About the Pediatric Nephrology Fellowship
We have an ACGME-accredited three-year program and we accept one new fellow per year. The Medical College of Wisconsin Affiliated Hospitals (MCWAH) has general oversight of the program. All of the division faculty are board certified in pediatric nephrology and along with staff, will be integral to the fellowship trainee's clinical education. The Department of pediatrics has 14 other fellowship programs and the fellowship directors and pediatric faculty provide a Joint Fellowship Program year-round. This program provides a monthly conference for all fellows that covers curriculum such as research design, ethics, teaching methods, quality improvement processes, interviewing for jobs, etc.
History: First accredited in 2009
Duration of training: Three (3) years
Prerequisite training/Selection criteria: Must have completed a certified pediatric residency program
Goals and Objectives
The broad educational goals of the program are to develop the knowledge, skills, and professional attributes that will lead the pediatric nephrology fellow to becoming an excellent clinician caring for children with kidney disease. This will be accomplished by providing a rich environment with opportunities for direct inpatient, outpatient, and consultative patient care under the direct supervision of full-time faculty.
In addition, the trainees will gain knowledge and skills to become productive academic physicians. They will have the opportunity to pursue clinical and/or laboratory-based research as well as learn quality improvement science. Instruction regarding study design, epidemiology, and biostatistics will be available through the research mentor, pediatric nephrology faculty, and the Joint Fellowship Curriculum. Multiple scholarly opportunities exist in the department and Medical College. Under the supervision of a research mentor and Scholastic Oversight Committee, the training program will aim to develop the academic potential of the nephrology fellow. A summary of the goals of the training program will be distributed to each fellow and faculty member within the section, as well as to each research mentor on an annual basis. A brief summary of the goals and objectives include:
- Develop the clinical competencies to manage a wide spectrum of kidney disease, hypertension and urinary abnormalities in infants, children and adolescents.
- Be able to manage patients requiring all modalities of renal replacement therapies including kidney transplantation.
- Understand the role of the pediatric nephrologist in assisting primary care providers in the care and management of children with kidney disease and hypertension.
- Become knowledgeable about research methods and its application to the field of pediatric nephrology.
- Become proficient in the design, execution and dissemination of clinical or basic science research.
- Develop teaching skills and take a significant role in the educational activities of the division.
Minimum of 10 hours per week, averaging 15–25 hours of direct patient contact
Designed to provide exposure to and develop expertise in the diagnosis and management of the full spectrum of kidney diseases.
Clinical experience includes:
- continuity clinic
- acute and chronic dialysis
- renal transplantation
- kidney biopsies
- specialty clinics in metabolic bone disease and polycystic kidney disease
- emergency room and telephone consultations
Estimated 32 weeks over the 3 years of training on the inpatient consult service taking at-home call every other night during each week
- Fellows will be first call with increased responsibilities each year for making initial assessments and treatment plans on nephrology inpatients and consults. Fellows will round each day with resident teams and a nephrology attending who act as second call physician both day and night.
- Second and third year fellows will conduct teaching sessions with residents and medical students.
- Fellows are given many opportunities to gain expertise in kidney biopsy procedures and acute dialysis procedures.
- 7-10 new kidney transplants performed each year; 65 total transplant patients followed.
- Average of 20 patients with end-stage kidney disease in the Dialysis Center and hundreds of patients with other kidney diseases, including acute and chronic glomerulonephritis, chronic kidney disease, hypertension, nephrotic syndrome, congenital urinary tract anomalies, inherited kidney disorders, and fluid and electrolyte abnormalities are seen and followed.
- The Division averages over 210 inpatient consultations/admissions per year and >2700 ambulatory visits per year.
- Nephrology averages 7-12 patients on the inpatient service.
- 23 months protected research time beginning in the first year of training.
- Fellows will learn how to select a research project and mentor.
- Meet biannually with Scholarship Oversight Committee responsible to provide feedback and review progress of their project proposal.
- Mentorship provided for the writing and submission of at least one first-authored manuscript. Grant writing opportunities are available.
- Mentorship and guidance to prepare abstracts and manuscripts for publication and poster and oral presentations for regional and national meetings provided.
CRI Research Conference
Faculty and guest speakers present basic or clinical research to openly share their work and encourage the exchange of ideas between scientist and clinicians.
Pediatric Professor Rounds
Attended by students, pediatric residents, fellows and all faculty, a senior resident presents an interesting pediatric case. The diagnosis is not initially revealed and faculty are called upon to provide a lively discussion on their approach to develop a differential diagnosis and diagnostic work-up.
Internal Medicine – Nephrology Clinical Conference
Pediatric nephrology faculty and fellows are welcome to attend monthly case presentation by adult nephrology fellows. Fostering interaction between the adult and pediatric nephrology divisions.
Internal Medicine – Nephrology Academic Conference
Adult faculty, fellows and prominent guest speakers give presentations on current state-of-the art topics in clinical care and Nephrology research.
Department of Physiology – Renal Physiology Sessions
Pediatric fellows are given the opportunity to "sit in" on the graduate level classes on renal physiology presented by faculty in Physiology in the graduate department.
Pediatric Grand Rounds
Weekly lecture by faculty or local/national guest speaker presented on a topic of interest to the entire Department of Pediatrics.
Clinical Case Conference
Interactive review of interesting cases presented by nephrology faculty and fellows.
Joint Fellowship Curriculum
All specialty fellows meet monthly to learn about topics common to all specialties including teaching skills, career development, quality improvement, etc.
Multidisciplinary Transplant Conference
A case-based discussion and evaluation of current and potential transplant recipients. The conference is attended by nephrology and surgery faculty, fellows and support staff.
Dialysis Quality Improvement Conference
Multidisciplinary discussion of patient medical and psychosocial information. Fellows participate in monthly review of patient outcomes and associated quality improvement initiatives.
Fellows Didactic Learning Sessions
Interactive lecture and discussion led by Nephrology faculty to enhance learning of specific nephrology topics outlined in the curriculum.
Renal Pathology Conference
In a small group setting using a 10 multi-head microscope, pathology faculty provide a review of recently performed kidney biopsies specimens with an interactive discussion of the patients' presenting symptoms, diagnostic evaluation, and management along with Nephrology faculty and fellows.
Fellow's Journal Club
Led by Fellows', a discussion of current literature on a clinical or research topic with critical evaluation of the article and recommendations for clinical application and improvement of quality patient care.
In addition to self evaluations, performance is evaluated after each learning experience by the Program Director as well as other members of the nephrology section. Twice annually a summary evaluation is conducted based upon compiled data received from faculty and staff evaluations.
Fellows meet annually and participate in a confidential group interview where strengths of program as well as areas for improvement are gathered and disseminated to the Program Director.
Fellows starting the program prior to July 1, 2015, are employed by the Medical College of Wisconsin (MCW).
Stipend amounts for the 2018 – 2019 Academic Year:
- GIV $63,200
- GV $66,400
- GVI $68,540
- GVII $70,660
The Working Condition benefit will remain $1,500 for the 2018/19 academic year. This payment is intended to help defray expenses for license fees, DEA fees, license exam fees and text books. This is a taxable benefit that will be paid in two $750 installments; one on the December 31, 2018 paycheck and one on the June 30, 2019 paycheck. There are compliance requirements that must be met to be eligible for this payment. Housestaff who complete mid-year are paid a pro-rated amount on their last paycheck.
Call rooms, meals, and laundry services
Professional Liability Insurance
The MCW Professional Risk Management Department coordinates the professional liability self-insurance program and assures liability coverage with the Wisconsin Injured Patients and Families Compensation Fund in excess of the primary annual limits of $1,000,000 per incident and $3,000,000 in the aggregate. Providers are covered for the activities within the scope of duties for the MCW.
Fellows starting the program on or after July 1, 2015, are employed by the Medical College of Wisconsin Affiliated Hospitals (MCWAH).
See MCWAH Benefits, Conditions & Terms of Employment for information regarding vacations, leaves, insurance, stipends and professional liability.
Position after graduation: Assistant Professor, University of Chicago, Comer Children's Hospital
Ameya Patil, MD, MS (2013-2016)
Position after graduation: Assistant Professor, Medical College of Wisconsin, Children’s Hospital of Wisconsin
Fellowship Program Contact
Children's Corporate Center
999 N. 92nd St.
Milwaukee, WI 53226