Curriculum for Fellowship in Clinical Nephrology and Dialysis

 

Fellowship Program Overview

The Fellowship in Clinical Nephrology and Dialysis aims to train physicians to become skilled nephrologists capable of providing comprehensive care to patients with kidney diseases. The program emphasizes both clinical expertise and research skills..

Objectives:

• To provide advanced training in clinical nephrology and dialysis
• To develop expertise in managing kidney diseases and dialysis patients

Curriculum Structure

The fellowship typically spans one year and is divided into Clinical Nephrology and Dialysis postings.

Clinical Postings :

• Inpatient Nephrology
• Outpatient Nephrology
• Dialysis Unit (Hemodialysis, Peritoneal Dialysis)
• Intensive Care Unit
• Nephrology Consult Service
• Vascular Access Management

Curriculum :

• Nephrotic Syndrome
• Glomerulonephritis
• Tubular disorders
• Hypertension and kidney disease
• Diabetes and kidney disease
• Acute Kidney Injury
• Chronic Kidney Disease
• Electrolyte Disorders
• Acid-Base Disorders
• Nephro-Oncology
• Kidney Stone Disease
• Kidney Disease in Pregnancy
• Dialysis Techniques (Hemodialysis, Peritoneal Dialysis, CRRT)
• Dialysis Complications
• Vascular Access Management
• Renal Pathology
• Renal Imaging
• Kidney transplantation and immunosuppression
• Case-based discussions
• Journal Club

Teaching Methods :

• Lectures
• Case discussions
• Journal clubs
• Clinical rotations
• Hands-on training in dialysis and transplantation

Core Competencies

Fellows should acquire the following competencies :

• Comprehensive knowledge of renal physiology, pathophysiology, and clinical manifestations of kidney diseases
• Proficiency in the diagnosis and management of acute and chronic kidney diseases
• Expertise in dialysis modalities, including hemodialysis, peritoneal dialysis, and continuous renal replacement therapy
• Skill in the management of electrolyte and acid-base disorders
• Ability to perform renal biopsies and interpret results
• Prevention of kidney disease progression
• Proficiency in vascular access management
• Excellent communication and interpersonal skills

Evaluation

Fellows will be evaluated through a combination of :

• Clinical evaluations by attending Nephrologists
• Written examination
• Practical oral examination

Additional Considerations

• Interprofessional Collaboration: Foster collaboration with other healthcare professionals (e.g., nephrology nurses, dieticians, social workers)
• Quality Improvement: Encourage participation in quality improvement initiatives
• Patient Education: Emphasize the importance of patient education and counseling
• Ethics: Address ethical issues in nephrology practice
• Simulation-based Learning: Incorporate simulation for procedural skills and crisis management

By following this curriculum and emphasizing core competencies, the fellowship program will produce well-rounded Physicians capable of providing excellent patient care and contributing to the field of Nephrology and Dialysis.

Course Coordinators

• Dr Suresh G (HOD & Senior consultant Nephrology)
• Dr. K.P Jayakumar (Senior Consultant - Nephrology)
• Dr. Ajeesh John (Senior Consultant - Nephrology)
• Dr. Gautam Rajan (Consultant - Nephrology )
• Dr. Christine Mary Jane (Consultant - Nephrology)

Eligibility : MD/DNB (General Medicine) , Post MBBS (2-3 yrs) with interest

Intake : October

Number of Seats : 2