Nephrology Clinical Track

The 2-year Clinical Track is designed to orient fellows towards careers in clinical nephrology. Drawing on the strengths of Tufts Medical Center as both a quaternary-care referral center and a community resource, fellows are exposed to the vast spectrum of nephrology consultations including acute kidney injury, electrolyte and acid/base disorders, chronic kidney disease, and dialysis.  Active and robust kidney, bone marrow, and heart transplant programs provide fellows the opportunity to care for a variety of issues associated with the transplantation process and chronic immunosuppression. Continuity activities span all stages of chronic kidney disease, including outpatient hemodialysis, home hemodialysis, and peritoneal dialysis, providing a unique and comprehensive experience in clinical nephrology.

Learn about our inpatient and outpatient experiences >

Clinical Experiences – 1st year 

11 months of inpatient rotations 

  • Exposure to a wide range of acute and chronic kidney diseases
  • A deep care team consisting of an attending, a fellow, internal medicine residents, and 4th year medical students
  • 5-15 patients per fellow

Two ½-day nephrology continuity clinics per week

  • Develop a cohort of patients with various kidney disease that is managed for the duration of your training
  • See the course of kidney diseases over extended time
  • Hands-on teaching with 1-to-1 engagement with attendings.

A monthly home dialysis continuity clinic

  • Manage a group of peritoneal dialysis and home hemodialysis patients over the course of a year
  • Monthly home dialysis clinics with an attending, a dialysis nurse, social workers, pharmacist , and dietician

Clinical Experiences – 2nd year

6-9 months of inpatient rotations

  • Leading the service as a junior attending
  • Emphasis on challenging, unique, and rare cases

3-6 months of Nephrology Focused Pathway:

  • Rotations focused on unique career interests
  • One-on-one mentorship for career guidance
  • Exclusive curriculum based on your interest and needs
  • Protected time for attendance at national conferences within pathway

A yearlong continuity experience in chronic hemodialysis 

  • Manage an on-site shift of 25 chronic hemodialysis patients
  • Weekly rounding with an attending
  • Monthly lab review with interdisciplinary rounds

One ½-day nephrology continuity clinics per week

  • A monthly home dialysis continuity clinic