nephrology Fellowship Programs
The following programs are accredited by the Transplant Nephrology Fellowship Training Accreditation Program, LLC. To filter the programs by state/province or to view the complete list of accredited programs, simply use the drop down filter on the right hand side.
Alberta
University of Alberta
Alabama
University of Alabama at Birmingham
The UAB kidney transplant program performs 250-300 kidney transplants per year. Our faculty are dedicated and passionate about transplantation. Trainees will also be exposed to multi-organ transplants and other solid organ transplants as part of their training. Over 5,500 kidney transplant recipients are actively followed at UAB. At the end of their fellowship, trainees will have expertise managing the myriad clinical and surgical complications that may arise post transplant and will be trained in performing and interpreting renal allograft biopsies as well as understanding histocompatibility and immunology. We provide a collegial and collaborative environment with opportunities for clinical and basic science research and other scholarly activities.
Arizona
Mayo Clinic Arizona
The Renal Transplant Fellowship at Mayo Clinic's campus in Phoenix, Arizona, provides outstanding clinical and research experience in kidney transplantation, as well as the opportunity to develop expertise in pancreas transplantation. The Phoenix campus offers a rigorous academic environment and comprehensive training in all areas of transplant nephrology. Mayo Clinic in Arizona transplant program has been consistently ranked among the top 5% of centers with respect to the total volume of kidney transplants performed and in the top 15% of pancreas transplants performed in the US. This provides the fellow with an excellent experience in managing kidney and
pancreas recipients in both inpatient and outpatient settings. The transplant nephrology fellowship offers a comprehensive multidisciplinary clinical training including dedicated blocks to renal pathology, transplant infectious disease, and transplant immunology laboratory experience. Additionally, there are several research opportunities with dedicated time for research built into the curriculum. Competitive stipend and benefits package include one paid CME trip and registration during the course of the fellowship, paid presentation trip days, and 15 days paid vacation per year.
British Columbia
University of British Columbia
UBC Kidney Transplant Program has an active transplant fellowship education program, which includes both an officially accredited one year Transplant Nephrology Clinical Fellowship under the direction of Dr. Olwyn Johnston and a Transplant Research Fellowship under the direction of Dr. John Gill. This training may be combined with formal graduate course work leading to Masters or Doctoral degress in Experimental Medicine, Health Care and Epidemiology or related disciplines through the Faculty of Graduate Studies.
California
Cedars Sinai Medical Center
The transplant medicine fellowship program at Cedars-Sinai Medical Center is designed to provide the trainee with a well-rounded education in clinical kidney transplantation, transplant immunology and in transplant immunology research. At the end of the one-year program the trainee should be able to function independently in all aspects of clinical kidney transplantation and should be familiar with basic transplant research. The fellowship is primarily clinical. The goals of the fellowship in general transplant nephrology are to provide the transplant nephrology fellows with the capability and experience to diagnose and manage all transplant related disorders to understand the physiology of allograft rejection and calcineum toxicity to develop special expertise in the normal variations in renal function in the transplant patients, and to be familiar with the unique renal lesions associated with chronic rejection and viral infections in the immunocompromised host.
Loma Linda University Medical Center
The kidney transplant program at Loma Linda University is rapidly growing. Fellows will be exposed to all aspects of kidney transplantation including pre-transplant, post-transplant and living kidney donors. Fellows will also become familiar with kidney exchange and HLA/ABO incompatible kidney transplantation. The fellow will be part of a close and collaborative multidisciplinary organ transplant team.
Stanford University Medical Center
The Stanford transplant nephrology fellowship program started in 2006. The fellowship program provides training in a well-functioning multidisciplinary transplant team which includes transplant surgery fellows, in an institution with very active solid organ and hematopoietic cell transplant programs, an excellent renal pathology service and an excellent histocompatibility laboratory. The fellowship is primarily a clinical experience, but there is opportunity for engagement in research. Many of our graduates hold positions in academic transplant programs.
University of California Davis Medical Center
The University of California Davis offers a one-year fellowship to qualified board eligible nephrologists. The program is one of the largest kidney transplant programs in the United States with nearly 300 kidney transplants conducted annually. Candidates will acquire vast experience in all aspects of kidney and pancreas transplant including pre-transplant evaluation, re-evaluation of listed patients living donor candidates, kidney biopsies and follow up of post-transplant patients in both in-patient and out-patient setting. We encourage clinical research in areas of fellows’ interest. The experience provided will enable the candidate to serve as a medical director of a kidney and transplant program in accordance with accepted guidelines.
University of California Los Angeles
The UCLA Kidney Transplant program offers a one-year Transplant Nephrology Fellowship. This fellowship has been training fellows for over 20 years. We offer a “hands-on” experience with training in all clinical aspects of kidney and pancreas transplantation. You will have ample opportunity for participation in clinical, translational or lab-based research projects. A second research year may also be available. The transplant fellow will be supported to attend AST conferences. This is an opportunity to live and train in beautiful Los Angeles. Housing stipend is included with the position. Interviews are on a rolling basis. Please apply through the website/contact the following: https://uclahealth.org/nephrology/transplant-fellowship Please do not hesitate to contact us with additional questions. Julie Yabu, MD, MTM, Program Director. jyabu@mednet.ucla.edu
University of California San Diego
The UCSD Kidney and Pancreas Transplant Program Transplant Nephrology Fellowship is accredited by the American Society of Transplantation and the American Society of Nephrology. The fellowship is one year and is designed for trainees who have completed a standard two-year nephrology fellowship and are Nephrology board eligible. The Transplant Nephrology Fellowship provides specialty training in kidney transplantation and fulfills UNOS requirements for designation as a Transplant Physician at UNOS accredited transplant programs. The Transplant Fellow is an integral member of the transplant team and receives broad, firsthand experience and training in all aspects of kidney transplantation, from evaluation prior to transplant to management of the recipient with a failing allograft. The fellow also is trained in the evaluation and management of multi-organ transplant recipients. Designated time is spent in pathology, the HLA laboratory and at Lifesharing, the local organ procurement organization. The fellow also receives training in handling of donor offers. The fellowship provides the opportunity for electives and involvement in clinical and basic research. The Transplant Fellow attends national AST sponsored educational programs as well as national transplant and nephrology meetings.
University of California San Francisco
The transplant nephrology training program at UCSF is a one-year clinical fellowship. Fellows will spend a total of 6 months on the inpatient service and 6 months in the outpatient setting. The inpatient service is a combined medical-surgical team and includes new transplant recipients as well as patients admitted for complications related to their transplant. The outpatient experience includes living donor evaluations, post-transplant clinic, recipient evaluation clinic, and a weekly selection conference. There is also protected time for research during the outpatient rotation. Didactic teaching includes a lecture series geared toward the transplant fellows (surgery and nephrology) 2-3 times a month, transplant journal club 2 times per month, daily review of pathology with an attending pathologist and transplant nephrologist, weekly renal grand rounds, and a structured HLA course.
University of Southern California
The mission of the University of Southern California Transplant Nephrology Fellowship Program is to educate Fellows in the comprehensive assessment and management of kidney transplant recipients. The training program at the Keck Medical Center of USC will provide fellows an excellent subspecialty education in this aspect of kidney diseases. The program is organized to provide the Fellow competency in the specialty as established by American Society of Transplantation and United Network of Organ Sharing guidelines.
Colorado
University of Colorado
The transplant fellowship program at the University of Colorado offers a comprehensive training program covering all aspects of Transplant Nephrology. We are a high-volume transplant center, performing over 250 kidney and kidney/pancreas transplants per year. The transplant fellowship year involves equal time spent in the inpatient and outpatient settings. Transplant nephrology fellows gain experience working closely with transplant nephrology faculty, surgeons, pharmacists, social workers, and nurses to provide exceptional care to our patients. Transplant nephrology fellows can expect to gain experience in pre-transplant donor and recipient evaluation and selection, post-operative immunosuppression management, evaluation and management of graft dysfunction, desensitization, and paired exchange. Our protocol biopsy program offers ample opportunity for fellows to gain biopsy experience. Optional time spent on a transplant infectious disease rotation is available. Dedicated time in our tissue-typing center will help fellows to gain expertise in cross-match techniques and interpretation. Year-round education is provided in the form of patient-specific bedside teaching, scheduled didactic sessions covering, but not limited to, the AST-recommended educational curriculum topics, journal clubs, and monthly transplant pathology conferences.
Connecticut
Yale University School of Medicine
The Section of Nephrology, Section of Transplantation and Immunology and Yale New Haven Transplantation Center offers an intensive year in advanced clinical training in Transplant Nephrology to applicants that have completed an ACGME certified Fellowship in Nephrology.
While the Fellowship is structured so that the Fellow will qualify as a UNOS certified Kidney Transplant Program Medical Director, our mission is to provide a scholarly training environment for fellows to become competent transplant nephrologists who will serve as future leaders of transplant programs and contribute academically to the field of kidney and pancreas transplantation.
The Fellowship offers a very thorough exposure to inpatient and outpatient management of kidney and pancreas transplantation, both before and after transplantation. Comprised of internationally recognized experts across a wide range of disciplines, the Yale Medical School offers vast research opportunities for fellowship candidates.
District Of Columbia
MedStar Georgetown Transplant Institute
The Medstar Georgetown Transplant Institute, located in the heart of Washington D.C. offers a one year AST accredited Transplant Nephrology Fellowship. Our center is not only one of the largest in the country but also one of the few to perform all four abdominal transplants (kidney, liver, pancreas, small bowel) and transplant fellows will gain exposure to all of these types of transplants. With over 200 kidney transplants and 25-30 pancreas transplants per year, we can offer experience in all facets of transplantation. The faculty includes a total of five transplant nephrologists with a wide breadth of experience.
The transplant fellow will be expected to primarily manage a panel of patients thereby adding depth to their educational experience. They will be invovled in all areas of kidney transplantation including kidney donation, pre-transplant evaluation, peri-operative management, and post-transplant care. We work closely with the program at Children's National Medical Center and during the course of the year the fellow will spend time there to gain exposure in pediatric transplantation as well. Beyond the size of the program, the true strength at MGTI is the collaborative approach with all aspects of the transplant team working as part of an integrated transplant institute ensuring that all disciplines including nephrology, surgery, histocompatability, and pathology work together in a collegial setting for the benefit of the patient. The fellow will be in regular conferences including weekly meetings with the HLA team to discuss issues in sensitization and tissue typing of patients,
weekly pathology conferences, and transplant grand rounds, as well as weekly listing and living donor discussions.
Our goal is for our graduates to be both clinically excellent and also be academically productive. A wide range of research opportunities are available including clinical studies, projects in medical education and basic science work in transplantation and the transplant fellow will be expected to complete a project in the course of the year long program. The Medstar Georgetown Transplant Institute can provide an excellent education for fellows regardless of what their ultimate career path will be.
Florida
Mayo Clinic Florida
Mayo Clinic's campus in Jacksonville, Florida, is a leading center for kidney and pancreas transplantation, performing more than 200 kidney transplants annually. Emphasis is placed on overcoming barriers to transplantation while optimizing patient and allograft survival. Active clinical programs in the transplant center include: Living-donor and deceased-donor kidney transplantation Combined and Pancreas alone transplantation HIV positive transplantation Paired kidney donor program Hepatitis C NAT positive transplants Mayo Clinic's Kidney-Pancreas Transplant Program is a multidisciplinary team consisting of transplant nephrologists, transplant surgeons, mid-level providers, allied health professionals and general nephrology fellows. The renal transplant fellow is an integral part of this team. In addition to kidney and pancreas transplantation, the transplant center integrates programs in liver, heart, and lung to specifically facilitate collaboration in clinical, research, and educational pursuits among transplant specialists at Mayo Clinic. Exposure to renal diseases affecting other solid organ transplant recipients provides renal transplant fellows with unparalleled experience. Transplantation at Mayo Clinic Florida is supported by Transplant Critical Care, Transplant Infectious Disease, and Transplant Pathology, as well as HLA lab, Radiology, and Apheresis. In addition to caring for patients in their clinical practices, Mayo Clinic's faculty members are committed to teaching and facilitating the growth of medical knowledge. Many of our faculty members have published and lectured extensively and are highly regarded in their fields. There is a full curriculum of didactic teaching and mentoring for research is readily available. The trainee is given dedicated time during the fellowship to pursue active research interests. In addition, support is provided to attend national and international meetings. Mayo Clinic in Jacksonville, Florida, has successfully graduated a number of renal transplant fellows as American Society Transplantation approved physicians. Our center continues to be recognized by AST as an approved center and offers trainees outstanding exposure to organ transplantation. Mayo Clinic welcomes applications from J1 visa holders and is an equal opportunity employer. Educational goals for the Renal Transplant Fellowship are to: •Proficiently manage kidney transplant patients throughout the continuum of care, from the initial evaluation process through long-term follow-up care •Prepare for a successful career in nephrology with an emphasis on kidney or pancreas transplantation or both •Apply innovative, multidisciplinary protocols for living-donor and deceased donor kidney transplantation •Achieve eligibility for future United Network for Organ Sharing (UNOS) certification in kidney and pancreas transplantation •Obtain expanded academic and research experience in the area of organ transplantation Accreditation Mayo Clinic's Renal Transplant Fellowship is accredited by the American Society of Transplantation through the Transplant Nephrology Fellowship Training Accreditation Program. The American Board of Internal Medicine also supports the fellowship as a nonstandard (N+1) program for foreign medical graduates on J-1 exchange visas. Certification Successful completion of the Renal Transplant Fellowship should allow you to meet criteria set forth by UNOS for designation as a renal transplant physician and a pancreas transplant physician. Program history The Renal Transplant Fellowship at Mayo Clinic's campus in Florida began in 2015. We anticipate that one trainee will complete this program annually. Mayo Clinic also has an established general Nephrology Fellowship at the Florida campus.
Miami Transplant Institute
The UM/JMH Transplant Fellowship Program provides a vast opportunity to nephrology transplant fellows due to the number of transplants done per year: approximately 500 kidney transplants this past year and around 30 simultaneous pancreas- kidney transplants. We also provide numerous procedure opportunities in particular kidney transplant biopsies. In regards to clinical experience in the outpatient setting, we have ongoing follow-up of 1,000 future transplant recipients on the waiting list as well as transplanted patients that are followed by a multidisciplinary team including our transplant nephrology fellow. Consequently there is a vast array of clinical and research opportunity for any nephrology transplant fellow especially as our LRD (living donor) program grows and more highly sensitized patients are being considered for transplantation at our center. Number of renal transplant fellows accepted annually: 2 Number of kidney transplants performed annually: 500
University of Florida
The division offers a 12-month fellowship training program in transplant nephrology accredited by the American Society of Transplantation (AST) Transplant Nephrology Fellowship Training Accreditation Program. In order to participate in the program, individuals must have completed a nephrology fellowship program and be board-eligible or board certified in nephrology. The educational program consists of six months on the inpatient kidney and pancreas transplant service, with the remaining months for more intensive outpatient clinical work, training in the transplant pathology and HLA laboratories, as well as elective rotation in another transplant service, and exposure to local OPO operations. The fellow is expected to participate in one or more scholarly research projects and will also participate in teaching residents and general nephrology fellows. We encourage attendance and presentation of research at national transplant meetings, including the American Society of Transplantation Fellows’ Symposium and the American Transplant Congress. Interested applicants should have completed, or plan to complete nephrology fellowship training and be board eligible or certified in nephrology.
University of South Florida
The Nephrology Transplant Fellowship at the University of South Florida is 12 months in duration. Applicants are required to be a board eligible or board certified Nephrologist. The goal of the transplant fellowship is to provide advanced/standardized transplant training to individuals who wish to lead renal and pancreas transplant programs. The program is accredited by the American Society of Transplant
(AST)/American Society of Nephrology (ASN) Adult Renal Accreditation Program Committee. The fellowship is comprised of clinical service, informal teaching, and more formalized conference teaching components. The clinical service time is divided between an inpatient and outpatient experiences. The fellow rotates at the following sites in Tampa, FL: Tampa General Hospital, LifeLink Transplant
Immunology Laboratory, and LifeLink Organ Procurement Organization.
Georgia
Emory University
The Nephrology Transplant program is designed for nephrology fellows who have completed training in general nephrology and wish to pursue additional training in transplant nephrology. The goals of the program are to give the transplant fellow training and experience in end-stage renal disease, training in the selection of appropriate transplant recipients and donors, clinical experience in the immediate and long term care of the transplant recipient, and training in the performance of renal transplant biopsies along with emphasis on the management of immunosuppressive agents and the evaluation or renal transplant dysfunction. The Nephrology Transplant Fellowship program consists of: •Transplant in-patient rotation – 6 months •Outpatient transplant clinic - minimum 10 months •HLA lab – 1 month •Solid organ transplant consult - minimum 2 weeks •Research – 4 months The nephrology transplant fellow will be the lead team member responsible for the inpatient transplant patients admitted to the transplant nephrology service. He/she will supervise 2 mid-level providers and work closely with the first year nephrology fellow to provide clinical care of the patients on inpatient and outpatient services. The nephrology transplant fellow will be supervised by the inpatient Transplant Nephrology Faculty while on inpatient service for 6 months of the training year. The fellow is expected to see at least 30 new kidney transplant patients for short term and 30 kidney transplant recipients for long term follow-up as set up in the guidelines by AST. The training is supervised by 7 Transplant Nephrology faculty at Emory University School of Medicine and Emory Transplant Center. The fellow will have opportunities to participate in research projects with Emory Transplant Center.
Iowa
University of Iowa
Kidney and kidney pancreas transplant services are provided at the University of Iowa Organ Transplant Center and at the affiliated VA Transplant Center. The University of Iowa transplant program is the only multi-organ transplant program (Kidney, Liver, Pancreas, Heart, Lung) in the State of Iowa. The VA transplant center is one of a handful of VA programs that perform kidney transplants and the only center that performs kidney pancreas transplants. Stable transplant inpatients are cared for on a multidisciplinary transplant unit where Transplant Nephrology has admitting privileges and primary responsibility for patients admitted to the Transplant Nephrology Service. Transplant Nephrology also provides consultative services to Transplant Surgery and Transplant Hepatology as well as patients with kidney and liver transplants who are admitted to all other services including critical care units. The AST accredited transplant nephrology fellowship program admits 1 fellow per year. The Transplant Nephrology fellow will be assigned for 6 months of inpatient transplant service, working with one of the Transplant Nephrology staff . The fellow will also be assigned 6 months outpatient rotations with several staff in the Transplant clinics. During the course of the rotation the fellow will learn the indications and complications of transplantation, the psychological impact of transplantation, and the principles of histocompatibility testing in the selection of donor kidneys. The fellow will also be exposed to the process of assessing suitability for living-related donor transplantation and will acquire an understanding of the modes of action, pharmacology, and complications of immunosuppressive drug regimens. By being involved in the workup and management of graft dysfunction, the fellow will learn to recognize the clinical pathology of acute and chronic rejection, drug toxicity, and recurrent primary disease and will gain experience in the needle biopsy of the transplanted kidney. In addition to the day-to-day management of the organ transplant service inpatients, the fellow will participate in the Outpatient Transplant Clinic and the Transplant Conferences. Elective rotations offered include Transplant Pathology, Tissue Typing Laboratory, Transplant Hepatology, Pediatric Nephrology, or Transplant Infectious Diseases. There are rich educational opportunities for the fellow including didactic lectures, teaching conferences, as well as bedside education that occurs in the supervised practice of transplant medicine. There are also research opportunities with three major areas of investigation relevant to transplant medicine represented within the institution: transplant immunology, complement disorders (including aHUS and C3G) and clinical trials.
Illinois
Northwestern University
The Northwestern Transplant Nephrology Fellowship consists of evaluating and managing kidney transplant candidates and recipients. The pre- and post-transplant management of kidney transplant candidates and the immediate post-operative management are a major focus of training. The fellow attends a required number of deceased donor procedures, kidney donor procedures, and other relevant surgical procedures in order to gain a thorough understanding of surgical issues related to care of kidney transplant recipients and allow UNOS certification.
University of Chicago
The transplant program at University of Chicago is a medium size program that serves a diverse range of patients. As the first transplant nephrology fellowship in Chicago, the program has a long track record of successfully training fellows since 2001. The fellowship provides a breadth of exciting clinical experience within a scholarly and academic framework, individualizing the program to the interests of the fellow and encouraging the trainee to grow and flourish as he/she gains clinical and academic skills.
University of Illinois at Chicago
Our Transplant Nephrology Fellowship program provides in-depth training in all aspects of kidney transplantation in an ethically diverse population: 43% African American, 32% Hispanic, 23% Caucasian. We performed 131 kidney transplants (about 60% live donor) last year. We have extensive experience in the management of crossmatch positive, ABO-incompatible and morbidly obese kidney transplant recipients. We also perform 22 liver transplants and about 13 pancreas alone and 12 simultaneous kidney pancreas transplants last year. Fellows will gain experience in the management of these patients as well.
Indiana
Indiana University School of Medicine
Transplant Nephrology Fellowship is a 7-year program and is accredited by the American Society of Transplantation (AST). Our program is designed to produce qualified transplant nephrologists in all aspects of transplant medicine, which includes understanding and applying innovative immunosuppression regimens, as well as extending their research experience in the field of solid-organ transplantation. Our 1-year and 3-year patient and graft survival of kidney transplant recipients are better than expected. The IU Health Physician Transplant Center's multidisciplinary kidney transplant team is comprised of many important staff members including skilled transplant surgeons, nurse coordinators, anesthesiologists, and surgical team members, pharmacologists, nephrologists, interventional radiologists, pathologists, dietitians, social workers, psychologists, nursing staff, chaplains, administrative staff and financial counselors. During the training, the fellow will primarily be located at Indiana University Hospital Organ Transplant Unit while also covering transplant-related issues, if needed at the other clinical services of the Indiana University School of Medicine.
Kansas
University of Kansas Medical Center
The University of Kansas Nephrology Fellowship Program was originally certified in 1986. Well over 100 fellows have graduated from the program since its inception. Traditional transplant nephrology clinical fellowship consists of twelve months of training that involve rotations in all aspects of transplant training. Renal transplant fellowship at the University of Kansas offers trainees a broad and in-depth learning environment in all aspects of transplant nephrology. The Center for Transplantation continues to grow, having completed over 200 kidney transplants in 2020. The transplant nephrology fellow serves an integral role in the management of transplant patients. Transplant nephrology provides an inpatient consultant service with orders for immunosuppression and internal medicine-based management, including fluid and electrolyte decisions. The transplant nephrology fellow works closely with the transplant surgery team, including the transplant surgery staff, transplant surgery fellow, and nurse practitioners. The transplant nephrology team determines the initial induction and maintenance immunosuppression decisions in co-management with transplant surgery. The daily adjustments to immunosuppression, including calcineurin inhibitor dosing and steroid management, are made by the transplant nephrology fellow. Adjustments to anti hypertensives, electrolyte supplementation, and dialysis orders are also primarily ordered by the transplant nephrology fellow. Additional experiences with the HLA lab (MTN is the first organ bank in the United States), transplant infectious disease, multiorgan transplant are available and can be tailored to suit the interest of the trainee.
Louisiana
Ochsner Medical Center
Ochsner is a tertiary care referral facility with over 1000 physicians, 8 hospitals, and the largest transplant center in the region. In 2020 despite the struggles and uncertainty caused by the pandemic we performed149 single kidneys 17 simultaneous kidney/pancreas, 11 Combined Liver/Kidney and 3 Combined Heart Kidney transplants. We also have a very active Heart, Lung, Bone marrow and Liver alone transplant programs. Currently we have 3 full time Transplant Nephrologists, 9 Transplant Surgeons, 20 Transplant Coordinators, and 10 advanced practice providers a tissue typing laboratory, and a world class Renal Pathologist. We have all the structure necessary to provide excellent care to our transplant patients and education to our trainees. Ochsner kidney transplant program was ranked # 2 in the nation by Carechex in 2012, and our liver transplant program has been ranked #1 i from 2012 to 2016. In 2018 our heart transplant program performed the 1000th heart transplant since his creation in the 1970’s. Two graduates from our ACGME approved Nephrology Fellowship program have joined 2 well recognized Transplant Nephrology Fellowship training programs, which speaks of our commitment to the education of our Nephrology Fellows. Our Transplant Nephrology Fellowship program will develop a dedicated, competent, academically oriented Transplant Nephrologist, who will deliver the highest standard of care to transplant allograft recipients with medical renal disease. In this era of lifelong learning, the core competency model and patient safety remain critical to the delivery of health care that is compassionate and driven by evidence-based medicine. The Transplant Nephrology Fellow will have a crucial role in the assessment and management of our allograft recipients during the evaluation process, transplant, and postoperative management phase.
The Transplant Fellow (with supervision provided by the Staff Transplant Nephrologist) will be responsible for the evaluation of transplant recipients, discussion during transplant selection meeting, perioperative care, performance of allograft biopsies, and follow up in our outpatient clinic. The fellow will provide co-management responsibility with the Transplant Surgeon from the perioperative through the outpatient period for all kidney and pancreas transplant recipients. The fellow (as an integral part of the transplant team) will be responsible for the selection and administration of induction and maintenance immunosuppression according with accepted protocols in our institution. By the completion of training, the fellow with be well versed in all the indications, contraindications and the potential side effects of using various immunosuppressive agents. Our transplant fellow will be able to attend CME meetings, generous benefit package, junior faculty appointment at our institution, vacations and enough time to study and learn in depth the field of transplant nephrology. Our multidisciplinary approach will provide an unparalleled experience according with the new trends in the practice of evidence-based medicine. The transplant Fellow with supervision provided by the staff transplant nephrologist) will be responsible for the evaluation of transplant recipients, discussion during transplant selection meeting, perioperative care, performance of allograft biopsies and follow up in our outpatient clinic. The fellow will provide co-management responsibility with the transplant surgeon from the perioperative through the outpatient period in both deceased donor as well as living donor transplant recipients. The fellow (as integral part of the transplant team) will be responsible for the selection and administration of induction and maintenance immunosuppression according with accepted protocols in our institution. His/her input will be critical for the decision-making process including indications, contra-indications and potential side effects.
The program has access to a wide range of resources to support the educational mission. A diverse and committed faculty is a key resource of the program and essential for the orchestration of daily educational activities. Which include: Daily teaching rounds, core curriculum lectures; longitudinal outpatient clinics, pre transplant and donor clinic, patient safety conference (morbidity and Mortality); transplant selection meeting, QAPI, patient care meeting as well as renal pathology conference twice a week with Vanderbilt Department of Pathology. The curriculum is designed to provide a comprehensive review of the core topics in transplant nephrology. In addition, daily mentorship, review papers and input from all members from the transplant clinic will create the fund of knowledge for our trainee. (Please see below other educational resources) The supervising faculty member bears medical and legal responsibility for all final decisions relating to the management of potential transplant candidates, transplant recipient and complications related with patient care. Supervising faculty will be committed to the educational goals and objectives of the Transplant Nephrology training program. Accordingly, the schedule of the supervising faculty member will be adjusted to allow for protected time during teaching rotations for the supervision of the fellow in both the in-patient and out-patient settings. Teaching rounds will be approximately 3 hours per day. If a conflict between service duties and educational activities occurs, the supervising faculty will be responsible for patient care activities and the fellow will be instructed to attend the educational conferences. The program director will be responsible for maintaining the balance between education and clinical responsibilities
Please see below the topics covered during the core curriculum lectures: CORES TOPICS: Transplant Immunology Pharmacology/Immunosuppression Medical Complications of Transplantation Organ Allocation Pretransplant Evaluation of the Recipient Pretransplant Evaluation of the Living Donor Graft Dysfunction Expected outcomes/Risk factors Special Issues in Pediatric renal Transplantation Pregnancy and contraception Ethics of transplantation Pancreas transplantation Kidney transplantation in other solid organs transplant recipients Transplantation of ABO-incompatible and cross match incompatible individuals Paired kidney exchange program Business and administrative aspects of transplantation Resource materials to be used: Ochsner Medical Library provides access to subspecialty journal and the electronic media to assist the fellow in the preparation of journal clubs, case reports and renal biopsy conference. These can be accessed from any computer at Ochsner and can also access it remotely from home. The Fellow will have access to the renal transplant core curriculum sponsored by the American Society of Transplantation The transplant Fellow is also encouraged to attend the General Nephrology lectures. Transplant fellow will have access to the electronic learning resources offered by the American Society of Transplantation. The transplant core curriculum will not interfere with lecture schedule with General Nephrology didactics The program will cover expenses for a CME activity in the field of Transplant Nephrology .Also our trainee will have access to the ASN learning distance program where the fellow will be able to review core topics of transplant nephrology by national experts in the area Research Opportunities: In addition to the daily clinical activities, fellows will be encouraged to participate in research/scholarly activities and to publish abstracts and other publications (case report, case series). The fellow is also welcome to participate in pharmacologic company sponsored research. Under faculty mentorship will participate in the design of the research project: including the development of hypothesis to be tested, appropriate methodology, results and statistical analysis. Faculty members will provide the background reading and theory for research projects The IRB has a series of lectures titled “Responsible Conduct in Research” Lecture series 2015 which are given in a monthly basis the second Tuesday of the month at 12 noon time. In the lecture the speaker usually addresses FDA regulations, legal and ethical aspects of research. These lectures will be incorporated into the core curriculum for the transplant nephrology fellow. All the trainees participating in research are required to take the CITI (Collaborative Institutional Training Initiative) course for the protection of human subjects. Completion of the CITI course is one of the requirements for protocol approval by the IRB. Ochsner Health system provides access to the required training through an interactive online tutorial. Among other the fellows will be given the opportunity to apply to the National Kidney Foundation of Louisiana for the Scientific Advisory Boards funding program. We have a General nephrology fellowship training program (with 6 positions available) which was approved by the ACGME in 2012 and underwent a very successful site visit in June 2015. Each General Nephrology fellow rotates 1 month per year (total 2 months during the entire training). We also have Nephrology fellows from Louisiana State University (LSU). About 6 months a year according with LSU schedule. We maintain an excellent relation with both programs and are delighted to provide a very comprehensive educational experience to both institutions. As a testimony two of our graduates chose to pursue a career in transplant nephrology and obtained positions at top class institutions in the United States. Due to the transplant volume in the last 5 years, we have observed a significant increase in-patient census, outpatient referrals, transfers from other institutions, transplant allograft biopsies and outpatient follow ups, therefore we have no doubt that all the trainees will have enough patients to meet their educational needs. Staff transplant nephrologist will meet with rotating fellow and transplant fellow to discuss patient assignment daily. New consults will be distributed in a sequential fashion to maintain balance and fairness. In the case more than a fellow is on the in-patient service the new consults will be rotated daily as well as the new transplants to maintain continuity of care throughout the period rotating in the acute setting.
Tulane University
The Transplant Nephrology fellowship program at Tulane Abdominal Transplant Institute is a one year, comprehensive clinical training program designed to provide the trainee with a well-rounded education in clinical kidney/pancreas transplantation, transplant immunology, and transplant clinical research. With approximately 125 kidney and pancreas transplant per year, the trainee will achieve the required expertise to independently care for transplant patients. The training includes exposure to multi-disciplinary care of kidney and pancreas patients, evaluation of liver disease patients for potential combined liver-kidney transplants, achieve expertise in performing and interpreting renal allograft biopsy, and the role of histocompatibility laboratory at its applications. The trainee will have dedicated time to pursue research and other educational activities.
Massachusetts
Beth Israel Deaconess Medical Center
We offer a Transplant Nephrology Fellowship Program certified by the American Society of Transplantation with a comprehensive, stimulating curriculum. The clinical component of our program will be tailored to the specific needs of the transplant fellow and will consist of: Clinical Component Six months of inpatient service, following our kidney and pancreas transplant patients as a senior fellow. Weekly Transplant meeting and conference. 4-6 out-patient clinics per week in Transplant Nephrology. You will evaluate pre-and post-transplant patients (Kidney, Pancreas candidates), communicate with their referring nephrologists and present these patients at Kidney Intake meeting. Performing outpatient transplant biopsies. Observation of as many transplants as possible, joining surgeons on local retrievals of organs for both kidney and pancreas. One month spent in transplant pathology/radiology training. One month spent in the histocompatibility lab. Three months will be spent on a guided independent research project. Didactic Component Guided independent study Weekly research conferences in transplant-related subjects by local and invited speakers. Attendance at American Transplant Congress Annual Meeting and the American Society of Transplantation Fellow's conference.
Brigham & Women's Hospital
The Division of Renal Medicine at Brigham and Women’s Hospital (BWH) is offering a unique clinical and research renal transplant fellowship opportunity. This is a 2-year program accredited by the American Society of Transplantation. Upon completion of the training, the individual will be UNOS certified Transplant Nephrologist. The fellow will manage complex kidney transplant cases including highly sensitized patients and kidney transplant recipients who received heart and lung allografts. The fellow will have the opportunity to participate in a unique experience of managing patients who received Vascularized Composite Tissues (VCA) transplantation that include face and limb transplants performed at BWH. In addition to clinical work, the fellow will complete a post-doctoral research fellowship in an area of research in the Transplantation Research Center (TRC), part of the Division. There are over ten investigators in the TRC and the Renal Division who are engaged in clinical, translational or basic research in kidney transplantation or immunogenetics. Fellows will have the opportunity to work with an investigator on a focused area of research which will lead to a deeper understanding of the immunobiology, physiology, pharmacology, or risk factors and clinical outcome of kidney transplantation. BWH has the oldest transplant program in the country with the first successful kidney transplant performed in 1954. The BWH’s nephrology fellowship training is one of the top-rated programs in the country and the transplant nephrology program provides the best opportunities for training transplant nephrologists. Many of its graduates are leaders and directors of academic transplant programs in the United States and abroad. Required application documents include a cover letter, curriculum vita, statement of research interests and copies of three representative papers. Please also provide the names and contact information for three to five references. Candidates should send the required documents to Evelyn Ramirez at the following address: eramirez@rics.bwh.harvard.edu Applicants must be US citizens or permanent residents at the time of acceptance into the program. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Massachusetts General Hospital
The program is American Society of Transplant (AST) approved. Typically, there is one transplant nephrology fellow, one clinical nephrology fellow, one transplant surgical fellow and a fourth-year surgical resident, a third year surgical resident and an intern on the service. The program is integrated between the surgery and the nephrology fellowship programs in order to benefit from the expertise of all its members. The program thrives from a true multidisciplinary effort. Staff coverage and supervision in the transplant unit is provided by both a staff transplant surgeon as well as a staff transplant nephrologist at all times. Transplant rounds are held daily with the transplant surgeon and transplant nephrologists, residents, fellows, and other support staff in attendance. Decisions regarding immunosuppression are made with reference to jointly established policy guidelines and protocols. Infectious disease consultants are present on morning rounds and available at all times. A transplant pharmacist is present at morning rounds. There is a weekly transplantation conference, which again brings together members of the different departments working in transplantation-related fields. During these sessions, invited guests both national and international, present different areas in the field of transplantation. The fellow also has the opportunity to present research and clinical reviews at these conferences.
Maryland
Johns Hopkins University
Our transplant nephrology fellowship program is a one-year program that provides a clinical training in the transplant nephrology field. We accept candidates who completed at least two years general nephrology fellowship training. Our mission is to provide comprehensive training in transplant nephrology to feed the national transplant workforce with physicians well-equipped to provide high quality patient care, promote innovation, advance transplant research, and severe as future leaders in the transplant community.
University of Maryland Medical Center
The fellows are Provided one-to-one teaching by the faculty for each patient that the fellows sees as inpatient or outpatient. We have a weekly Monday didactic meeting, 12-1 PM, with speakers from the medical center and SOM and outside institutions and journal clubs. The weekly Nephrology Grand Rounds on Tuesdays 1 -2 PM, includes transplant related topics from time to time. All the biopsies of the
week are reviewed on Friday 1 -2 PM i a multidisciplinary meeting with great educational value for the fellows. Each week the fellow(s) have a one-to-one didactic session for an hour to review a chapter from: Kidney Transplantation, Principles and Practice, by Knechtle, Marson and Morris. In addition, the fellow(s) have a 2 week rotation in the department of pathology working closely with Dr. Drachenberg, reviewing the biopsies; and a 2 week rotation in immunogenetic laboratory with Dr. Kukuruga to learn about HLA typing, crossmatch and HLA antibody analysis and related techniques and topics. The fellows are also required to attend the AST fellows symposium and AST annual meeting and join the TTS and AST (all paid by the program). The fellows are instructed to take advantage of educational material/activities provided by these transplant societies. We assure that all the items specified in the AST?ASN curriculum are covered with all these didactic venues. The fellow(s) spend 6 months on inpatient services (both transplant surgery and transplant medicine services) and one month of pathology/HLA lab rotations. The fellows spend a month in the outpatient clinic located on transplant floor (TCC) dedicated to new patients within the first4-8 weeks posttransplant. They have a weekly posttransplant clinic throughout the year, and during the 5 months not on inpatient service or vacation time, they have a weekly recipient evaluation clinic and a weekly living donor clinic. The fellows will have 1-3 months of research rotation depending on the type of project they choose to work on. The remaining time is allocated for the electives that the fellows chooses, including transplant surgery, TCC, pathology, immunogenetics, urology, transplant infectious disease, or transplant hepatology.
Michigan
Henry Ford Hospital
The transplant fellowship program at the Transplant Institute at Henry Ford Hospital provides an academically sound atmosphere to nephrology for training into excellent transplant physicians. 70% of the fellows who have trained here have gone into practice at academic transplant centers.
University of Michigan
The Transplant Nephrology Fellowship Training Program is a comprehensive clinical and research program in which the trainee will acquire extensive experience in both the outpatient and inpatient setting. The program is directed by Raviprasenna Parasuraman, MD. Please see below for the requirements and application process for the Transplant Nephrology Fellowship Training Program. Program requirements: •ABIM-certified in Internal Medicine •ABIM-certification eligible in Nephrology •Citizenship/Immigration status: Applicant should be an American citizen or Alien Resident (Green Card bearer). J1 and H1B visa status are not acceptable •Applicant should meet all of the criteria established by the University of Michigan Medical School for a clinical appointment as Lecturer in the Department of Internal Medicine Required documents to submit for review: •Cover letter addressed to Raviprasenna Parasuraman, MD (Director of the U-M Transplant Nephrology Fellowship) •Updated CV •Two letters of recommendation Submit required documents to the below mailing address: Raviprasenna Parasuraman, MD Transplant Nephrology Fellowship Program Director Department of Internal Medicine 1500 E. Medical Center Drive 3914 Taubman Center, SPC 5364 Ann Arbor, MI 48109-5364 lindapre@med.umich.edu. Interview and recruitment process: •The applicant should have a current MI medical license and meet all requirements for credentialing. •If considered a suitable candidate, U-M will schedule a phone interview. •If phone interview is successful, candidate is invited for a formal interview at U-M (expenses covered by the applicant). •If candidate is selected, electronic communication will be used for notification. Once the candidate accepts the position, Dr. Subramaniam Pennathur (Chief of Nephrology) will issue a formal letter of offer. For more information about our Transplant Nephrology Fellowship Training Program, please contact: Linda Prevost Transplant Nephrology Fellowship Program Coordinator Department of Internal Medicine 1500 E. Medical Center Drive 3914 Taubman Center, SPC 5364 Ann Arbor, MI 48109-5364 Phone: 734-936-6381 lindapre@med.umich.edu.
Minnesota
Mayo Clinic Minnesota
The Renal Transplant Fellowship at Mayo Clinic's campus in Rochester, Minnesota, is a one-year accredited program. It offers fellows exposure to a large number of routine kidney and pancreas transplants, as well as exposure to highly complex cases requiring specialized expertise. These include highly sensitized recipients, patients with glomerulonephritis and high risk of recurrence, and complex living
kidney donors. Fellows gain exposure to a large living-donor program and a kidney paired donation program. The program is also known for long-term follow-up that incorporates protocol biopsies. Educational goals for the Renal Transplant Fellowship are to: • Proficiently manage kidney transplant patients throughout the continuum of care, from the initial evaluation process through long-term follow-up care
• Prepare for a successful career in nephrology with an emphasis on kidney and/or pancreas transplantation • Apply innovative, multidisciplinary protocols for living and deceased donor kidney transplantation • Achieve eligibility for future United Network for Organ Sharing (UNOS) certification in kidney and pancreas transplantation • Obtain expanded academic and research experience in the area of organ transplantation.
University of Minnesota
The Transplant Nephrology Fellowship offers strong training in kidney and pancreas transplantation. With our annual transplant rates of nearly 200 kidneys from living and deceased donors and more than 30 pancreas transplant with or without kidneys, trainees will find a rich environment to develop the skills needed to thrive and grow as a transplant clinician in any program they choose after training. We also offer a substantial research exposure with our very own long-standing University of Minnesota database and the SRTR standard analysis file. On our consultative clinical services we work closely with the transplant surgical team and different medical groups who serve as the primary inpatient teams for transplant recipients at various stages of their care. Additionally, we offer a long research block, transplant infectious disease rotation, and an HLA lab block. Our fellows enjoy a light call schedule, which consists of weekend call just once per month and no overnight calls. This one-year fellowship is accredited by the Transplant Nephrology Fellowship Training Accreditation Program and graduates are qualified to head United Network for Organ Sharing (UNOS) transplant nephrology programs.
Missouri
Washington University
The Transplant Nephrology Fellowship at Washington University/Barnes Transplant Center provides multidisciplinary training in all aspects of Transplant Nephrology and Kidney-Pancreas transplantation, since we began training fellows since 2001. Our center performs 300 living and deceased donor kidney transplants per year, performs ABO incompatible and paired kidney exchanges, follows over 3,000 patients for the lifetime of the kidney transplant, and performs 100+ kidney allograft biopsies per year. Our OPO is unique in that it has its own center where fellows are able to observe procurements without leaving the city. There is close collaboration between transplant nephrology and transplant surgery including joint daily teaching rounds and co-management of patients. The Transplant Nephrology team performs necessary nephrology consultation for recipients of other solid organ transplants (liver, heart and lung) and we do combined organ transplants. The transplant fellow will receive excellent inpatient and outpatient clinical training, spending a cumulative 6 blocks in each realm. Fellows will learn about selection of transplant and donor candidates, recommend and manage induction and maintenance immunosuppression, manage the care of transplant patients before and after their transplant, and evaluate and treat a variety of conditions including allograft dysfunction, rejections, and infections. Fellows will have time for reading and research and regularly present their work at conferences. Our long-term follow-up of patients provide ample opportunity for developing questions for research projects. We have weekly transplant didactics and journal clubs geared toward the education of fellows to prepare them for practice. Fellows case conferences and renal grand rounds are additional weekly educational events. Fellows have dedicated protected time in the HLA laboratory with our HLA director, and have dedicated elective time joining rounds and clinics of another non-renal transplant service. Fellows have regular interaction with our nephropathologist when we review biopsy cases during regularly scheduled meetings. By the end of the transplant fellowship, our fellows will be independent physicians, capable of becoming medical director of a kidney transplant program.
North Carolina
Duke University Medical Center
The Duke University Transplant Center and Division of Nephrology are excited to offer a one year fellowship to qualified board eligible nephrologists interested in a career in transplant nephrology. This 12-month program offers a unique multidisciplinary training experience in a thriving kidney transplant program, which performs over 150 kidney transplants annually. As a high volume solid-organ transplant center, trainees are exposed to a diverse patient population that includes recipients of liver, heart, and lung transplants. With joint nephrology-surgery inpatient rounds and an integrated outpatient clinic, trainees participate in patient care beginning with the transplant event, and follow newly transplanted patients from their first visit to the outpatient clinic. This allows trainees to have continuity of care with individual patients throughout their first year of transplant. Trainees will additionally be provided a strong mix of learning opportunities that span the year. These include a structured didactic curriculum, access to a comprehensive on-line lecture series, teaching opportunities in the general nephrology fellowship transplant curriculum, a guided review of seminal articles in transplantation, and a hands-on rotation in the transplant HLA-laboratory. Fellows will attend transplant administrative and clinical conferences to get a complete look at the inner processes of a large academic transplant program. These include participation in the Donor and Recipient Selection Committees, the Quality and Performance Improvement meetings, Program Retreats, and the Morbidity and Mortality conferences. Trainees are encouraged to pursue research or other academic projects throughout their year, and are given access to accomplished faculty with a wide array of interests in nephrology, immunology, and kidney transplantation. Faculty are committed teachers and mentors, dedicated to the career development and long term success of our trainees. The ultimate goal of our transplant nephrology fellowship is to develop both complete physicians, comfortable with all aspects clinical transplantation, as well as capable leaders with the knowledge and ability to direct a multidisciplinary transplant program.
University of North Carolina
The transplant nephrology fellow is involved in the care of kidney and pancreas transplant recipients at all stages of the transplant process. The transplant nephrology fellow attends approximately 50 outpatient transplant clinics per year and rotates on the inpatient service at least 6 months per year. The transplant nephrology fellow is supervised by a transplant nephrology faculty member during all clinics and by a nephrology faculty member during all inpatient rotations. In the clinic the transplant nephrology fellow performs approximately 15 new donor evaluations, 50 to 75 new recipient evaluations, and 300 established kidney and pancreas recipients per year. The transplant nephrology fellow is responsible for directing the evaluation process for all donors and recipients they evaluate, for interpreting their test results, and for attending weekly multidisciplinary selection conference where the fellow provides input regarding listing status decisions. Post-transplant outpatient care is shared by transplant nephrology and transplant surgery for the first perioperative care month before transitioning to primary transplant nephrology care at 1 month post-transplant. The transplant nephrology fellow, under the supervision of a transplant nephrology faculty member maintains primary decision making responsibility for these patients with regard to transplant immunosuppression, evaluation of allograft function, infection prophylaxis, and management of comorbid medical conditions. The transplant nephrology fellow will maintain continuous outpatient follow-up of at least 30 transplant recipients for at least 3 months. Inpatient rotations include 6 months of inpatient responsibility including performance of new consultations and follow-up consultative care for all kidney and pancreas recipients hospitalized at UNC Hospitals. This includes consultative comanagement with the transplant surgery service on all new transplants and consultative care of transplant recipients on other hospital services including the inpatient nephrology service. Duties include co-management with the transplant surgery team of immunosuppression decisions in at least 30 new transplants per year. The transplant nephrology fellow attends daily rounds with the transplant surgery service including a nephrology attending on rounds. The transplant nephrology fellow also rounds with the assigned nephrology attending on all kidney and pancreas transplant patients on services other than transplant surgery. Additionally, recipients of other solid organ transplant (lung, heart, kidney) requiring nephrology consultation are seen by the transplant nephrology fellow. All inpatient kidney and pancreas recipients and recipients of other solid organ transplants with kidney disease are discussed at these rounds. Clinical decisions include adjustment of immunosuppression, evaluation of allograft dysfunction, treatment of rejection or infectious complications, and advice regarding management of medical problems including diabetes mellitus and hypertension. The transplant nephrology fellow directs ESRD care of these patients including dialysis as needed. Transplant biopsy responsibilities are shared with the general nephrology fellows. The transplant nephrology fellow performs a minimum of 10 kidney transplant biopsies during their fellowship. The transplant nephrology fellow rotates in the histocompatibility laboratory at least 2 weeks per year.
New York
Columbia University Medical Center
The CUMC Transplant Nephrology Fellowship provides comprehensive clinical training in all aspects of kidney transplantation in a very busy academic renal/pancreas transplant program utilizing high KDPI deceased donor kidneys, + cross match protocols, paired kidney exchanges and ABO incompatible transplants. The Fellow does 6 months on the in-patient service and 6 months out-patient, working closely with the Transplant Nephrologists and Surgeons on a daily basis with progressively increasing responsibilities. The Fellow is fully involved with decision-making and is a very important member of the patient care team. By the completion of their training, our Transplant Fellows will have expertise in caring for patients in every stage of the transplant process, including pre-transplant evaluation and selection, hospitalization for the transplant procedure, in-patient and out-patient post-transplant care – early after transplantation and long-term, as well as live donor evaluation and selection.
Montefiore Medical Center
Montefiore/Einstein’s Kidney-Pancreas Transplant Program performs 160-185 kidney transplants each year including combined kidney and pancreas, liver, heart and lung transplants. Our program currently follows over 1,500 kidney transplant recipients providing comprehensive patient care, education and training experiences, and clinical and translational research opportunities. Our transplant nephrology fellowship provides a broad experience in all aspects of kidney transplantation, including inpatient and outpatient kidney pancreas transplant recipient and immunosuppressive management, performing transplant kidney biopsies and interpretation of the biopsies, consultation services to non-renal transplant patients, and participation in clinical and translational research. Educational activities In addition to Grand Rounds and Journal Clubs from General Nephrology, we have the following weekly meetings: Morbidity and Mortality to discuss new transplants and post-transplant complications and hospitalizations Donor Advocate Committee meetings to present potential kidney donors Transplant journal club Recipient Review Committee meeting Every year, at the American Transplant Congress, we have multiple abstracts accepted for presentations. Our transplant fellow is encouraged to participate in the multiple research studies and is expected to participate in the yearly American Society of Transplantation symposium. Application Candidates must be board certified or board eligible in Nephrology.
Interested applicants should send CV/letter to: Enver Akalin, MD, FASN, FAST Medical
Director, Kidney and Pancreas Transplant Program Director of Transplant Nephrology Fellowship Montefiore Medical Center 111 East
210th Street Bronx, NY 10467 Tel: 718-920-4815 Email: eakalin@montefiore.org.
Mount Sinai School of Medicine
The one-year nephrology fellowship provides a broad experience in all clinical aspects of kidney and pancreas transplantation in a busy transplant service. During this year the fellow spends a minimum of six months on the inpatient service where they will be involved in the care of renal transplant recipients preoperatively and post-transplantation. In addition, they will be involved in the clinical management of renal-related problems in non-renal transplant recipients.
New York University Langone Medical Center
The kidney transplantation program at NYU Langone Transplant Institute caters to a diverse population of patients from the New York area and across the nation who have chronic kidney disease (CKD). We perform approximately 175 kidney transplants annually and provide comprehensive transplant services to patients who have CKD and end-stage renal disease (ESRD). These services include evaluation for kidney transplant candidacy, preparation for transplant and follow-up care for those on the waiting
list, and acute and ambulatory post-transplant care. Our one-year transplant nephrology fellowship program provides experience and training in all aspects of kidney transplantation. As a fellow, you manage kidney and dual-organ transplant recipients—including liver–kidney, kidney–pancreas, heart–kidney, and lung–kidney—under the supervision of our transplant nephrologists and surgeons, who collaborate to provide outstanding patient care. We accept one candidate each year into the fellowship program. In our program, you receive in-depth training in transplant immunology, human leukocyte antigen (HLA) typing and cross-match testing, kidney allocation
policy, and renal allograft pathology, and become skilled in performing renal allograft biopsies. You also gain experience in the innovative solutions we offer high-risk transplant patients, including ABO-incompatible transplants, HLA-incompatible transplants, and kidney paired donation protocols. This experience helps you build skills and expertise in techniques offered only at a handful of centers across the country. Additionally, you have the opportunity to contribute to and participate in ongoing clinical research at the Transplant Institute. If you choose, you may also participate in translational and basic science research in immunology and transplantation in the context of the
broader NYU Grossman School of Medicine community. Eligibility Candidates for this fellowship must have completed or be in the process of completing an Accreditation Council for Graduate Medical Education (ACGME)–accredited nephrology fellowship program. How to Apply The fellowship starts in July. We begin accepting applications in July of the preceding year.
State University of New York at Buffalo
The State University of New York at Buffalo has 1-2 opening(s) for one year ASN/AST certified Transplant Nephrology Fellowship. The Transplant Center at Erie County Medical Center performs more than 144 kidney transplants per year. Candidate must complete 3 years of accredited internal medicine residency program and at least 2 years of accredited nephrology fellowship program. Interested applicants should submit a letter of interest, curriculum vitae, and at least 3 letters of recommendation to ubnephr@buffalo.edu. The trainee will be expected to perform at the level of Clinical Instructor in Medicine within the Department of Medicine. At the end of training, the trainee will qualify as the primary physician of any kidney-pancreas transplant program in the country. Salary is commensurate with PGY level and UB is an EEO employer.
Weill Cornell Medicine
The Transplant Nephrology Fellowship Program at NewYork-Presbyterian/Weill Cornell Medicine (NYP-WCM) provides advanced education and training to the future generation of transplant nephrologists. Our kidney transplant program has a long and distinguished history having performed the very first kidney transplant in the New York tri-state region in October 1963. Our Department of Transplantation is comprised of prominent clinicians and scientists committed to training the next generation of physicians. We have an ideal balance of clinical medicine and basic, translational and clinical research. Our faculty consists of 7 transplant nephrologists, 3 kidney transplant surgeons, 2 kidney pathologists, and 6 histocompatibility experts. Our program is unique in that two of our clinical faculty, Drs. Manikkam Suthanthiran and Darshana Dadhania, have expertise in histocompatibility testing and are New York State licensed Directors of Immunogenetics and Transplantation Laboratory. Our faculty are nationally recognized leaders by societies such as American Society of Transplantation, American Society of Nephrology, American Society of Histocompatibility and Immunogenetics, The Transplantation Society, and International Society of Nephrology. We have a highly productive research laboratory with continuous NIH funding for the past three decades. Our Gene Expression Profiling (GEM) Laboratory under the leadership of Dr. Suthanthiran has pioneered the development of noninvasive biomarkers to ascertain kidney status and has functioned as the Molecular Core for multi-center NIH sponsored Clinical Trials in Organ Transplantation. Our faculty has active research projects focused on developing mRNA/miRNA profiles predictive of acute rejection in kidney allografts, allograft fibrosis, diagnosis and prognostication of BK virus nephropathy and studies of alterations in the gut microbiome in kidney allograft recipients. Our graduates of transplant nephrology fellowship are academic faculty at prestigious institutions such as University of Michigan, University of Chicago, University of California at San Francisco and NYP/Weill Cornell Medicine and Hamad Medical Corporation/Weill Cornell Medical College in Qatar. In 2020 we performed 102 living donor transplants, 88 deceased donor transplants, 4 pancreas/kidney, 4 liver/kidney and 64 liver.
Ohio
Cleveland Clinic
The Cleveland Clinic department of Nephrology & Hypertension is pleased to offer specialized training in the field of transplant nephrology. This is a one year fellowship sanctioned by the AST Transplant Nephrology Fellowship Training Accreditation Program, LLC and is designed to provide a clinically rigorous and academically stimulating year dedicated to produce nephrologists competent in managing a highly complex transplant patient population and potentially direct a transplant program of their own. Interested applicants should visit the Cleveland Clinic nephrology fellowship website.
The Ohio State University Wexner Medical Center
The Comprehensive Transplant Center at The Ohio State University Wexner Medical Center is one of the largest organ transplant programs in the US, performing approximately 300 kidney and 20 pancreas transplant annually. The six full-time transplant nephrologists participate in all aspects of patient management along with the transplant surgeons. Post-transplant care is provided as a multidisciplinary, collaborative model both in the inpatient as well as the outpatient settings. The Center also provides long-term care for the duration of the allograft function. The transplant nephrology fellow participates in the management of kidney and pancreas transplant
recipients at all stages of their transplantation starting at the pre-transplant evaluation. The transplant nephrology fellow attends two outpatient clinics while on inpatient service and three clinics while on electives. Patients in these clinic include living kidney donor candidates, patients undergoing pre-transplant evaluation, early post-transplant as well as long-term follow-up. In this setting the fellow has the opportunity to evaluate and manage immunosuppression regimen as well as the common post-transplant complications such as glucose intolerance, hypertension, opportunistic infection etc. Attending the long-term management clinic allows the fellow to understand
the concepts of safe immunosuppression reduction, prevent cardiovascular morbidity and manage the various metabolic complications associated with long-term immunosuppression. Once the patient’s overall assessment is complete the fellow presents the case to the multidisciplinary committee for the final decision. These activities allow the fellow to maintain independence in patient assessment while obtaining the necessary education and supervision. In the post-transplant setting, all the newly transplanted patients are co-managed by the surgical and nephrology teams in the daily multidisciplinary rounds. The fellow has the opportunity to independently assess patients and participate in the management of immunosuppression as well as the medical problems on a daily basis. Immunosuppression is administered based on the institutional protocols unless patients experience adverse effects or participating in clinical trials. Alteration of immunosuppression is typically a joint decision between the surgeons and nephrologists following a discussion of the risks and benefits of the proposed changes. A similar approach will be taken in the management of patients readmitted to the hospital at any time following the transplantation. Each transplant nephrology fellow is required to do up to eight months of inpatient rotations during the training period. In terms of evaluating the renal transplant dysfunction, the fellow will be exposed to the various causes of acute and chronic dysfunction both in the inpatient and outpatient settings. The evaluation process takes into account the immunological and the non-immunological causes with the appropriate selection of the investigations. The fellow performs the transplant kidney biopsy when indicated followed by the examination of the pathology slides along with the renal pathologist. He/she will participate in the discussion regarding the management of the patient once all the evaluation is complete. Fellows attend the administrative meetings each week including the transplant pathology conference, high-risk patient discussion, renal care committee and patient selection committee meetings. In general, the transplant
nephrology fellow is expected to perform at the level of a junior faculty since he/she has completed the traditional nephrology fellowship and is Board eligible. Therefore, he/she is allowed a significant amount of input in all the decisions regarding the immunosuppression as well as patient management.
University Hospitals Cleveland Medical Center
University Hospitals Cleveland Medical Center Division of Nephrology is currently seeking a qualified applicant for its American Society of Transplantation (AST)/American Society of Transplant Surgeons (ASTS) accredited transplant fellowship for the academic year beginning July 2021. University Hospitals provides an opportunity to pursue advanced training in clinical transplant nephrology and to undertake mentorship in research. Graduates may pursue a career in either academic medicine or private practice as a transplant physician and fulfill qualifications to be a transplant program medical director. Applicants must have completed at least two years of general nephrology fellowship training. The transplant fellowship involves one year of training that integrates the six core competencies (patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based learning). Each fellow will participate in clinical training, teaching and scholarly activities. Transplant fellowship training involves all aspects of pre-transplant care including list management, kidney donor evaluations and assessment and acceptance of deceased donor organs, as well as post-transplant care including performing biopsies and management of immunosuppression. Our fellows have firsthand experience in immunology through rotations in the HLA lab and transplant kidney biopsy assessments with pathology; they work closely with our surgical colleagues during multidisciplinary rounds and have the opportunity to scrub in on kidney transplant surgeries. Our sites of practice include in-patient and continuity clinics at UHCMC. After one year of clinical training, our goal is for graduates to be capable and confidant in independently evaluating and managing patients with a wide variety of kidney transplant related issues.
University of Cincinnati College of Medicine
Educational Program: Clinical and research component of one-year fellowship – Clinical components consist of outpatient and inpatient experience. The transplant fellowship will provide a broad-based experience in all aspects of kidney transplantation, including inpatient (at least 6 months) and outpatient care of transplant patients (4 months), performance of renal allograft biopsies and mandatory
training in pathology, immunology, tissue typing and immunosuppressive protocols (2 months of elective time). This experience is provided in an acute care setting at University of Cincinnati Medical Center with on-site supervision by full-time faculty. The University of Cincinnati Transplant Program is a leader in clinical research protocols and the fellow will be expected to develop a research project during the
fellowship, resulting in an abstract presentation or publication. Adequate resources, supervision and mentors are available for research activities for the fellow. Clinical and research component of two-year fellowship – same as for one-year program, with an additional research related to transplantation. This will be combined with the responsibilities of a one-year program and spread out over two years.
Resource Materials: Educational material in forms of PowerPoints, NephSAP reviews, Board review courses and books and journals. All of these are available on the computers in the fellows’ office and library and can also be accessed on their personal computers/tablets from home or anywhere else. Weekly Clinical and Educational Schedule: Monday: 9:00am - rounds with surgery; Morning: post-txp clinic;
Afternoon: QAPI and Selection meeting; 2- 4pm - Clinical Transplant Conference, 4:30-5:00 - Biopsy Review Tuesday: 9:00am - rounds with surgery; Afternoon: pre-transplant clinic; 4:00 -Transplant Journal Club; 5:00-5:30 - Biopsy Review Wednesday: 9:00am - rounds with surgery; Morning: post-transplant clinic; Afternoon: pre-transplant clinic; 5:00-5:30 - Biopsy Review Thursday: 9:00am - rounds with
surgery; Donor evaluation (few times/month); 4:30-5:00 Biopsy Review Friday: 9:00am - rounds with surgery; 12:00pm - Transplant Lecture Series; 4:30 - 5:00 Biopsy Review Clinical responsibilities/Didactic sessions: We have daily multidisciplinary rounds with transplant nephrology, surgery, pharmacy, nursing, social workers, and other ancillary staff. There is didactic teaching on these rounds, along with clinic teaching. The fellow is always supervised by a transplant attending.
Ontario
London Health Sciences Center University Hospital
In our program the renal transplant fellow plays an instrumental role in the pre-operative, peri-operative and post-operative care of recipients'. Over the course of twelve months the transplant fellow completes the following rotations; six months of in-patient care, and six months of outpatient clinics (e.g. recipient follow-up clinics, potential recipient and donor clinics). Along with the Attending Nephrologist, the fellow grades the overall immunologic risk and recommends the immunosupression regimen. The fellow conducts daily in-patient rounds on recipients, monitoring allograft function and immunosuppression drug levels. After discharge a recipients' clinical course is closely monitored by the fellow in the follow-up clinic. Along with the Attending Nephrologist the fellow manages short-term and long-term transplant complications detected during follow-up clinic visits. Scheduled didactic teaching is provided in monthly academic half-days, where preset topics are reviewed/discussed between the fellow and a Nephrology consultant. The topics of the didactic sessions range from basic immunology to common clinical scenarios (i.e. acute cellular rejection/induction immunosuppression). This will enable the transplant fellow to understand the mechanisms and appropriate treatment of conditions encountered during the clinical rotations.
McMaster University
The McMaster University Renal Transplant Fellowship Program is a fellow focused and centered program with a strong emphasis on competency based education provided in the form of protected academic half days, journal clubs, retreats, simulation and procedural training and a comprehensive curriculum emphasizing the knowledge, skills and attitude required to become a proficient transplant nephrologist. The program's vision is to empower our learners to strive for excellence and innovation in all CanMEDS domains to become skilled, responsible, professional, competent and compassionate transplant clinicians providing patient-centered care.
Over the one year of training, fellows are exposed to in-patient transplantation whereby they oversee the care of acute and chronic transplant patients. In addition, fellows are provided a unique longitudinal clinic during their training to develop competency in pre and post-transplant care of patients. Other specific rotations include immunology and histocompatibility, transplant infectious disease clinics, research, pathology and elective rotations. The program performs various types of deceased donor transplantation as well as performs low and high risk living donor transplantation including HLA and ABO incompatible and living donor paired exchange. The program emphasizes collaboration with transplant surgeons and inter-professionals and provides fellows numerous opportunities to build competency in the provision of clinical care, research and quality assurance.
University of Toronto
The Renal Transplant Fellowship Program at the University of Toronto offers broad and in-depth training in all aspects of transplant nephrology. As a high volume centre performing over 200 kidney transplants per year, the program offers fellows a wide variety of experience in all aspects of transplantation. Patients are admitted under the transplant nephrology service, which allows fellows to gain hands-on experience selecting and managing immunosuppression. By the end of their training, fellows will have had extensive experience managing living-donor transplant and deceased donor transplants from a wide range of donors, including expanded criteria, donation after cardiac death, and exceptional distribution donors. The Renal Transplant service also admits or consults on patients post-transplant who present with a wide variety of medical and surgical issues, further broadening the clinical experience. The Renal Transplant Program also participates in the national Kidney Paired Donation program. There is also exposure to pancreas transplantation in one of the largest pancreas transplant programs in North America. Fellows participate in pre-transplant recipient assessment, living-donor assessment and post-transplant clinics. The Renal Transplant Program follows approximately 2500 post-transplant patients, ranging from one week to more than forty years post-transplant. There is extensive exposure to the latest HLA Laboratory technology in evaluating immunologic risk pre- and post-transplant. In addition to clinical experience, the formal education program includes: weekly seminars covering key topics in renal transplantation; weekly Multi-Organ Transplant Program Rounds, featuring topics and research relevant to all organ groups; weekly renal transplant journal club; Multi-Organ Transplant Program Fellows' seminars; City-wide Nephrology Rounds; interactive seminars on ultrasound and renal biopsy performance; and biweekly renal biopsy rounds, which includes discussion of both native and renal transplant biopsies The Renal Transplant Fellowship is intended for physicians who have completed their training in Internal Medicine and Nephrology.
Oregon
Oregon Health & Science University
Oregon Health & Science University was the first health facility in the Western United States to initiate a transplant program. Since the founding of the program in 1959 it has transplanted more than 5,000 organs, currently transplants over 150 organs each year, and has been training transplant medicine fellows for the past twenty-five years. The Transplant Medicine training program is accredited by the American Society of Transplantation and the American Society of Nephrology. Our program is designed to provide all-inclusive training in renal transplant medicine. Our faculty is strongly committed to the training process and fosters collegial relationships among the physicians, surgeons, pathologists, infectious disease specialists, and pharmacologists who specialize in transplantation. The medical transplant team at OHSU has primary responsibility for prescribing and adjusting immunosuppression, providing medical support for inpatients, and managing patients in the outpatient clinics. This primary and direct responsibility for patient care is a strong advantage of the OHSU training experience. Training is further enhanced by weekly transplant grand rounds, renal transplant biopsy conference, and a comprehensive didactic program that covers basic topics in transplantation. During this one-year fellowship, the fellow will spend a minimum of six months on the kidney/pancreas transplant inpatient service and twelve months in the kidney/pancreas transplant outpatient clinics. The fellow will also spend time in the Immunogenetics Laboratory learning basic principles of tissue typing and learning deceased donor management with the organ transplant recovery team. There will also be protected time to conduct a clinical research project in transplantation. At the completion of training, the fellow will meet all UNOS, AST, and ASN requirements to function as a UNOS designated transplant physician and medical director of a kidney/pancreas transplant program. OHSU is located in Portland, Oregon, one of the most livable cities in the United States. Portland is known for its beauty, bicycle-friendliness, comprehensive transit system, land use regulation, progressive societal and environmental thinking, and ready access to outdoor recreation activities on Oregon's mountains, rivers, and coastline.
Pennsylvania
Albert Einstein Medical Center
The transplant program has been in contiuous existence since 1964. Hospital is situated in the city limits and serves predominantly inner city population. Has robust referral pattern from the Tri-state region. Very active program, with the second largest wait-list in the region. Has on-site HLA laboratory and opportunities for clinical and basic research.
Thomas Jefferson University
Thomas Jefferson University Hospital kidney transplant program offers excellent clinical/research training, covering all facets of transplantation, with the unique feature of program being run primarily by transplant nephrologists, in close collaboration with the transplant surgeons. There are approximately 100-120 kidney transplants performed every year including living donor transplants for suitable recipients. Transplant nephrology fellows trained at this institution have gone into prominent positions at other programs and are clinically up-to-date with the UNOS requirements to lead a program independently. We have world class on site transplant pathology, immunology and tissue typing lab facilities to complement the training. We offer broad experience across multi-organ transplants as they are performed in conjunction with kidney transplants. We have utilized masterfully, Telehealth platform during the COVID 19 pandemic - making it the envy of programs nationally as well as giving renal grand rounds at several prominent institutions nationally.
University of Pennsylvania
The Transplant Nephrology Fellowship Program at the Hospital of the University of Pennsylvania is accredited by the American Society of Transplantation and is designed to provide nephrology trainees, who have satisfied their ACGME general nephrology clinical training obligations, the opportunity to acquire one year of further specialized training in kidney transplantation. We accept one fellow per year into our program. The University of Pennsylvania Health System Kidney/Pancreas Transplant Program is an integrated service of transplant surgery and transplant nephrology and includes surgeons, nephrologists, nurse practitioners, physician assistants, transplant coordinators and support staff. This experience fulfills the necessary requirements established by the United Network of Organ Sharing (UNOS) for individuals to stand as the approved transplant physician for any kidney transplant program. Transplant candidate evaluation is done by a multidisciplinary team which reports to the multidisciplinary Transplant Evaluation Committee. All fresh and early transplant patients are hospitalized in one nursing unit largely devoted to abdominal organ transplantation. All recipients are followed after transplantation, especially early after transplantation, in a clinic devoted to abdominal organ transplantation. Long-term transplant recipients are hospitalized in the medical unit with the Transplant Medicine Service being the consultant. The Kidney Transplant Fellowship year will comprise the following: Six-month Clinical Experience including: The management of at least 30 kidney transplant recipients continuously as the primary transplant caregiver in both the inpatient and outpatient settings. In the early postoperative period, trainees will be expected to co-manage transplant recipients with the transplant surgeons and to take the lead role in the management of issues related to anti-infective prophylaxis, fluid-electrolyte balance, hypertension, diabetes, hyperlipidemia, anemia and dialysis. Fellows will participate in the decisions regarding selection and dosing of immunosuppressive therapy from the time of transplantation. Observation of three kidney transplants Observation of three procurements Training in the performance of renal transplant biopsies, including a) the indications for; b) the performance of and c) interpretation of, renal transplant biopsies. The trainee will be expected to perform a minimum
of 10 documented transplant biopsies during the training period Didactic pathological experience with the trainee reviewing renal transplant biopsies with an experienced renal transplant pathologist Twice-weekly pre-transplant recipient evaluations and reevaluations, with time spent with each attending transplant nephrologist Participation in the weekly Patient Selection Committee Meeting Donor evaluation and presentation at Donor Selection Committee The Fellow will be expected to review a topic each week with transplant nephrology team, 20 to 30 minutes, topics suggested below (alternatives would be to review a current journal article). Six-month Elective and Research Experience will include: At least one week on Transplant Infectious Diseases Service (fellow to arrange well in advance directly with Transplant ID attending) (required) Two weeks in the HLA laboratory, fellow to arrange well in advance with Dr. Kamoun (required) Rotation through pediatric program at Children's Hospital of Philadelphia and HLA laboratory (optional) Experience on another organ transplant service at UPenn (liver, heart, lung) (optional) CKD clinics for non-kidney solid organ transplant recipients (optional) Trainees will be expected to participate in clinical or basic transplant research projects and present and/or publish the resultant data. Trainees may have the opportunity to extend their research experience for longer contingent upon alternative sources of funding being available. Conference Schedule: Weekly Renal Division conferences to include Journal Club, Grand Rounds, and Research conference Weekly Multidisciplinary Patient Selection Committee Meeting Weekly Transplant Surgery Conference Weekly Transplant Nephrology Conference.
University of Pittsburgh Medical Center
The Starzl Transplantation Institute (STI) at the University of Pittsburgh Medical Center (UPMC) offers a one-year Transplant Nephrology Fellowship, accredited by the American Society of Transplantation. This program fulfills the requirements of the United network of Organ Sharing for medical directors of a kidney transplant program. Our fellowship program offers an in depth experience at a high volume transplant center in a collegial environment that emphasizes quality in patient care, education, and research. Fellows will receive at least 6 months of clinical training in the inpatient and outpatient management of kidney, kidney/ pancreas, and kidney/ liver recipients, pre-transplant evaluation of recipient candidates and living donors, management of waitlisted pre-transplant patients, and the care of extra-renal (liver, lung, heart, multi-visceral) transplant patients with kidney disease. An additional 6 months will offer a choice of elective experiences in transplant pathology, tissue typing, transplant infectious diseases, extra-renal organ transplant, and the transplant intensive care unit. STI/UPMC is actively involved in cutting-edge basic, translational, and clinical research. Trainees are expected to participate in clinical and/ or basic science research under the supervision of our dynamic faculty mentors. The educational program includes structured didactics with a lecture series that covers important topics in transplantation, weekly Waitlist, Selection, Research, and Biopsy conferences, biweekly Morbidity and Mortality, Grand Rounds, and Journal Clubs, and didactic activities available through the Division of Nephrology and Department of Medicine.
South Carolina
Medical University of South Carolina
The MUSC Transplant Center is one of the top 20 busiest transplant centers in the country with over 200 renal transplants per year and a very active pancreas transplant program. Our center's outcomes are among the best in the nation. The section of transplant nephrology includes five full-time faculty members and four mid-level practitioners with robust support from transplant surgery, pharmacy, and infectious diseases. The MUSC Division of Nephrology offers one-year renal transplant nephrology fellowship positions. Applicants must be in good standing or have completed a two-year ACGME-accredited nephrology fellowship. Our fellowship is designed to meet the United Network of Organ Sharing and American Society of Transplantation (AST) criteria for certification as a transplant physician and to be eligible to qualify to be a transplant program medical director. Our goal is to produce both an excellent clinician and scientist who is well-qualified for a career in transplant nephrology. Our graduates have moved on to desirable positions, mostly in academic institutions. The Transplant Nephrology Fellowship includes: Broad and diversified exposure to all aspects of renal and pancreas transplantation Didactic sessions based on AST core curriculum Collegial and supportive environment Multi-disciplinary conferences Dedicated transplant pharmacy, infectious diseases, and pathology departments Consulted on other solid organ transplants including combined organ transplant evaluations Busy inpatient service that involves peri- and immediate post-operative care, and long-term post-transplant care Robust outpatient experience with involvement in both evaluation of potential transplant recipients and living donors, and all post-transplant care Supervise and teach rotating general nephrology fellows Perform renal transplant biopsies with instruction on ultrasound guidance and imaging of the transplant Participation in collaborative research in access to care, transplant outcomes, transplant pathology, infectious diseases, and immunosuppression
Tennessee
University of Tennessee Memphis Transplant Institute
Methodist University Hospital Transplant Institute is a fast growing program in Memphis, TN, that has a unique structure where transplant nephrologist, transplant hepatologist as well as transplant surgeons work together collaboratively. Our training program offers a training experience certified by the ASN/AST credentialing program, which includes at least 8 month clinical experience in which the trainee will manage renal transplant recipients as the primary care giver in both an inpatient and outpatient setting as well as donor and recipient evaluations, kidney graft biopsy, and all prominent features of the clinical experience. Our transplant nephrology fellowship program also offers a rigorous educational requirement including, but not limited to, journal club to discuss landmark studies of the field of kidney transplantation as well as recently published papers and month biopsy rounds. In addition to the one – year only clinical track, there is also a unique opportunity to get formal scientific education in our two – years combined clinical /research track. This track allows the opportunity to obtain formal degree (Master of Epidemiology or Certificate in Clinical Investigation) as well as perform basic science or clinical science research projects. The program may contribute to reimburse the entire or partial portion of the tuition fee of the formal degree.
Vanderbilt University Medical Center
The transplant fellow plays an integral role in transplant management from pre-transplant evaluation, perioperative medicine and immunologic clearance, immunosuppression and daily management during the operative admission, post-operative maintenance management for the one year he/she is a fellow. The transplant fellow evaluates living donor and deceased donor recipients and provides recommendations regarding induction and maintenance immunosuppression. The transplant fellow is in charge of evaluating all immunosuppression levels of those patients in house and in his/her clinic and recommending changes as appropriate. The transplant fellow evaluates patients with renal allograft dysfunction both in the outpatient and inpatient setting and is responsible for setting up and performing allograft biopsies in a shared relationship with the renal fellow rotating on the transplant service. The transplant fellow is able to adequately manage antirejection therapies including those given both for cellular and humoral rejection. The transplant fellow is provided with the following education program: 1. Inpatient experience: the fellow spends 6 months on the inpatient transplant service with an average census of 20-30 patients. The fellow is primarily responsible for evaluating new deceased and living donor transplant recipients and following those patients peri-operatively in conjunction with the transplant surgical service. The transplant fellow performs transplant allograft biopsies on those patients with allograft dysfunction. The transplant fellow is also responsible for supervising the renal fellow and residents on the service in conjunction with the transplant attending. 2. Outpatient experience: the transplant fellow is responsible for evaluating transplant candidates, transplant candidate re-evaluations while active on the waiting list and living donor candidates through a weekly evaluation clinic. He/She is responsible for presenting those patients at the weekly multidisciplinary selection committee. The fellow also has 2 half day clinics per week in which they see transplant recipients in follow-up. The newly engrafted transplant recipient is seen in conjunction with transplant surgery for the first 6 weeks and then is followed soley by the fellow with transplant nephrology attending oversight. 3. Research: the fellow has 6 months while not on the transplant inpatient service dedicated to research and electives. The fellow is tasked with coming up with a clinical research project to be completed at the end of the 1 year fellowship and most commonly is a retrospective cohort study. The transplant fellow is also asked to write a transplant review or case report and submit to a transplant journal. 4. Electives: the fellow spends 2-4 weeks in the HLA laboratory devoted to tests related to transplantation including HLA typing, crossmatching and flow cytometry. The fellow spends 2 weeks in a renal pathology rotation working closely with the renal pathologist reviewing biopsies and receiving one-on-one didactic training. In addition to the above electives, the fellow is required to spend 2 weeks in the transplant infectious disease clinic with exposure to a wide variety of pathology including bacterial, viral and fungal infections. 5. Didactics: the fellow is required to attend our weekly Transplant Conference in which a variety of topics are discussed including surgical and medical management issues, review and discussion of transplant protocols, performance improvement initiatives, morbidity and mortality issues, and monthly pathology review of cases. The fellow is also provided the AST/ASN Transplant Core Curriculum and is asked to participate in the ASN Webinars and on-line Journal Club. The fellow is provided the Primer in Kidney Transplantation as well. 6. Other: in addition to the above, the transplant fellow is encouraged to attend lectures as part of the Transplant Administrator course, the Transplant Fellowship Symposium and the ATC Annual Meeting. The transplant fellow is an integral member of nephrology and works closely with the general nephrology fellows while on the transplant inpatient service. The transplant nephrology fellows has right of first refusal for all patients presenting for deceased or living donor transplant and follows those patients from time of initial pre-operative evaluation in house until the end of their first year of fellowship. Those patients then comprise the transplant fellow's outpatient clinic. In addition to his/her own clinic, the transplant fellow will see long-term follow-up patients in conjunction with each transplant nephrology attending. The transplant fellow and nephrology fellow alternative kidney allograft biopsies with both easily meeting
the requiring number of biopsies for the program. The general nephrology fellows are assigned to work with a transplant attending in the clinical setting for 6 months independent of the transplant fellow's clinic. The transplant fellow is given the opportunity to attend all general nephrology didactic sessions weekly including: clinical journal club, renal physiology, renal grand rounds, renal pathology conferences.
None of the transplant didactic sessions overlap with the general nephrology conferences
Texas
Houston Methodist
The Transplant nephrology fellow will spend a total of 6 months on the inpatient service and 6 months in the outpatient setting. The inpatient service is a combined medical-surgical team in which the transplant fellow provides are for new transplant recipients in addition to patients admitted for post-transplant complications. Outpatient months include living donor and recipient evaluations, with two months protected for research. During these research months, the fellow works on a project of their interest under the direction of either transplant nephrologists, surgeons, or the HLA lab personnel, Didactic sessions include a lecture series with transplant dedicated lectures 1-2 times
a month, transplant journal club in conjunction with our transplant surgery team monthly, weekly review of pathology with transplant pathologists, nephrologists, and surgeons, weekly grand rounds, and a structured HLA course. Please refer to below for our weekly educational schedules, annual clinical schedule, and weekly clinical schedule. The fellow is expected to attend three outpatient clinics per week while on both inpatient and outpatient months to ensure the best opportunity for continuity of care. The fellow is protected from clinical duties during the weekly core curriculum, grand rounds, and monthly journal club. EDUCATIONAL SCHEDULE: Monday - Renal
Transplant Pathology Conference, Tuesday - Department of Internal Medicine Grand Rounds at Houston Methodist Hospital, Wednesday - Baylor College of Medicine/Houston Methodist Renal Grand Rounds. 1X Monthly Transplant Surgery Grand Rounds, Thursday -General Nephrology and Transplant Nephrology Core Curriculum. CLINICAL SCHEDULE: The following is the 12 month schedule of Transplant Nephrology: 1 - HLF Lab, 2 - Transplant Outpatient and Kidney Donor Evaluation, 3 - Infectious Diseases/Elective, 4 - Inpatient, 5 - Inpatient, 6 - Inpatient, 7 - Inpatient, 8 - Inpatient, 9 - Inpatient, 10 - Research, 11 - Renal Pathology, 12 - Research.
CLINICS AND ROUNDS: Monday - Transplant Clinic. Manage immediate post-transplant kidney and kidney pancreas recipients on a weekly to monthly basis and long-term transplant recipients on an annual basis in conjunction with transplant surgery and other ancillary staff. Thursday - Transplant Nephrology Clinic. The transplant nephrology fellow works alongside transplant nephrologists in managing immediate post-transplant kidney recipients, but principally in the care of long-term kidney and kidney pancreas transplant recipients. He or she is an integral part of developing comprehensive care protocols involving cardiovascular, mineral bone disease, and malignancy screening and treatment. In the event of allograft rejection, the transplant nephrology fellow collaborates with the transplant nephrologists and pharmacists to devise a treatment plan. Friday - Immediate Post-transplant Follow-up Clinic. This clinic provides the transplant nephrology fellow the opportunity to provide comprehensive clinical management of the immediate post-transplant patients. He or she primarily manages the patients under the supervision of AST certified nephrologists. RESOURCES USED: Textbooks: A) Handbook of Kidney Transplantation - 6th edition, Dr. Gabriel Danovitch, Wolters Kluwer 2017 B) The Living Donor Transplantation - Edited by Henkie P. Tan, Amadeo Marcos, Ron Shapiro, Informa Healthcare 2007 - AST Comprehensive Trainee Curriculum - A) Renal 1. Evaluation of Recipient Candidacy for Renal Transplantation, 2. Deceased Donor Kidney Allocation in the US, 3. Induction and Maintenance Immunosuppression in Renal Transplantation, 4. Overview of Rejection: Diagnosis, Pathology, Management and Outcomes, 5. Renal Graft Pathology, B) Basic Immunology, 1. Clinical Assays of Immune Function and Transplantations, 2. Histocompatibility Techniques and Risk Assessment before and after Transplantation, C) Pharmacology, 1. Induction/Rejection Therapy (Immunosuppression pharmacokinetics and drug therapy monitoring), 2. Immunosuppression pharmacokinetics and therapeutic drug monitoring. Part 2 - Maintenance Immunosuppression, 3. Drug Interactions and Safety, D) Other 1. Psychosocial Aspects of Organ Transplantation and Living Donation, 2. Regulatory Issues in Transplantation: CMS, UNOS, SRTR, Outcome reporting, 3. Women's Health Issues (Sexual, pregnancy, contraception)
University of Texas - Southwestern
The UTSW kidney transplant fellowship program is a comprehensive training experience that introduces the fellow to all aspects of transplant nephrology, immunology and medicine in a busy tertiary care hospital with complementary liver/heart/lung transplant programs. The fellow spends 6 months on the inpatient transplant service and 6 months in outpatient rotations.
Virginia
University of Virginia
The UVA Transplant Nephrology has 1 position available for each academic year starting in July. Fellows take responsibility in the management of kidney transplant recipients, multiorgan (i.e. kidney and pancreas, kidney and liver, kidney and heart) transplant recipients, as well as nephrology care for non-renal solid organ transplant recipients. Training covers the management of immunosuppressive therapy, medical and surgical complications after transplantation, and long-term care of transplant recipients. Our program includes experience with, formal exposure and didactics in donor and recipient evaluation, renal biopsy technique, renal pathology, surgical care, and non-renal solid organ transplantation. UVA is active in desensitization prior to living donor transplant for sensitized donors, ABO incompatible donor-recipient pairs, and paired donor exchange. Our HLA laboratory and tissue typing training is a strength of our program. Fellows devote 6 months of their time to clinical training and 6 months to research and scholarly activities. Our transplant faculty members participate in a variety of clinical and basic science research activities and transplant fellows will develop their own research projects. NIH funding via a T32 grant is available to fund fellows interested in gaining further research experience.
Virginia Commonwealth University
This is a comprehensive fellowship in transplant nephrology with exposure to the pretransplant selection process, the inpatient management and the post transplant follow up care of the kidney and pancreas transplant recipient. There is exposure to both ABO incompatible and HLA-incompatible living donor-recipient pairs. The fellows are expected to spend some time in the HLA lab as well as in the operating room where they will observe both the organ retrieval as well as the recipient surgery. Management of immunosuppressive protocols and treatment of both acute cellular rejection and antibody-mediated rejection are emphasized.
Washington
University of Washington Medical Center
The goal of our transplant nephrology program is to provide in-depth experience in transplant patient care, education and patient centered research. Inpatient and outpatient care includes post operative management of kidney and pancreas transplant recipients, consultation in liver, lung and heart transplant candidates and recipients and outpatient evaluation of post transplant recipients, living donors and recipient candidates. Lectures are provided by basic and clinical scientists and expert clinicians on immunology, pharmacology, obstetrics, diabetes, cardiovascular disease, metabolic bone disease and infectious disease topics along with sessions on post operative and maintenance transplant care.
Wisconsin
Medical College of Wisconsin
The Transplant Nephrology Fellowship training involves exposure to kidney and pancreas transplantation in the outpatient and inpatient setting. The Transplant Nephrology Fellowship training will cover the management of kidney and pancreas transplant recipients, understanding and managing of immunosuppressive therapies, handling of medical and surgical complications early after transplantation as well as long-term care of kidney transplant recipients. The Transplant Nephrology Fellowship training program includes formal exposure and instruction in donor-recipient evaluation, renal transplant biopsy, nephropathology, non-renal solid organ transplantation, living and deceased kidney procurement, ABO incompatible kidney transplant, HLA laboratories as well as clinical and basic science research in kidney transplantation.
University of Wisconsin School of Medicine and Public Health
The Nephrology Division at the University of Wisconsin-Madison offers a one-year Transplant Nephrology Fellowship (two positions/year). This fellowship provides a broad experience in all aspects of kidney transplantation including six months of inpatient and five months of outpatient care of transplant patients, an HLA laboratory rotation, and kidney donor evaluation and follow-up. Our program performs about 500 kidney transplant biopsies annually and fellows have daily meetings with the transplant pathologist. In addition to bedside teaching, the transplant fellow(s) will participate in a year-long transplant core curriculum series, and attend journal clubs and grand rounds presentations. The transplant fellow(s) will actively participate in ongoing clinical trials and will be encouraged to develop their own research project(s). The University of Wisconsin consistently ranks among the top 10 most active transplant programs in the country. In 2020, UW Health performed 315 kidney transplants. With over 13,000 organs transplanted since 1966, solid organ transplantation plays an important role in academic and clinical activities of UW Health.