SUNY Downstate Health Sciences University
Division of Renal Disease
Division of Renal Disease
Welcome to the Nephrology Fellowship at Downstate. During your two years of fellowship, the faculty and staff of this division will guide you to acquire comprehensive knowledge and skills in nephrology that will make you fully prepared for your nephrology boards and as an outstanding practicing nephrologist or investigator. The faculty is enriched with the finest nephrologists, who will be available to you and will provide you with all the necessary tools you need to succeed. The faculty: fellow ratio is 2:1, providing you with the best level of teaching and supervision. How well you achieve your goals will depend on how much effort you put in as a learner. The nephrology fellowship manual attached below is intended to help you navigate smoothly through the fellowship; you should however note that some issues may change as we encounter new situations. You are also to abide by all institutional policies as explained to you by the GME office.
You will be covering three different hospitals in the course of the two years, all of which will give a different spin to your nephrology experience. By the end of the two years, you would have covered all contents of the curriculum. Optional third year is available for ACGME accredited Nephrology Critical Care line, or non ACGME accredited fellowship training in Interventional nephrology or Renal transplant, or ESRD administration. However, in your first year, you should target to accomplish the following:
- A thorough approach to the patient with kidney disease, taking appropriate history and physical examination and generating an appropriate differential diagnosis.
- A thorough understanding of the laboratory and imaging methods used to evaluate patients with kidney disease.
- Learn as many procedures as possible and demonstrate competence.
- Have a thorough understanding of the principles of hemodialysis, peritoneal dialysis, plasmapheresis, and continuous renal replacement therapies. The fellow would also learn how to write both acute and chronic prescriptions and manage complications of these therapies.
- Understand the principles of immunosuppression and how to evaluate the potential renal transplant donor and recipient.
- Learn to critically evaluate a scientific publication.
- Design a research project with a faculty or mentor, aiming to have an abstract for any of the annual nephrology meetings.
In your second year, you should target to accomplish the following:
- Acquire a thorough understanding of the pathophysiologic basis of kidney disease AND understanding of the management of the renal transplant recipient
- Acquire more competence in the first-year objectives
- Prepare patients physically and mentally for outpatient dialysis and take care of all aspects of outpatient dialysis
- Pick a topic of choice and prepare for renal grand rounds as part of acquiring presentation skills
- Acquire the ability to work in the private practice setting, including an understanding of documentation and billing guidelines
- Acquire the highest level of professionalism and be prepared to represent the Nephrology Division at Downstate to the world
In our effort to enhance your learning, the division will provide a benefit of $250.00 per year towards the purchase of books. You will also be refunded for expenses up to a maximum of $1000.00 towards participation and or presentation at an annual nephrology meeting. Please refer to this manual and make the best out of it. Contact me if you have any suggestions. Good luck.
Moro O. Salifu, MD, MPH, MBA, FACP
Chair of medicine
Saggi Subodh J, MD, MPH
Professor of Medicine, Program Director
Director, SUNY Ambulatory dialysis.
Director, Pancreas transplant and extracorporeal therapies