Additional Program Enhancements
In the face of the changing landscape of Graduate Medical Education our fellowship continually evolves to ensure that we remain one of the top fellowship programs in the country. Additional strengths of the program are highlighted below.
- Each training site carries a non-teaching service component, functioning without fellow involvement. Though our fellows still have full experiences in bread and butter nephrology, this ensures that they also have the time to enrich their knowledge with more complex cases.
- A Night Call Rotation ensures that the daytime consult fellows are not burdened by overnight call. Because call is taken from home, the Night Call Rotation affords significant time for reading and scholarly activity during the day.
- Procedure support is available for placing temporary dialysis catheters for acute dialytic therapy at our teaching hospitals. This takes the form of either a nephrology run Procedure Team or robust Interventional Radiology support.
- Parkland Hospital cares for the largest population of patients in the Dallas/Fort Worth area with ESRD and limited access to insurance coverage for maintenance dialysis (usually because of undocumented residency status). In the past, these patients were taken care of by a teaching service. Though this provided a unique experience in managing profound uremic complications not often seen by most nephrology trainees, it evolved into a service with heavy clinical volumes. As of July 2015, fellows have not managed this service responsibility. Though it remains essential for our Division to continue to provide care to these disadvantaged patients with few other options, this clinical activity has been shifted to non-teaching services.
- Fellows are able to modify their education according to their own interests and knowledge gaps. The following elective modules afford this flexibility: Interventional Nephrology, Hemodialysis 101, CRRT Basics, Transplant Immunology Lab, Pretransplant/Donor Evaluation, Apheresis, Renal Pathology, Urology Clinic, Vascular Access Surgery, and Private Practice Internship. Each of these experiences consists of defined learning objectives.
- A structured Mentor Program exists to ensure that each trainee fulfills his/her maximum potential. The program provides a timeline during which each fellow develops from an early learner adjusting to a new training environment to a competent nephrologist. There will be a focus on career development starting early on in fellowship and throughout. The program is tailored to the individual needs of the trainee and is divided into various tracks (academic, private practice, interventional nephrology, and transplant nephrology tracks) as he/she differentiates. The final goal is to place each graduating fellow amongst their top choices for the start of their career or for further nephrology subspecialty training.
- An outline of the major concepts of nephrology is provided to each fellow. This Field Guide to the Kidney provides each trainee with a basic structure upon which to develop their fund of knowledge (Think back to your Organic Chemistry course notes!).