The objective of the Clinical Track is to prepare fellows for either academic- or community-based clinical practice in nephrology.
In addition to receiving broad exposure to clinical nephrology, several pathways exist which allow fellows in this track to develop a subspecialty focus and receive protected time to pursue mentored scholarly activity.
Clinical Track Pathways
The first clinical year is similar in all core tracks and offers broad exposure to clinical nephrology primarily in the inpatient consult setting. The second year in the Clinical Track provides enhanced exposure to ambulatory nephrology through electives and advanced training in longitudinal dialysis. Second-year clinical fellows select from several pathways to guide their clinical training and scholarly pursuits. These pathways include general nephrology, clinician-educator and advanced dialysis.
The General Nephrology pathway offers a broad exposure to inpatient and ambulatory nephrology. Fellows in this pathway will spend the majority of their elective time rotating through diverse subspecialty clinics including the kidney-liver program, genetic diseases of the kidney, hypertension, interventional nephrology, nephrolithiasis, onco-nephrology, palliative care, renal pathology, and telenephrology. The goals of this pathway are to improve fellows’ skills as consultants and prepare them for a career in general nephrology practice. Many graduates of the General Nephrology pathway will pursue additional training through our one-year subspecialty fellowships in Glomerular Diseases or Dialysis Innovations following completion of their ACGME training.
The Clinician-Educator pathway provides ideal training for a career as a clinician educator, preparing fellows with a strong foundation of teaching in the inpatient, ambulatory and classroom settings. The goals of the pathway are to improve fellows’ skills as educators and prepare them for a career in medical education. These goals are achieved by providing formal training and mentorship through the UW Teaching-Scholars Program and opportunities to teach in varied settings while working closely with experienced educators. In addition to the existing UW Teaching-Scholars curriculum, fellows in this pathway leverage focused and longitudinal experiences in teaching, educational research and QI to prepare for a career as an academic Clinician Teacher.
The Advanced Dialysis pathway provides in-depth training in dialysis techniques, quality of care and regulatory aspects that are central to the provision of dialysis care. Areas covered include nutrition and metabolism, hemostasis and thrombosis, vascular access, home dialysis therapies, and uremia. Fellows receive additional training in the administrative and technical aspects of high-quality dialysis care that are necessary to understand the role of a medical director. The goals of this pathway are to improve fellows’ understanding of the management of and regulations pertaining to patients on dialysis in order to prepare them for a career in dialysis leadership. Many graduates of the Advanced Dialysis pathway will pursue additional training through our one-year subspecialty fellowship in Dialysis Innovations following completion of their ACGME training.