McGaw Medical Center of Northwestern University Program

The Nephrology Fellowship Program at the Northwestern University Feinberg School of Medicine offers an intensive clinical training experience in the diagnosis and treatment of renal diseases and hypertension. With strong emphasis on clinical competencies, fellows are immersed in a variety of renal conditions, gaining insights into renal physiology and pathophysiology. The comprehensive training model allows fellows to manage patients across multiple settings, preparing them for future roles as leaders in nephrology.

Clinical Training Structure

During the first year, fellows spend a substantial portion of their time—nine months—on the inpatient Nephrology Consultation Service at Northwestern Memorial Hospital. This hands-on experience allows them to manage a range of cases including acute kidney injury, chronic kidney disease, and care for critically ill patients in various intensive care units (ICUs). This includes learning to administer renal replacement therapies such as hemodialysis and peritoneal dialysis, alongside managing their associated complications 1.

Educational Curriculum

The fellowship's educational setup is robust, including a "boot camp" that features daily lectures for the first five weeks, covering fundamental topics like dialysis and electrolyte emergencies. Beyond this, a core lecture series spans over two years with weekly classes focusing on diverse aspects of clinical nephrology 1. Monthly conferences with renal pathologists teach fellows how to interpret renal biopsies, while journal clubs enhance critical thinking by engaging fellows in literature review and presentations.

Clinical Rotations and Experience

Fellows participate in a variety of clinical rotations during both their first and second years. On the inpatient services, they manage cases across four specialized areas: ICU, acute kidney injury, end-stage renal disease (ESRD), and transplantation. This exposure equips them with an extensive understanding of varied conditions, enabling them to hone their clinical skills effectively 1.

Second-year fellows maintain continuity with outpatient clinics while also rotating through the Veterans Administration Hospital to deepen their training in managing renal conditions across diverse patient populations 1. Each fellow follows a cohort of patients in the general nephrology clinic and manages outpatient dialysis cases, further solidifying their clinical acumen.

Research Opportunities

The program encourages fellows to engage in scholarly activity through various research opportunities. Options include conducting clinical research, basic science projects, and participation in quality improvement initiatives. Protected time for mentored research training is available for those who wish to pursue academic careers, fostering an environment where fellows can contribute to significant advancements in nephrology 1.

Nephrology-Critical Care Track

The fellowship also offers a unique Nephrology-Critical Care training track, allowing fellows to obtain dual board certifications in nephrology and critical care medicine after three years of integrated training. Interested applicants can express their interest during the application process 1.

Diversity and Inclusion

The program champions diversity and inclusion, encouraging applicants from various backgrounds and experiences to enhance the collaborative nature of the medical field. Northwestern University is committed to attracting talented individuals from diverse backgrounds, thereby fostering a learning environment rich in varied insights and perspectives 1.

Application Process and Requirements

Eligibility for this fellowship includes successful completion of an ACGME-accredited residency and eligibility for the American Board of Internal Medicine's certification exam. Applicants must also possess a valid medical license and are encouraged to have ECFMG certification if applicable. The application process entails submission of multiple letters of recommendation, a personal statement, and USMLE scores via the ERAS system 1.

Regarding visa support, the program is able to sponsor J-1 and H-1B visas for international medical graduates, ensuring that eligible fellows receive the appropriate legal backing to complete their training.

Competitiveness and Special Remarks

The fellowship is considered competitive, welcoming applications from a diverse range of candidates, including those with DO degrees and international medical graduates. Specific application requirements might include limits on the number of failed STEP exams and stipulations regarding year of medical school graduation, highlighting the program's dedication to a high-quality training experience 1.