Nephrology Fellowship: Rotation Schedule

Advanced Clinical Training with an Individual Approach

Fellow Year 1 (PGY-4)

Introduction/Orientation (0.5 - 1 required)
Inpatient Consults (7-8 months required)
Transplantation (1 month required)
Pathology (1 month required)
Dialysis/Access (1 month required)
Elective (1 month required)

Fellow Year 2 (PGY-5)

Research (4-5 months required)
Inpatient Consults (4 months required)
Transplantation (2 months required)
Elective (1-2 months required)
Dialysis, Home-Based Therapies (1 month required)

About Our Rotations

Every day during clinical activities, the program pairs each fellow with one faculty member. This approach provides individual attention to strengthen learning and ensure appropriate supervision.

We structure all rotations to comply with duty hours and to emphasize work-life balance; there is no in-house call at night. Fellows are on-call one weeknight per week and cover weekend call once a month.

Nephrology Fellowship Rotation Descriptions

  • Inpatient rotations: Experience includes consultative rotations at the Minneapolis VA and HCMC where formal training in procedures include hemodialysis, peritoneal dialysis, continuous renal replacement therapy, urine sediment microscopy, temporary hemodialysis catheter insertion (with real time ultrasound guidance) and kidney biopsies (native and transplant). In addition, fellows rotate on the HCMC dialysis and transplant service, providing an invaluable experience in diverse acute and chronic pathology of this patient population.
  • Transplantation: Experience includes outpatient clinic to include acute and chronic post-transplant follow up clinic, kidney transplant donor and recipient evaluation clinics. Inpatient experience will expose fellows to induction immunosuppressive therapy and acute complications.
  • Ambulatory clinics include one-on-one staffing, where fellows and faculty review the diagnosis and treatment plan for each patient. Fellows will attend a weekly continuity clinic in nephrology, hypertension and electrolyte disorders.
  • Renal Pathology. Fellows receive training in renal pathology through the fellows lecture series, renal case conference, renal pathology rotation and monthly pathology conference.
  • Outpatient hemodialysis rounds: Experience includes following chronic outpatient dialysis patients at an affiliated unit with assigned staff. Exposure and experience with both home hemodialysis and peritoneal dialysis will be gained during the fellowship.
  • Hemodialysis/Vascular access: During first year, fellows will gain knowledge of vascular access procedures, witness creation and placement of grafts and fistulas. In addition, fellows will work dialysis nurses to gain further understanding in dialysis machines, setup and complications.
  • Research, Quality Improvement: During the fellowship, all fellows will engage in scholarly activity. Quality Improvement Projects can be done and assisted by staff at both sites. Numerous clinical research projects are continuously active and fellows can assist or develop novel research projects with staff mentors.
  • Elective: Fellows can gain further experience in nephrology through additional experience in research, transplantation, specialty clinics, private practice nephrology or novel areas.