OVERVIEW

Thank you for your interest in the Nephrology Fellowship Program of the Jacobi Medical Center.  Jacobi Medical Center is part of the North Bronx Healthcare Network, whose mission is to provide quality, cost effective primary and acute care service to our community in a respectful, professional manner, regardless of ability to pay.   In the Nephrology Division, we offer a comprehensive two year training program that comprises strong clinical nephrology complemented with patient-oriented research.

Our program accepts two fellows each year. First-year fellows partition their time equally between the in-patient clinical services at Jacobi Medical Center and North Central Bronx Hospital.  They also spend ½ day each week in a continuity ambulatory experience which continues into their second year.  The second year is divided between research, transplant nephrology, and electives. They will  be introduced to the out-patient hemodialysis center at Pelham Parkway Dialysis Unit located on Jacobi campus. The diverse patient population and the large volume provide a great wealth of clinical experience.  Patients and staff are also able to benefit from Jacobi’s new state-of-the art in-patient and out-patient facilities.  A combination of a hands-on learning environment, supervised autonomy, and uninterrupted didactic teaching make for an invaluable opportunity to learn Nephrology.

FELLOWSHIP GOALS

The goal of the fellowship is to provide outstanding training in all aspects of nephrology in a nurturing academic environment during their in-patient and out-patient experience.  For the in-patient exposure, fellows will be trained in the diagnosis and management of acute kidney injury, critical care nephrology, glomerular and tubulointerstitial kidney diseases, fluid-electrolyte disorders, hypertension, pregnancy, chronic and end-stage kidney disease, kidney stones, and various other renal disorders.  They will also be adept in performing procedures listed below. For the out-patient experience, fellows will have abundant exposure in their weekly continuity clinic at Jacobi Medical Center, the renal clinic at North Central Bronx, and transplant clinics both at Jacobi Medical Center and Columbia Presbyterian Medical Center.  In addition, the fellowship program is affiliated with Columbia Presbyterian Medical Center for transplant nephrology which ensures an enriching learning experience in this field.The fellows also spend two weeks doing renal pathology in the world renowned pathology division at Columbia Presbyterian Medical Center in the second year.

CLINICAL ROTATIONS

First Year 

• Jacobi Medical Center in-patient service
•  North Central Bronx Hospital in-patient service
• Continuity clinic (one-half day per week)
• Vacation (4 weeks per year)
• Electives (two 2-week blocks)

o       Interventional radiology

o       Vascular surgery

o       Pediatric nephrology

o       Urology

o       Research exploration

Second Year

·        Research

o       Clinical

o       Translational

o       Basic Science

• Electives (two 2-week blocks)

o       Renal pathology

o       Vascular surgery

o       Interventional radiology

o       Pediatric nephrology

o       Urology

• Vacation (as per contract)
• Jacobi Medical Center/North Central Bronx in-patient service (two 2-week blocks)
• Transplant Nephrology at Columbia Presbyterian Medical Center (two months)
• Out-patient Hemodialysis at Pelham Parkway Dialysis Unit (one shift of about 25 patients weekly)

Outpatient Experience

• Renal ambulatory continuity clinic at Jacobi Medical Center
• Renal ambulatory clinic at North Central Bronx Hospital
• Transplant clinic at Columbia Presbyterian Hospital Medical Center (second year)
• Transplant clinic at Jacobi Medical Center (twice a month)
• Out-patient Hemodialysis Unit (second year)

CONFERENCES

Our educational program includes an extensive conference series that offers core knowledge, updates in nephrology, and cutting-edge research.  Attendance is mandatory for all fellows unless they are doing an off-site rotation.  Fellows are given protected time to attend conference so that they are relieved from clinical duty at those times.

• Renal grand rounds (weekly)
• Clinical conference (weekly, combined with Montefiore Nephrology Program twice monthly)
• Journal club (monthly)
• Renal pathology conference at Columbia Presbyterian Medical Center (twice monthly)
• Core lecture series by Faculty (twice monthly)

See sample schedule

PROCEDURES

Fellows will have ample opportunity to gain skill these procedures:

• Percutaneous ultrasound guided renal biopsies of
  • native kidneys
  • transplant kidneys
• Placement of temporary dialysis catheters
• Acute and chronic hemodialysis
• Continuous renal replacement therapy (CRRT)
• Peritoneal dialysis
• Home hemodialysis