The mission of the Division of Nephrology Fellowship training program is to produce physicians who are clinically competent in the broad field of Nephrology; highly effective in a variety of clinical settings; and possess habits of life-long learning to allow for continued growth in knowledge, skills and other aspects of a professional career in Nephrology.
Clinical competence is essential for all physicians. Clinical competence in Nephrology is defined as:
- A basic core understanding of anatomy, histology, physiology, biochemistry, immunology, genetics, pharmacology, epidemiology, statistics, ethics and human behavior relative to the practice of Nephrology.
- A basic core knowledge of the pathogenesis, histopathology, pathophysiology, clinical manifestations and management of kidney diseases or systemic diseases with renal manifestations.
- The clinical skill of data collection including history-taking, physical examination and the appropriate use of radiologic and laboratory tests particularly as pertaining to the diagnosis of kidney disease.
- The ability to formulate appropriate differential diagnoses and therapeutic plans based on an ability to critically analyze the clinical data and integrate this analysis with the basic fund of medical knowledge.
- The knowledge of the treatment of the common and uncommon diseases found in the practice of Nephrology including an understanding of the principles, indications, contra-indications, risks, costs and expected outcome of the various treatments.
- The performance and/or interpretation of diagnostic and therapeutic procedures common in the practice of Nephrology including the understanding of the principles, indications, contraindications, risks, costs and expected outcomes of these procedures.
- The ability to perform competently as either a consultant or a health-care team leader through effective communication with patients, peers and paramedical personnel.
- The ability to recognize the need and appropriately seek input from colleagues in other specialties through consultation.
- The development of qualities of professionalism and humanistic skills including integrity, compassion and respect for patients, peers and paramedical personnel.
- An understanding of current research methods-all Fellows must be capable of demonstrating an understanding of the design, implementation and interpretation of research studies, specifically including research methodology, critical interpretation of data, critical interpretation of published research and the responsible use of informed consent.
The training of Nephrologists who are highly effective in a variety of settings.
To function most effectively in a modern healthcare delivery system, a Nephrologist must be able to work well in a variety of different clinical settings as:
- Primary health care provider in the acute inpatient setting, intensive care unit ambulatory clinic and emergency department.
- Consultant to other internists or non-internists in the acute inpatient setting, intensive care unit, ambulatory clinic and emergency department.
- Leader of a multidisciplinary health care team particularly as it relates to chronic dialysis therapy.
The development of skills and habits of professional life-long learning in Nephrology trainees.
Continuous education is an essential component for clinically competent physicians and required for the acquisition, critical analysis, synthesis and reassessment of knowledge, skills and professionalism. The Fellowship program will foster and support this by encouraging:
- Independent study habits in the acquisition of clinical and research knowledge and skills.
- Active participation in Department of Medicine and Division of Nephrology educational conferences including regular attendance and presentation of selected topics.
- Attendance and participation at regional and national professional clinical and/or scientific conferences.