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Clinical Training


The Nephrology clinical training program uses both the University of Michigan Hospitals and the VA Hospital in Ann Arbor . The division runs several large, busy inpatient and outpatient services encompassing all aspects of Nephrology, the various different forms of acute and chronic dialysis, and transplantation. Fellows in clinic

Inpatient Clinical Programs

  • Renal Consultation Service, which handles in excess of 1,200 nephrology referrals within the University Hospital and in excess of 400 consultations at the VAMC each year. Fellow experience in renal consultation includes intensive, supervised management of fluid and electrolyte problems and of primary renal disease with performance and interpretation of renal biopsy, and performance and management of all forms of acute renal replacement therapy.
  • Dialysis Service provides intensive experience with the spectrum of available forms of chronic dialysis therapy, and includes supervised performance of access placement such as transcutaneous hemodialysis catheters, tunneled venous catheters, and Tenckhoff (chronic indwelling) peritoneal dialysis catheters.
  • Renal Transplant Service, which works closely with the Transplant Surgery Service to monitor and care for over 200 patients receiving allografts each year. (This program remains one of the country’s top ten programs.) Extensive supervised experience in renal allograft biopsy and interpretation are included in this activity. Fellows receive in-depth experience from transplant evaluation to post-operative management to chronic outpatient care of this population.
  • Elective Rotations including Interventional Nephrology Unit, Renal Pathology and Pediatric Nephrology provide in-depth knowledge and training in these areas for a broad-based educational experience.

Outpatient Clinical Programs

  • Outpatient Nephrology Clinic, which serves a population of southeast Michigan and beyond provides consultation and management for a wide variety of acute and chronic kidney diseases. Fellows participate in a half-day clinic each week staffed by Nephrology faculty. In the second year of training, fellows will have the opportunity to participate in Kidney Stone Clinic, Multi-disciplinary Lupus Clinic, Access Clinic, Interventional Nephrology Unit and Transplant Clinics.
  • Outpatient Dialysis Service, which includes two outpatient hemodialysis facilities, and a peritoneal dialysis and home hemodialysis facility, provides training in all aspects of dialysis therapy under the supervision of dedicated and experienced faculty members.

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