Detroit Medical Center/Wayne State University Program

Fellowship Program Overview

The Detroit Medical Center/Wayne State University (DMC/WSU) nephrology fellowship offers a comprehensive two-year clinical training program focused on developing proficiency in various aspects of clinical nephrology. Key areas of training encompass chronic kidney disease, fluid and electrolyte disorders, primary genetic and acquired nephropathies, all forms of dialysis intervention, and kidney transplantation. Remarkably, the program has maintained a greater than 95% board passage rate on the first attempt over the past 15 years, a testament to its effective training methodologies 1.

Clinical Experience and Rotations

The training experience involves close supervision by full-time faculty members in consultative, inpatient nephrology, and transplant services across a multi-hospital system, which includes a Veterans Affairs (VA) system. Fellows are exposed to patient care in multiple settings, including outpatient clinics for chronic kidney disease, hemodialysis, and peritoneal dialysis 1.

During the first year, fellows focus on numerous clinical issues, including:

• Chronic Kidney Disease
• Glomerular and Vascular Disorders
• Tubular Interstitial and Cystic Disorders
• Acute Renal Failure
• Nephrolithiasis
• Pregnancy-Related Renal Disease
• Electrolyte and Acid-Base Disorders
• Clinical Pharmacology
• Ethics and Urinalysis
• Hemodialysis and Peritoneal Dialysis

Additionally, fellows are involved in performing kidney biopsies and temporary vascular access placement under faculty supervision, with daily rounds enhancing their learning experience 1.

Second Year Focus and Optional Rotation

The second year is devoted to advanced clinical training. Opportunities to become a certified interventional nephrologist in procedures, such as vein mapping by Doppler ultrasound and temporary dialysis catheter insertion, are available but optional. If suitable candidates are identified, a third year can be arranged for critical care fellowship purposes, subject to the approval of the fellowship leadership in critical care 1.

Application Process

The DMC/WSU Fellowship Program welcomes applications from internal medicine graduates who are board-eligible and plan to obtain training through the Electronic Residency Application System (ERAS). The application process involves submitting essential documents, including:

• ERAS Common Application
• Curriculum Vitae
• Personal Statement
• USMLE Step 1, 2, and 3 Transcripts
• ECFMG Status Report
• Medical College Transcripts
• A minimum of three Letters of Recommendation (one from the Program Director)

Moreover, candidates must be J1 visa applicants, as the program does not sponsor other visa types. The interview process occurs from August to early October within the framework of the National Resident Matching Program (NRMP) for Nephrology/Clinical 1.

Research Opportunities

Fellows are encouraged to engage in research activities that reflect the program's commitment to advancing nephrology. Research areas include the control of antidiuretic hormone release, hypertension, neural control of cardiovascular and renal function, transplant outcomes, acute renal failure, and calcium homeostasis. Additionally, ongoing clinical studies address chronic kidney disease, transplantation, and calcium management in special patient populations 7.

Conferences and Educational Activities

The program provides structured educational opportunities such as introductory lectures, weekly educational lectures, journal clubs, and pathology conferences, ensuring that fellows are well-versed in both foundational and advanced nephrology concepts. Two Ksap-Nephsap modules are expected to be completed monthly, promoting continuous learning and self-assessment 2.

Competitiveness and Visa Considerations

The fellowship program is considered highly competitive, targeting candidates who possess solid foundational knowledge in internal medicine and a keen interest in nephrology. The program favors J1 visa sponsorship, making it important for international medical graduates (IMGs) and foreign nationals to be aware of these requirements 1.

Conclusion

Through an enriching curriculum, diverse clinical training settings, ongoing research engagement, and a comprehensive educational approach, the DMC/WSU Nephrology Fellowship prepares fellows for successful careers in nephrology.