Nephrology Subinternship

LOCATION: Charleston Area Medical Center, Charleston, West Virginia
DURATION: 2 or 4 weeks
OFFERED: Continuously
STATUS: Elective


To familiarize and provide experience for the medical student with;

  1. Patient assessment;
  2. Managing fluid and electrolytes;
  3. Acid base disorders;
  4. Diagnosis and management of Acute and Chronic Renal Failure;
  5. Clinical aspect of uremia and End Stage Renal Disease;
  6. Management of renal transplant patients;
  7. Treatment of hypertension;
  8. Adjustment of medication dosage in patients with renal failure.

Methods to Achieve Objectives

  1. Review of written informational packages and lectures;
  2. Performing comprehensive evaluation and management of patients in hospital, Emergency Room and Acute Kidney Dialysis Unit under the supervision of a nephrology resident and attending physician;
  3. Observe dialysis, (and as occasion arises, hemoperfusion, continuous arteriovenous hemofiltration, and/or pheresis);
  4. Assist with renal biopsy procedure and review of the prepared slide;
  5. Perform urinalysis, interpreting urine sediment and correlation of the findings and the clinical syndromes;
  6. Attend nephrology conference twice per month;
  7. Attend renal clinic every other week.

Examination Procedures and Evaluation Criteria

Available in the department.

Pre-Rotation Instructions

Contact assigned preceptor for instructions.