Rotations

Inpatient Consult Rotation: 

Our fellows participate in ½ month blocks doing inpatient consultation at our main hospital, Ruby Memorial Hospital.  Our fellows lead a team of internal medicine residents and medical students, with ample opportunities for teaching.  We see a wide variety of disease processes as the referral center for north-central West Virginia and areas of southwestern Pennsylvania.  Fellows gain ample experience with acute hemodialysis as well as continuous renal replacement therapy and Therapeutic Plasma Exchange.  Opportunities for dialysis catheter placement and kidney biopsy also occur on this rotation.

Inpatient ESRD Rotation: 

Patients on chronic hemodialysis and with kidney transplants that require admission to the hospital are admitted and managed by the Nephrology team.  Senior residents staff the service, providing the fellow with a supervisory role and more teaching opportunities.

Outpatient Rotation: 

The fellow rotates through our outpatient hemodialysis and home therapies units during this block.  Second year fellows are assigned a shift of hemodialysis patients to co-manage with the faculty, gaining the experience needed to manage this patient population.  Continuity clinic and an acute care visit clinic are also included in this block.  There is also time scheduled for scholarly activities.  We have a growing population of Peritoneal Dialysis and Nx Stage Home dialysis patients. Our fellows are exposed and become very comfortable with managing the various forms of renal replacement therapies.

Research: 

Fellows have dedicated research time throughout their fellowship to develop and complete a project.  Faculty mentors participate in the project.  There is a dedicated research staff ready to help you in the development of your project. Our fellows have had the opportunity to present multiple posters at the National Kidney Foundation (NKF) and American Society of Nephrology (ASN) meetings. 

Transplant: 

Our fellows spend one month each year at the University of Pittsburgh Medical Center rotating with their transplant service.  A robust exposure to all aspects of kidney transplantation is experienced at this busy center.  The fellows have exposure to patients in the pre-transplant and the post-transplant period in their individual continuity clinic as well.

Electives: 

Fellows have an opportunity during their training to rotate on available electives.  Second year fellows spend time with the palliative medicine service, run by Dr. Alvin “Woody” Moss, a world-renowned expert in palliative care and medical ethics as well as one of our nephrologists.  Fellows also rotate with our medical ICU team to gain additional procedural training.  Experiences with vascular surgery, radiology and others can be arranged depending on interest.