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

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

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


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

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.

Renal Grand Rounds and Biopsy Conference

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

Scholarly and QI Activities

All fellows are required to participate in and complete a scholarly project during their two year clinical fellowship. 

  • Discovery - presentation of new data in a peer-reviewed publication or local, national or international meeting
  • Dissemination - prepartion of review articles or chapters, websites, new protocols
  • Application - publication or presentation of case reports

Sample of Completed Scholarly Projects 

  • Role of Intra-operative dialysis in Liver Transplantation Patients
  • AA Amyloidosis: prevalence, patient characteristics and outcomes
  • Continuous Renal Replacement Therapy: review of practice at UWMC
  • Interactive on-line module of Glomerular Disorders
  • Book Chapter: Care of the HIV infected Dialysis patient
  • Pre-emptive Management of Hypocalcemia in Hungry Bone Syndrome
  • Anemia Management in ESRD Patients
  • Cohort Study of Nephrotic Syndrome in Pregnancy
  • Iatrogenic Hypoglycemia in the Treatment of Hyperkalemia in the ED