The 24-month fellowship program is designed to ensure outstanding clinical training and research training.
- First year fellowship:
Clinical rotations – 12 months
- Second year fellowship:
Clinical rotations – five months
Research rotation – six months
Elective rotation – one month
|First Year Fellowship|
|Renal Consultation - NYPH/Weill Cornell||2 months|
|Renal Consultation - MSKCC||3 months|
|Renal Transplantation - NYPH/Weill Cornell||1 month|
|Renal Medicine & Hypertension - NYPH/Weill Cornell*||2 months|
|Dialysis & Apheresis - NYPH/Weill Cornell*||3 months|
|Cardio-Renal Service & Surgical ICU - NYPH/Weill Cornell*||1 month|
|Second Year Fellowship|
|Renal Consultation - NYPH/Weill Cornell||1 month|
|Renal Transplantation - NYPH/Weill Cornell||2 months|
|Renal Medicine & Hypertension - NYPH/Weill Cornell*||1 month|
|Cardio-Renal Service and Surgical ICU - NYPH/Weill Cornell*||1 month|
|Outpatient Continuity Clinic - NYPH/Weill Cornell / Rogosin Kidney Center||24 months|
|Outpatient Transplant Clinic - NYPH/Weill Cornell||3 months|
|Outpatient Dialysis Clinic - NYPH/Weill Cornell / Rogosin Kidney Center||5 months (1st year); 7 months (2nd year)|
|Third and Fourth Years||Research|
* Vacation may be taken during these rotations
First Year of Fellowship
Renal Consultation at NewYork-Presbyterian Hospital (two months):
Fellows gain experience with evaluation and treatment of hospitalized patients in medical, surgical and obstetrical services with electrolyte and acid-base problems, acute renal failure, acute/rapidly progressive glomerulonephritis, nephrotic syndrome and high blood pressure, as well performing and interpreting kidney biopsies. This rotation includes managing renal failure and complex fluid, electrolytes and acid-base problems in critically ill patients admitted on medical intensive care unit (ICU), cardiac ICU and Burns ICU.
Renal Consultation at Memorial Sloan-Kettering Cancer Center (three months):
Memorial Sloan-Kettering Cancer Center is a 480-bed institution specialized in cancer and allied diseases. Fellows gain experience in onco-nephrology. This rotation emphasizes problems of renal drug toxicity related to chemotherapeutic agents, evaluation and treatment electrolyte and acid base disturbances, metabolic aspects of hyperalimentation, and renal disease related to bone marrow transplantation. The range of metabolic, mechanical (urologic) and functional disorders that the fellow is exposed to on this rotation is extremely unique.
Renal Transplantation at NewYork-Presbyterian Hospital (one month):
The transplant program performs more than 200 kidney transplants every year. It is a multidisciplinary service and the fellow and the renal attending make bedside and teaching rounds daily on the transplant patients, along with the transplant surgeon and the surgical resident and ancillary personnel such as pharmacists and social workers. Fellows gains experience in managing all aspects of kidney transplantation and pancreas transplantation. The fellow observes and manages about 15-20 new transplant recipients during each month of their rotation, with direct responsibility for evaluation and management of every aspect of the care of transplant patients. This includes evaluating patients pre-transplant and clearing them for transplant surgery, management of fluid and electrolytes in the immediate post-transplant period, immunosuppressive medications and dialysis, if needed. In addition, the fellow evaluates patients for post-operative complications including surgical complications, cardiovascular and metabolic problems. The fellow performs and interprets transplant renal biopsies.
Renal Medicine & Hypertension at NewYork-Presbyterian Hospital (two months):
The renal medicine & hypertension rotation is a combined consultative, nephrology and hypertension, teaching rotation. Patients on the renal medicine service include patients with either acute or chronic renal problems, excluding new transplant patients. The renal fellow is responsible for teaching medical housestaff, and is encouraged to prepare short lectures at attending rounds, covering basic renal problems. During this rotation, fellows are also on-call for inpatient hypertension consults at NewYork-Presbyterian/Weill Cornell Medicine. The fellow has the opportunity to evaluate and manage patients with primary and secondary hypertension, obstetric hypertension, hypertension associated with aortic dissection, and all hypertensive urgencies and emergencies.
Dialysis and Apheresis at NewYork-Presbyterian Hospital (three months):
The acute hemodialysis unit has 10 acute dialysis stations as well apheresis stations. During this rotation the fellow gains experience in all aspects of inpatient dialysis (excluding intensive care units) as well as inpatient apheresis for renal and non-renal conditions.
Cardio-Renal Service and Surgical ICU at NewYork-Presbyterian Hospital (one month):
This rotation includes managing patients with cardio-renal syndrome in patients admitted in the ICU as well as kidney-related issues in surgical patients. Rotations in the ICU will include learning about all aspects of continuous renal replacement therapy.
Second Year of Fellowship
Renal Consultation at NewYork-Presbyterian Hospital (one month): as above
Renal Transplantation at NewYork-Presbyterian Hospital (two months): as above
Renal Medicine & Hypertension at NewYork-Presbyterian Hospital (one month): as above
Cardio-Renal Service and Surgical ICU at NewYork-Presbyterian Hospital (one month): as above
Electives (one month):
Fellows have the opportunity to do one month of an elective rotation. This includes, but is not limited to, rotation at the immunogenetics and tissue typing laboratory, renal pathology, nuclear medicine and radiology. This month can also be combined with the research rotation, if needed.
Research (six months):
Our program is committed to scholarship, translating the best evidence to clinical care and creating new knowledge. Accordingly, six months (and an additional one month elective, if required) is reserved for scholarly activities in the area of basic research, translational research or clinical research. The mentored research activities ensure full realization of the wide array of research activities available for full participation by the fellows. The investigators in the Division of Nephrology and Hypertension have been continuously funded for decades by the National Institutes of Health, and have ongoing colloboration with researchers at the neighboring Rockefeller University and Memorial Sloan Kettering Cancer Center. Over the years, our fellows have been highly productive in terms of presentations at the National and International meetings as well as publishing in high impact journals.
Outpatient Continuity Clinic at NewYork-Presbyterian Hospital:
Fellows are assigned continuity clinic one afternoon per week starting in year one (total: 24 months, excluding vacation). Each fellow will have one attending precepting for the entire year. Fellows are involved in the management of all aspects of outpatient care for patients with kidney diseases.
Outpatient Transplant Clinic at NewYork-Presbyterian Hospital:
During their inpatient transplant rotation (three months), fellows continue the outpatient management of kidney transplant recipients who received their transplant during the fellow's inpatient rotation. The fellow is involved in all aspects of medical care of the transplant recipient, including evaluation of allograft function and immunosuppressive drug doses, and management of infection-related issues.
Outpatient Dialysis Clinic at NewYork-Presbyterian Hospital, First Year of Fellowship:
During their inpatient dialysis and renal medicine rotations (five months), one afternoon a week, fellows participate in multi-disciplinary conferences in the PD unit with Nutrition, Social Work and Nursing staff covering all aspects of a patient's case. The Rogosin Kidney Center's Peritoneal Dialysis Unit at NewYork-Presbyterian Hospital treats more than 40 patients managed by CAPD and CCPD. The fellow evaluates patients during their routine care and follows them when they develop complications of PD. The fellow participates in the training of new peritoneal dialysis patients, as well as in helping patients select appropriate PD modalities based on PET test results. The fellow is involved in the ongoing management of PD patients, including assessment of dialysis adequacy, anemia and iron management, acid-base and electrolyte issues, metabolic bone disease and management of hospitalized PD patients.
Outpatient Dialysis Clinic at NewYork-Presbyterian Hospital, Second Year of Fellowship:
During their research and elective rotations (seven months), fellows are provided an opportunity to rotate, one afternoon a week, in the Rogosin Kidney Center's Hemodialysis Unit at NewYork-Presbyterian Hospital. The unit has 37 hemodialysis stations catering to patients in four shifts, six days a week. Fellows participate in multi-disciplinary conferences in the HD unit with Nutrition, Social Work and Nursing staff covering all aspects of a patient's case. The fellow is involved in the ongoing management of HD patients, including assessment of dialysis adequacy, anemia and iron management, acid-base and electrolyte issues, metabolic bone disease and management of hospitalized HD patients.
Renal Consultation, Renal Transplantation, Renal Medicine and Hypertension, Cardio-Renal Service and Surgical ICU services: NewYork-Presbyterian Hospital, 525 East 68th Street, New York, NY 10065.
Renal Consulation at MSKCC: Memorial Hospital, 1275 York Avenue, New York, NY 10065.
Outpatient Transplant Clinic: Starr Pavilion, NewYork-Presbyterian Hospital, 520 East 70th Street, New York, NY 10021.
Outpatient Continuity and Dialysis Clinics: Helmsley Tower, NewYork-Presbyterian Hospital, 505 East 70th Street, New York, NY 10021.