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The Division of Nephrology, UAB, offers a one-year fellowship position yearly to applicants who are interested in training in solid organ transplantation.
The completion of at least 2 years of an ACGME approved general nephrology fellowship training program is a prerequisite. The transplant fellowship position is tailored to meet all the United Network of Organ Sharing (UNOS) bylaws as well as the American Society of Transplantation (AST) / American Society of Nephrology (ASN) criteria for certification as a transplant physician.

TRANSPLANT FELLOWSHIP APPLICATION PROCESS

Applicants should submit:

  • A completed application form (see link below)
  • 3 professional letters of recommendation (which should include a letter from the applicant's nephorology fellowship training program director)
  • A personal statement
  • A copy of all 3 USMLE STEP scores and/or COMLEX scores if applicable
  • ECFMG certificate (if applicable)
  • A copy of the applicant's CV

Applications are accepted from graduates of US and foreign medical schools who have successfully completed or who are currently in an ECFMG accredited general nephrology fellowship training program in the United States

Applications are accepted on a rotating basis with interviews scheduled based on availability. Applicants are encouraged to apply as early as possible during their nephrology fellowship, once they are certain of their intent to pursue transplant fellowship. An in-person interview at UAB is required of all prospective candidates. Applicants will be notified if they have been chosen for an in person interview following review of a completed application form and receipt of supporting documents.

Our program supports visa sponsorship for qualified J1 and H1b applicants.

Overview of the transplant nephrology training program.

Clinical Rotations

Transplant nephrology inpatient service:
The transplant nephrology inpatient service is involved in the care and management of transplant patients with a wide range of medical problems. This includes acute kidney injury secondary to rejection and recurrence of native kidney disease, post-transplant malignancies as well as opportunistic infections. The transplant nephrology ward service is also involved in the care of patients with transplants that have been admitted for other medical problems.

The transplant nephrology fellow spends 3-4 months a year on the service and sees between 10-20 patients per day. Advanced practice practitioners assist in the care of patients and the role of the transplant nephrology fellow on the service is primarily to function as a junior attending, providing both hands-on care and supervising the care of these patients. During the course of this rotation the transplant fellow may be called upon to perform inpatient transplant biopsies if required.

Transplant nephrology postoperative and consult service:
This service is for the management of fresh transplant patients who have received kidney; simultaneous kidney-pancreas and simultaneous liver-kidney transplants. The transplant fellow will serve as the primary consultant to the surgical services to assist in the postoperative care of fresh transplant patients. During the rotation the fellow will provide pre-operative care and evaluation prior to surgery. The learning goals of this rotation will include appreciation of pre-transplant evaluation, management of sensitized patients at high immunologic risk and learning to manage early immunosuppression following surgery and post-operative care.

The fellow will also learn about management of acute complications relating to surgery as well as management of early recurrent glomerular disease and early rejection. There will be opportunities to learn about paired kidney donation, ABO incompatible transplants, HLA-incompatible transplants, transplants in HIV infected patients, use of public health service (PHS) high risk organs, use of Hepatitis C positive organs, use of high kidney donor profile index (KDPI) kidneys, transplant in patients at high immunologic risk (eg.100% cPRA) and other aspects of the kidney transplantation. The transplant nephrology fellow will spend 2 months a year on the service and will see between 10-20 patients a day.

The transplant fellow will also perform ultrasound-guided renal allograft biopsies in the transplant clinic during this rotation every morning and will be involved in the post biopsy care of the patient throughout the day.

Transplant nephrology recipient and donor evaluation clinic:
The outpatient evaluation clinic is held 4 days a week. During this rotation the transplant nephrology fellow will see prospective transplant recipients and evaluate their suitability for listing. Prospective donors will also be evaluated in this clinic. The transplant fellow will learn how to appropriately assess and consult prospective donors and recipients. Between 8-13 patients a day (8-10 recipients and 1-3 donors) will be scheduled in this clinic. The general nephrology fellow and nurse practitioner will assist in this clinic as well. The transplant nephrology fellow will be expected to attend the weekly Wednesday afternoon listing conference at which time perspective patients are discussed prior to listing and donors are evaluated for approval for donation.

Transplant nephrology continuity clinic:
Daily outpatient clinics are held for early postoperative and long-term follow-up of transplant patients. Between 20-30 patients are seen each day in the clinic. Patients cared for will include those ranging from those in the early postoperative period to patients with stable allografts who are being followed up at half yearly to 1 yearly intervals. The transplant nephrology fellow will learn about the long-term management of renal allograft function and learn to identify and manage both early and late complications that may arise. General nephrology fellows will also have the opportunity to participate in this clinic and are assigned to the transplant clinic in their second year of training.

Elective rotations:
The transplant nephrology fellow will have the opportunity to rotate on the immune-histocompatibility lab service to appreciate the intricacies of tissue typing, cross-matching and detection of donor specific antibodies. The other options for electives including rotations with the plasmapheresis team, exposure to renal pathology and pediatric transplant nephrology.

Education and Scholarly Activities

The faculty of the transplant nephrology program will deliver a series of lectures through the year at the noon fellows’ teaching conferences. This will span the educational syllabus required for transplant fellowship training. The UAB transplant program also conducts multidisciplinary transplant journal clubs on a weekly basis starting in the late summer and continuing through the year. The transplant nephrology fellow will be expected to present at 1 or 2 of our weekly journal clubs.

There are also Comprehensive Transplant Institute Grand Rounds which occur on a monthly basis at which prominent speakers in the transplant field are invited to speak on current issues.

Other learning opportunities include the weekly pathology conference, at which the fellow will have the opportunity to present and discuss allograft biopsies, as well as the weekly transplant nephrology case conferences. In addition, the transplant fellow will have access to the daily noon conferences at the Division of Nephrology as well as Department of Medicine weekly Grand Rounds and the Nephrology Research and Training Center (NRTC) weekly conferences.

The transplant nephrology fellow will hold the academic rank of instructor in the school of medicine and will have the opportunity to engage in the teaching of residents and fellows as well as participate in the renal module that is held annually at the school of medicine for medical students.

We encourage the transplant nephrology fellow to undertake a research project with a departmental mentor as part of their fellowship experience.

As part of the transplant fellowship, a stipend and conference leave is provided to the fellow to support attendance at one national conference.

For more information regarding the transplant nephrology fellowship please call or email Jessica Hargrove, Dr. Song Ong or Dr. Vineeta Kumar.

Program Director
SongSong Ong, MD
Assistant Professor
Division of Nephrology
Email: scong@uabmc.edu

Associate Program Director

KumarVineeta Kumar, MD
Professor
Division of Nephrology
Email: vkumar@uabmc.edu

Fellowship Program Coordinator
Jessica Hargrove
Email: jhayes@uabmc.edu 
Phone number 205-934-1801