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Under the direction of Dr. Michelle Josephson, the Section of Nephrology offers 12 months of specialized training in Transplant Nephrology. The goal of the program is to provide standardized transplant training to individuals who wish to lead renal transplant programs. The program was initially accredited in 1999 and reaccredited March 29, 2003 by the American Society of Transplant (AST)/American Society of Nephrology (ASN) Adult Renal Accreditation Program Committee. In order to participate in the Nephrology Transplant program individuals must be board eligible or board certified nephrologists. The educational program is comprised of clinical service, informal teaching, and more formalized classroom or conference teaching components. The clinical service time is divided between an inpatient and outpatient experience. The inpatient portion of the fellow’s schedule includes six months on the inpatient kidney/kidney-pancreas service as well as two weeks on the cardiology transplant service and two weeks on the liver transplant service. The remaining months of the training year will be spent as follows: 1 month of intensive transplant pathology service, and 3 months of research/scholarly activities, and 1 month in the Transplant Immunology Lab. Exposure to extra-renal transplantation is provided and an optional 2 weeks in the pediatric transplant clinic can be arranged if desired. In compliance with the training requirements, the fellow will observe at least three organ procurement procedures and three transplants. The fellow will participate in one or more scholarly projects, which may include retrospective chart reviews, short clinical studies, or literature reviews. The fellow is allotted one month of vacation. The fellow will attend three weekly post-transplant clinics and one living kidney donor clinic per week, and one recipient evaluation clinic per month. All renal transplant patients are managed in the post-transplant clinic for one year following transplantation. The fellow is expected to care for at least 30 outpatient recipients over the course of the year and perform kidney biopsies and interpret them with the pathologist when appropriate. He or she also evaluates potential transplant recipients and living donors at one of the weekly pre-transplant clinics. The fellow communicates with the transplant team about active problems in patients under their care, at the weekly clinical meetings. The didactic portion of the training includes informal discussions on transplant topics, weekly teaching sessions with the transplant surgeons, monthly transplant pathology sessions, bi-monthly journal clubs, immunology series for residents and fellows, and attendance at the fellowship teaching conferences which includes transplant topics (see attached). Each year the nephrology section invites nationally and internationally recognized researchers and clinicians to teach us about their areas. Fellows are expected to actively participate in the research seminar series not only by attending but also by giving a research seminar on their project and clinical renal grand rounds at the clinical forums. The clinical program integrates with the didactic sessions in several
ways. First, topics discussed at the teaching sessions are directly
applicable to patient care. Second, subject matter reviewed at the
weekly surgical teaching session and the monthly transplant pathology
sessions are based on cases taken from the clinical service. In the
case of the latter conference this is a unique live case based teaching
conference, run with collaboration by the renal pathologists. It uses
current transplant cases to teach immunology, immunosuppression, and
post-transplant complications, transplant developments and renal pathology.
Fellows are responsible for preparing a summary for the case each
month. Although this is not an ACGME approved program, transplant nephrology fellows are evaluated in accordance with the model set forth by the ACGME. Training Faculty Nephrology Transplant Faculty: Transplant Surgery: Former Fellows:
Michelle Josephson, M.D.,
How to Apply After we receive your completed application including four supporting letters (letters must be mailed), your file will be reviewed and you will be notified regarding the advisability of an interview. Applicants must be eligible for certification in Nephrology by the American Board of Internal Medicine and must be licensed by the State of Illinois at the time they begin their fellowship. Please contact the Nephrology Fellowship Coordinator for deadline information. The last date for interviewing varies year-to-year; however, earlier application submission is encouraged to allow adequate time for scheduling interviews. Nephrology Fellowship Coordinator: Letters of recommendation should be sent to: Michelle Josephson, M.D., |
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