Training in public hospital settings
Clinical research opportunities with two dedicated foundations
About Our Program
One-On-One Training in Public Environments
Hennepin County Medical Center has a history of training nephrology fellows for over three decades, along with a strong partnership with the Minneapolis Veterans Administration Medical Center, the fellowship provides state-of-the-art training in Nephrology, a focus on education and didactics, and a commitment to work-life balance.
Fellows will have an opportunity to evaluate and manage patients with the vast array of acute and chronic renal diseases, glomerular disease, hypertension, fluid, electrolyte, and acid-base disorders that typify the spectrum of disorders seen at a large metropolitan county hospital, a large VA hospital and an active renal transplant program. Fellows will care for patients in specialty clinics such as post-kidney transplant clinic, the kidney transplant evaluation clinic, the general nephrology clinic, the mineral metabolism clinic, and the home hemodialysis and outpatient peritoneal dialysis clinics.
Fellows on the inpatient service will gain extensive experience in a broad range of acute nephrological issues and interventions, including renal replacement therapies (e.g., CRRT, conventional hemodialysis, slow low-efficiency dialysis, and peritoneal dialysis). Fellows will also gain experience in therapeutic apheresis and exchange transfusion procedures, and will, under direct supervision, perform all necessary procedures including central line placement for dialysis catheters and ultrasound-guided kidney biopsy.
About Our Curriculum
It is the ultimate goal of the Nephrology Fellowship Program to educate fellows toward Board certification through excellence in educational instruction and achievement of required performance skills through implementation of the ACGME Core Competencies.
Our curriculum exposes fellows to inpatient consultation and primary nephrology services, kidney pathology, kidney transplantation, dialysis, vascular access, palliative care, and outpatient nephrology clinical activities.
The program has a yearly core curriculum lecture series which will cover the main topics in clinical nephrology. In addition, through case conferences, journal club, research conference, and pathology conference, a broad didactic curriculum will add to the fellow’s exposure and education.
Core Curriculum Conference
- Mondays 12-1PM: Board Review and Case Conference
- Tuesdays 12-1PM: Renal Physiology series during part of the year
- Wednesdays 12-1PM: Core didactic series of annual curriculum
Internal Medicine Grand Rounds
- Thursdays, 12-1:00 p.m.
Comprehensive Clinical Nephrology Conferences: Fridays 12-1:00 p.m.
- Staff and Fellow topic presentations
- Renal pathology conference
- Journal club 8-9 times/year
- Research conference 4-5 times/year
Study with Active Practitioners and Clinical Researchers
Dr. Keith Eidman, DO, Program Director, Director – Nephrology Division, HCMC; Assistant Professor of Medicine, University of Minnesota
Dr. Allyson Hart, MD, MS, Assistant Program Director
Dr. Saugar Maripuri, MD, MPH, Assistant Program Director
Dr. Yoav Segal, MD, Site Director, Minneapolis Veterans Administration Medical Center, Associate Professor of Medicine, University of Minnesota
Advanced Clinical Training with an Individual Approach
Fellow Year 1 (PGY-4)
Introduction/Orientation (0.5 - 1 required)
Inpatient Consults (7-8 months required)
Transplantation (1 month required)
Pathology (1 month required)
Dialysis/Access (1 month required)
Elective (1 month required)
Fellow Year 2 (PGY-5)
Research (4-5 months required)
Inpatient Consults (4 months required)
Transplantation (2 months required)
Elective (1-2 months required)
Dialysis, Home-Based Therapies
About Our Rotations
Every day during clinical activities, the program pairs each fellow with one faculty member. This approach provides individual attention to strengthen learning and ensure appropriate supervision.
We structure all rotations to comply with duty hours and to emphasize work-life balance; there is no in-house call at night. Fellows are on-call one weeknight per week and cover weekend call once a month.
Nephrology Fellowship Rotation Descriptions
- Inpatient rotations: Experience includes consultative rotations at the Minneapolis VA and HCMC where formal training in procedures include hemodialysis, peritoneal dialysis, continuous renal replacement therapy, urine sediment microscopy, temporary hemodialysis catheter insertion (with real-time ultrasound guidance) and kidney biopsies (native and transplant). In addition, fellows rotate on the HCMC dialysis and transplant service, providing an invaluable experience in diverse acute and chronic pathology of this patient population.
- Transplantation: Experience includes outpatient clinic to include acute and chronic post-transplant follow up clinic, kidney transplant donor, and recipient evaluation clinics. Inpatient experience will expose fellows to induction immunosuppressive therapy and acute complications.
- Ambulatory clinics include one-on-one staffing, where fellows and faculty review the diagnosis and treatment plan for each patient. Fellows will attend a weekly continuity clinic in nephrology, hypertension and electrolyte disorders.
- Renal Pathology. Fellows receive training in renal pathology through the fellows' lecture series, renal case conference, renal pathology rotation and monthly pathology conference.
- Outpatient dialysis continuity: Experience includes following chronic outpatient dialysis patients at an affiliated unit with assigned staff.
- Hemodialysis/Vascular access: During the first year, fellows will gain knowledge of vascular access procedures, witness creation and placement of grafts and fistulas. In addition, fellows will work dialysis nurses to gain further understanding of dialysis machines, setup, and complications.
- Research, Quality Improvement: During the fellowship, all fellows will engage in scholarly activity. Quality Improvement Projects can be done and assisted by staff at both sites. Numerous clinical research projects are continuously active and fellows can assist or develop novel research projects with staff mentors.
- Elective: Fellows can gain further experience in nephrology through additional experience in research, transplantation, specialty clinics, private practice nephrology or novel areas.
What Sets Us Apart?
Commitment to education.
Nearly 300 physicians study with us each year as residents, fellows, and medical students. The nephrology division has 13 full-time staff members dedicated to patient care and medical training.
Individual attention and leadership.
Fellows will have a staff dedicated to the educational mission of the nephrology fellowship. All the educational experiences and clinical encounters will thus give broad exposure and training for producing highly qualified nephrologists ready to practice or pursue additional clinical or research training.
Fellows learn and work in a fostering environment that prioritizes work-life balance. Fellows take overnight calls one weeknight per week and cover hospital services one weekend per month. Inpatient services are structured to allow fellows the flexibility to take time off or vacation.
Cutting-edge equipment and procedures.
Our facilities and our curriculum integrate the latest technology. Fellows will have access and utilize a state of the art Patient Simulation Center. They will gain experience in the use of bedside ultrasound in volume assessment and dialysis catheter placement. They also have access to education from a dedicated regional renal pathology department.
Clinical research opportunities.
The Chronic Disease Research Group (CDRG), formed by HCMC nephrologists to investigate public health issues related to chronic illnesses and treatment, enriches the training experience by giving fellows access to skilled research mentors. Under a multimillion-dollar contract with the National Institutes of Health (NIH), the research group has served as the Coordinating Center and the Cardiovascular Disease Special Studies Center for the US Renal Data System (USRDS). Currently, the research group operates the Scientific Registry of Transplant Recipients (SRTR), which maintains the database for all solid organ transplant statistics and information in the U.S.
Applications are accepted through ERAS
Prospective candidates must show completion of a three-year residency in internal medicine.
Your application must include:
- Medical school transcripts
- Residency Completion
- Curriculum vitae
- Three letters of recommendation
- Personal statement
Non-resident applicants must possess a J1 visa or green card; this program will look at highly qualified H1B applicants on an individual basis. Non-resident candidates should submit an ECFMG certificate and results of Step I and II (required) and Step III along with their application.
- Submission: Submit your application through the Electronic Resident Application System(ERAS). We do not accept applications through the mail. The Nephrology Fellowship will contact selected candidates individually; we participate in the National Resident Matching Program.
- Scoring: Each applicant will be scored based on these criteria:
- Medical school transcripts
- Demonstrated clinical excellence and professionalism
- Honors and accomplishments
- Letters of recommendation
- Interviews: Selected applicants will be invited for interviews. We offer travel grants for qualified individuals.
- Decision: The Nephrology Fellowship will contact selected candidates individually; we participate in the National Resident Matching Program.
About Our Facility
Fellows rotate between two leading hospitals in Minneapolis to experience firsthand the day-to-day operations of major public hospitals.