University of Michigan Program

Program Overview

The University of Michigan Medical School Nephrology Fellowship Program offers a comprehensive training experience for future nephrologists. Recognized nationally for its clinical and research excellence, the program is designed to develop both clinical skills and research competency, focusing on all aspects of kidney disease management.

Established under the auspices of Michigan Medicine, one of the largest healthcare complexes in the U.S., the program benefits from a robust infrastructure, ensuring that fellows receive extensive clinical exposure and the opportunity to engage in cutting-edge research.

Curriculum and Training Structure

Fellowship Structure

The fellowship consists of a structured program that includes a three-year training sequence. The first year primarily emphasizes clinical training, preparing fellows for a career in nephrology, while the subsequent years can be tailored for those pursuing academic or clinical practice careers. 1

Clinical rotations occur at both the University of Michigan Hospital and the Ann Arbor VA Hospital, allowing fellows to gain experience with diverse patient populations and complex renal diseases.

Clinical Training

During the first year, fellows will rotate through various units, including:

• General renal consult services
• ICU nephrology rotation
• Chronic dialysis units
• Transplant service

This diverse exposure equips fellows with a comprehensive skill set to handle both common and rare renal conditions. In their second year, fellows will focus more on outpatient settings, building continuity clinics and specialty rotation opportunities in areas such as interventional nephrology, pediatric nephrology, and renal pathology.2

Research Opportunities

The fellowship program at the University of Michigan supports a strong research focus, providing extensive opportunities for fellows to engage in both clinical and basic science research. With the backing of the George M. O'Brien Michigan Kidney Translational Core Center, fellows can collaborate with faculty on funded research projects and receive mentorship in novel therapeutic developments and clinical trial design.3

Research efforts span various focus areas such as:

• Diabetic kidney disease
• Kidney cancer outcomes
• Hypertension in kidney disease
• Graft survival post-kidney transplant

Unique Aspects of the Program

Interventional and Transplant Nephrology Fellowships

The University of Michigan program offers specialized tracks in interventional nephrology and transplant nephrology, catering to fellows interested in these subspecialties. The interventional nephrology fellowship is particularly notable for its dedicated training in dialysis access procedures and multidisciplinary care.4

Diversity, Equity, and Inclusion Focus

In alignment with Michigan Medicine's commitment to diversity and inclusion, the nephrology division promotes an environment that prioritizes equitable opportunities for medical education and professional growth for all trainees. The fellows are supported by initiatives aimed at fostering a diverse learning atmosphere and encouraging participation from underrepresented groups.5

Training Sites

Fellows are trained across multiple prestigious sites including:

• University of Michigan Hospital
• Veterans Affairs Ann Arbor Healthcare System
• Outpatient nephrology clinics at Taubman Center
• Brighton Center for Specialty Care

Application Requirements

To apply to the Nephrology Fellowship, candidates must meet specific eligibility criteria:

• Board-eligible in Internal Medicine from an ACGME-accredited program.
• Hold a Permanent Resident or J-1 visa, as H1-B visa sponsorship is not available.6
• Applications are submitted via the ERAS system and must include a personal statement, letters of recommendation, and transcripts.

Visa Sponsorship

The University of Michigan Nephrology Fellowship Program sponsors J-1 visas for eligible applicants. However, it is important to note that the program does not support H1-B visas, ensuring that applicants are aware of the immigration requirements prior to applying.7

Competitiveness of the Program

The Nephrology Fellowship at the University of Michigan is considered highly competitive, attracting both U.S. graduates and international medical graduates (IMGs). The program looks for candidates with a strong academic background and relevant clinical experience, making it particularly appealing to those aiming for academic careers in nephrology.

Salary and Benefits

Fellows receive a salary commensurate with that of a house officer, along with comprehensive benefits including health insurance, malpractice insurance, and access to various professional development opportunities. The overall compensation package is competitive within the landscape of fellowship programs across the country.8