Nephrology 

Nephrology Fellowship Photo

Fellowship ProgramNephrology


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 Jennie 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:

  1. Core Curriculum Conference
  2. Physiology conference
  3. Case conference
  4. Clinical and Basic science journal club conference
  5. Nephrology Grand Rounds
  6. Renal pathology conference
  7. Transplant conference
  8. Research conference
  9. Home dialysis conference
  10. M&M conference
  11. Vascular access conference

A detailed conference schedule is found at the following links:

Assigned Days for conference
Fellows Conference Schedule

Gerald Beathard, MD, PhD, FACP, FCPA, FASN, FASDINA message from Dr. Gerald Beathard, the father of Interventional Nephrology


History of Interventional Nephrology

Beginning in the 1980s and 1990s, dialysis access came to be recognized as a major problem, contributing to patient morbidity and mortality. Care of the vascular access was being placed in the hands of consultants where cases were often given a low priority, resulting in delayed treatment, frequent hospitalizations, and an excessive use of central venous catheters. The desire to improve dialysis patient care, concerns for the welfare of dialysis patients, and an unwillingness to accept the status quo gave rise to an interest and involvement in the planning and management of dialysis access starting in the mid-1980s. This activity, beginning in the private practice setting, proved to be effective and gave rise to a new subspecialty of nephrology referred to as Interventional Nephrology.Beathard_1

Initially, training in this new subspecialty was limited to the private practice setting and consisted of a few weeks of proctored activity. Beginning in the late 1990s, academic centers began to initiate programs in interventional nephrology. Some programs engaged in a full range of hemodialysis and peritoneal dialysis access management procedures while others took a more limited approach.

Beathard_2Early reports from interventional nephrologist presented data documenting the success of procedure performed and the incidence of procedure related complications with results superior to that previously reported by other specialties from smaller studies. These publications led to increasing numbers of nephrologists becoming involved in the subspecialty.

In 1996, the National Kidney Foundation annual meeting featured a workshop on kidney ultrasonography and dialysis catheter placement. This was followed in 1997 by the publication of the first iteration of the National Kidney Foundation Dialysis Outcome Quality Initiative with an emphasis on vascular access. In 1998, the first of a series of Interventional Nephrology pre-courses was conducted at the annual American Society of Nephrology meeting. The professional society of interventional nephrology, the American Society of Diagnostic and Interventional Nephrology (ASDIN), was formed in 2000 and Interventional Nephrology has become recognized by both the American Society of Nephrology and the Renal Physicians Association. Since that time, ASDIN has developed practice guidelines, offered Interventional Nephrology certification and accreditation for training programs, and conducted Annual Scientific Meetings focused on dissemination of ongoing research and clinical expertise in vascular access.Beathard_3

Today the management of dialysis access by nephrologists has come to be recognized as a standard of care and the subspecialty of Interventional Nephrology has become recognized worldwide.

The Interventional Nephrology Program at UTMB

A major component of nephrology practice is the management of patients with end-stage kidney disease (ESKD). A critical aspect of the care provided to this category patients is the planning of the dialysis access. Patients with ESKD represent a diverse group requiring individualization based upon a detailed knowledge and understanding not only of the patient’s disease process, but also of the alternatives available including hemodialysis and peritoneal dialysis access.

Dialysis access planning and management requires a collaborative effort of a coordinated team including the patient and the multi-specialty healthcare professionals involved. It is important that the nephrologist play a pivotal role as the leader of this team; however, in order to do so they must have a detailed knowledge of dialysis access planning and management.Beathard_5

Core dialysis access knowledge must be an integral part of the nephrology training experience. The goal of the UTMB nephrology training program is to instill in the trainee a robust knowledge and experience in dialysis access through didactic sessions and hands-on exposure. This will include access planning, access monitoring and surveillance, and access management. Each trainee will have the opportunity to participate in the activities of the interventional nephrology section of the nephrology division. This will include training directed toward clinical competence in the placement of both acute and tunneled dialysis catheters as well as percutaneous kidney biopsies. Interventional nephrology will also be available as an elective which will provide the opportunity for participation in endovascular procedures.

Current Fellows

Fellows

  • Amin, Aisha, MD

    Amin, Aisha, MBBS
    PGY 5

    Division: Nephrology
    Department: Internal Medicine
  • Hussein, Hussein, MBChB

    Hussein, Hussein, MBChB
    PGY 4

    Division: Nephrology
    Department: Internal Medicine
  • Kumar, Anand, MD

    Anand Kumar
    PGY 4

    Division: Nephrology
    Department: Internal Medicine
  • Mukku, Venkata, MD

    Venkata Mukku
    PGY 4

    Division: Nephrology
    Department: Internal Medicine
  • Rizvi, Asim, MBBS

    Rizvi, Asim, MBBS
    PGY 5

    Division: Nephrology
    Department: Internal Medicine
  • Sogbein, Olusola, MD

    Olusola Sogbein
    PGY 4

    Division: Nephrology
    Department: Internal Medicine

Application Process

Our fellowship program is accredited by ACGME (http://acgme.org).

Our program participates in the NRMP (http://nrmp.org/) and all applications are submitted through ERAS (http://aamc.org/services/eras/). 

The program accepts U.S. citizens, permanent residents and J1 visa holders.  H1B visa holders are considered on a case by case basis. 

UTMB is an Equal Opportunity Employer and applications from women and members of minority groups are strongly encouraged.

For additional information, please contact:

Nephrology Fellowship Coordinator
Vicki Hudson
University of Texas Medical Branch
301 University Blvd.
Galveston, TX 77555-0570
Phone:  409-772-1756
Fax:  409-772-5462
Email:  vilhudso@utmb.edu

John Badalamenti, M.D.
Associate Professor of Medicine
Director, Nephrology Fellowship Program
Medical Director, Acute Dialysis Unit
Medical Director, Nephrology Clinic

Hania Kassem, M.D.
Assistant Professor
Assoc. Director, Nephrology Fellowship Program
Medical Director, Home Dialysis Program

 


 

Benefits (hr.utmb.edu/hrbbc/)

UTMB

  1. Competitive salary
  2. High quality health insurance for the fellow and family which includes dental, and disability insurance.Vision insurance available at a low cost to fellow.
  3. High level of employer contribution to 401K retirement package
  4. Employee Discount Programs
  5. Vacation – up to 12 days per year
  6. Sick Leave – up to 12 days per year
  7. Holidays – any holidays worked will accrue 8 hours holiday to use at a later date

Nephrology

  1. Moving Allowance up to $5000.00
  2. Parking – Paid by Nephrology
  3. Textbooks provided
  4. Travel support to one conference per year
  5. Personalized UTMB jackets

For additional information, please visit: https://www.utmb.edu/gme/