The Nephrology Fellowship Program at the University of Texas Medical Branch in Galveston is a fully accredited ACGME training program. We accept candidates who have completed three years of residency training in Internal Medicine. Our goal is to train fellows to provide compassionate care to patients with a variety of kidney diseases and to mold them into becoming clinician educators in the future. The Nephrology fellowship program consists of two years of training. The first year emphasizes clinical training through consult service rotations at the John Sealy Hospital and the Texas Department of Criminal Justice (TDCJ) Hospital.
The second year is mostly devoted to elective rotations and completion of research activities. In the outpatient setting, the nephrology fellow has several continuity clinics devoted to the care of chronic kidney disease patients, kidney and pancreas transplant patients and home dialysis patients. The fellow also has exposure in caring for in-center hemodialysis patients through our division's partnership with DaVita.
The strong emphasis on education is mirrored by our division's weekly conferences. Fellows and faculty have the opportunity to present the following:
- Physiology conference
- Case conference
- Clinical and Basic science journal club conference
- Nephrology Grand Rounds
- Renal pathology conference
- Transplant conference and
- Research conference.
It is a program requirement for a fellow to have submitted a scholarly project (abstract, poster, case report, case series, manuscript, etc.) to a peer-reviewed journal upon the completion of his training. Basic science or translational research opportunities are also available in collaboration with various departments and divisions.
The department of internal medicine is developing evidence based clinical protocols which will be available in EPIC (as order sets) for use when admitting patients with these diagnoses. Their AIM is to standardize care and decrease length of stay and readmission rates.Currently available protocols are:
- CAP - Community Acquired Pneumonia Order set
- Congestive Heart Failure (CHF)
- Chronic Obstructive Pulmonary Disease (COPD)
- Diabetic Ketoacidosis Adult, ICU
- General Medicine Admission
- Immunodeficiency Flow Panel
- MICU/CCU Admission Order Set
- Oral Analgesic Medications
- Parenteral Opioids
- Sepsis, Adult ICU
- 111 - Stroke Alert
- 112 - Stroke Activation
- 300086 - Stroke Floor Admission
- 3000000001 - Stroke Critical care without tPA
- 300088 Stroke - Transfer from Critical care to floor
- 3004002 - Stroke Discharge
All protocols can be found in the EPIC order set section.
The department of Internal Medicine has a large role in the Meaningful Use Initiative. Our participation is key for the success of the initiative. Please visit the meaningful use website for important communication and updates from the Meaningful Use Initiative.