Overview

The Nephrology Fellowship program at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell utilizes the inpatient, outpatient, and research resources of both main hospitals (Long Island Jewish Medical Center and North Shore University Hospital, both part of Northwell Health) and their Satellite Dialysis Facilities. LIJ Medical Center is a voluntary, nonprofit tertiary care teaching facility located in New Hyde Park  and consists of a medical-surgical hospital, a women’s hospital, a psychiatric facility and a children's hospital. North Shore University Hospital, located in Manhasset, is an 806-bed teaching hospital with a dedicated kidney transplant floor.

Fellows alternate between inpatient and outpatient services, each under the direct supervision of the full-time faculty. In addition, fellows spend two dedicated months on the kidney transplant service at North Shore University Hospital during the course of their training. Fellows also spend several months over the two years of training in research, and for those fellows interested in pursuing academic careers, a third year of fellowship may be taken to further develop their research skills. Fellows participate in a variety of laboratory and clinical research projects with the faculty. Grant support from organizations such as the National Kidney Foundation has been obtained in the past to help fellows further their research career development. Clinical and research training are complemented by an extensive series of conferences including grand rounds, journal club, case and core conferences held weekly among others.  

Continuity is an important component of training as well. Throughout all rotations, fellows attend their weekly renal continuity clinic. In addition to attending transplant clinic during their two dedicated transplant rotation months, fellows continue to see a group of transplant patients during the weekly ambulatory continuity clinic throughout their training. They also attend the early post-transplant clinic at the North Shore University Hospital's  Kidney Transplant Center on a monthly basis throughout the course of their training.

Fellows are evaluated using a competency and milestone-based process. They receive feedback verbally and in writing. Fellows also provide evaluations of the faculty and program and play an important role in the content of the curriculum. 

Educational goals

The principal goal of the fellowship program is to prepare fellows for careers in clinical practice as well as academic medicine. It is designed to have fellows achieve a high level of competence across all six core competencies and provide fellows with:

  1. A strong clinical foundation that will allow them to practice independently and provide high-quality care to patients while continuing to pursue self-directed learning
  2. The skills to be able to teach their peers, fellows, residents and students in the venues that they will work
  3. A background in research that will allow those who wish to pursue this pathway the opportunity for a productive investigative career in either clinical or laboratory research.

The program is designed to prepare fellows for careers as practicing nephrologists as well as for careers in academic medicine.  

Conferences and activities

The Division of Kidney Diseases and Hypertension at Northwell Health has a fully integrated series of educational conferences and lecture series which are held throughout each academic year.  They are as follows:

  Monday Tuesday Wednesday Thursday
Week 1

5-6pm

Kidney Biopsy Conference
(Drs. Shah, Jhaveri and Barnett)

4-5pm

Transplant Case Conference
(Drs.Wanchoo and Bhaskaran)

5-6pm

Fellowship Meeting
(Dr. Shah)

4:30-5:30pm

Core Conference

12-1pm

Journal Club

Week 2

5-6pm

Renal Grand Rounds

4-5pm

Case Conference
(Dr. Wanchoo)

4:30-5:30pm

Core Conference

12-1pm

PD Conference

Week 3

5-6pm

Transplant Conference
(Drs. Bhaskaran and Nair )

4-5pm

Case Conference
(Dr. Wanchoo)

5-6pm

Fellowship Meeting
(Dr. Shah)

4:30-5:30pm

Fellows’ Research Meeting
(Drs. Fishbane and Mathew)

12-1pm

Journal Club

Week 4

5-6pm

Research in Progress

4-5pm

Nephrology Board Review
(Dr. Sachdeva)

4:30-5:30pm

Core Conference

 

Nephrology Core Curriculum Conference Series:

Both fellows and faculty prepare and present at the weekly Core Curriculum Conference Series. The core conferences are held in a conference room in the Division of Kidney Diseases and Hypertension Office. These conferences are held every Wednesday at 4:30 pm. The topics in the core curriculum, and the content to be covered are selected by the program director in accord with the curriculum. The core conference provides an opportunity to cover all aspects of the field of nephrology including renal physiology, pathology, and renal replacement therapy. As part of the preparation for his/her presentation, the fellow works with a specific faculty member to guide them in their preparation of the topic and its presentation. The nephrology fellow is given the core curriculum lecture schedule at the beginning of the year to provide adequate time for preparation. The program director and full-time faculty members are present at the conference. 

Basic Science Conferences:

Sessions are held throughout the year covering important topics in basic science.

Nephrology Board Review Conference (Tuesday at 4 pm):

Board Review Conference is held monthly with the nephrology fellows and full-time faculty. The nephrology fellows must prepare for the conference by reviewing the assigned board review material. The assigned reading material may include review questions or a Nephrology Self-Assessment Program, which is made available by the American Society of Nephrology.  During the conference, the group reviews the material together.   

Fellowship Program Meetings (Tuesday at 5 pm):

The program director conducts biweekly fellowship meetings with fellows and faculty on the first and third Tuesday of each month. During these meetings, fellows and faculty bring up issues to discuss related to the program including the curriculum, the evaluation system, program content, new ideas and suggestions and any problems that are being encountered.

Introduction to Clinical Investigation Course:

This is an annual fall course covering key topics to provide fellows in all disciplines with a foundation in principles of clinical investigation. Topics related to both basic science and clinical research is covered. 

Journal Club (Thursday):

This is a biweekly noon conference prepared by fellows covering both clinical and basic research papers published in the major journals in nephrology and internal medicine. Journal Club is a forum for fellows to present topics of current interest including clinical and cutting edge research. Topics may be inspired by a recent interesting management problem, curiosity regarding a particular diagnosis or the suggestion of a faculty member. The program director ensures the appropriateness of the material. Before this session, fellows review their presentation with an assigned faculty member. Before presenting their selected article, fellows give the audience a general introduction to the subject matter at hand, reviewing the pertinent background literature. Besides its value as a review of current knowledge about a topic, journal club has as its primary focus the development of the trainee’s skill for critiquing the renal clinical and basic science research literature. The trainees learn to think critically about methodology, study design, statistics, and whether conclusions are supported by the data.

Kidney Biopsy/Pathology Conference (Monday at 5 pm):

This monthly conference includes a presentation and in-depth clinical discussions of interesting kidney biopsy cases by both fellows and faculty. The pathologist then reviews the kidney biopsy results. The case is finally summarized by either the presenting fellow or supervising full-time faculty member. The goals of this conference are to review renal pathology and discuss the current management of various kidney diseases.

New York Society of Nephrology Meetings:

The New York Society of Nephrology holds several basic science and clinical lectures given by nationally renowned faculty. Fellows are encouraged to attend. The last session of the academic year is Fellows’ Night, which consists of research presentations from fellows from major academic programs in the New York area. Fellows from our Nephrology Program have presented here for years.

National Meetings/Conferences:

First-year fellows attend the annual National Kidney Foundation Spring Clinical Meetings while second-year fellows attend the Annual American Society of Nephrology Meeting. Fellows may also attend the Renal Physicians Association and the Home Dialysis Fellows Workshops during their training.

Peritoneal Dialysis Conference (Thursday at noon):

Key topics in peritoneal dialysis are reviewed monthly on an ongoing basis during the course of the year.

Practice Based Learning (Case) Conference (Tuesday at 4 pm):

The Practice-Based Learning Conference is held weekly. At this conference, the nephrology fellow presents selected cases that he/she is following on the hospital service. It allows the fellow to highlight an area of clinical concern where he/she needed to obtain more knowledge to better the care of the patient. The full-time faculty evaluates the nephrology fellow’s presentation, diagnostic workup, and the treatment plan. The faculty discusses the current medical literature pertaining to that disease process, and the nephrology fellow must then evaluate his/her own treatment of that individual patient and other patients that he/she has seen with similar disease processes.

Renal Grand Rounds (Monday at 5 pm):

These monthly sessions include talks given by invited guest speakers on both clinical and research topics.

Research Seminars:

Presentations of ongoing research by faculty members and fellows in an interactive format take place throughout the year and are coordinated with visits by Visiting Professors to the Nephrology Division.

Transplant Conference (Monday at 5 pm):

The monthly conference consists of a didactic session on one of a series of key topics in transplantation, which is covered through the academic year.

Visiting Professor Program:

Throughout the year a series of Visiting Professor programs are held, some of which are integrated into the regular conference schedule and others are set up as special inter-hospital sessions.

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Applicants invited for interview will be notified by email. For additional information on how to apply contact Kathleen Herman.

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Fellows gain a rich learning experience with one of the most innovative training centers in the country.