Clinical training includes multiple pathways that are designed to provide a comprehensive, as well as a specialized, training experience.

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Training Sites

All fellows rotate through the major clinical training sites: Harborview Medical CenterUniversity of Washington Medical Center,  and the VA Puget Sound Healthcare System. Together, these hospitals have over 1,000 beds and 45,000 admissions annually.

Fellows also spend time rounding in the outpatient dialysis units at the Northwest Kidney Centers.

Clinical Rotations

Nephrology Inpatient Consultative Services: 7-8 months (first year); 5-6 months (second year)

Kidney Transplantation: 2 months (first year)

Chronic Dialysis: 1 month (first year); 2 months (second year)

Elective Rotation: 1-2 months (first year); 4-5 months (second year)

Ambulatory Clinics

Your ambulatory clinic experience is curated to your special interests. Below are the numerous clinics that are available:

  • Diabetes Kidney Clinic
  • General Nephrology Continuity Clinics
  • Genetic Diseases of the Kidney Clinic
  • Glomerular Disease Clinic
  • Hemodialysis/Home Hemodialysis/Peritoneal Dialysis
  • Hypertension Clinics
  • Kidney Heart Clinic
  • Kidney Liver Clinic
  • Nephrolithiasis Clinic
  • Onco-Nephrology Clinic
  • Pre & Post Kidney Transplantation Clinic
  • Renal Pathology


Educational conferences are an integral component of our training program, and run weekly and monthly at each of our hospital sites.

Fellow Tutorials

Year-round tutorials (Monday morning) designed to cover and supplement core components of the ACGME Medical Knowledge and Procedural Competencies.

Summer Lecture Series

  • 2-day intensive introduction to clinical and transplant nephrology for first year fellows
  • 8-week summer dialysis series for first- and second-year fellows
  • Kidney biopsy simulation
  • Central venous catheter simulation
  • Point-of-Care Ultrasound (POCUS)
Associate Professor Kimberly Muczynski (left) and nephrology fellow Anupama Nair (right) participate in Professor Rounds clinical case presentations on GN disease
Faculty and fellows participate in Professor Rounds.

Professor Rounds and Journal Club

Weekly clinical site-based conferences which provide a venue for complex case discussions, journal club, morbidity & mortality, and quality improvement projects.

Nephrology Grand Rounds / Biopsy Conference

Fellow Carrie Minnelli getting ready to biopsy a pig kidney at the WISH simulation lab.
Fellow Carrie Minnelli getting ready to biopsy a pig kidney at the WISH simulation lab.

Formal scholarly and case-based presentations involving fellows, faculty, and visiting scholars, and attended by the Division of Nephrology, Pediatric Nephrology, and Kidney Pathology.