Each rotation is 4 weeks in length. Fellows also spend one-half day per week in an outpatient continuity clinic.  To maximize education, all inpatient consult services are capped at 15 existing patients plus 5 new consults per day.

University of Colorado Hospital Consult Service

The consultation service builds the foundations for a broad knowledge base in inpatient nephrology, by providing fellows exposure and opportunities to manage tertiary referral patients, local referral patients, as well as primary care patients. Fellows will learn the diagnosis and management of acute kidney injury, hypertension, fluid and electrolyte disorders and dialysis modalities. Additionally, fellows will perform renal biopsies and place central lines for dialysis access.

Kidney Transplant Service

During this rotation, fellows rotate on the inpatient kidney transplant service and in the outpatient transplant clinic. Fellows learn the diagnosis, management and treatment of transplant candidates and recipients. Fellows will become proficient in US-guided transplant biopsies and will gain experience with inpatient and outpatient medical and surgical post-transplant management.

Denver Health Consult Service

On this acute consult service fellows will learn the diagnosis, management and treatment of all types of acute kidney injury, fluid and electrolyte disorders, hypertensive emergencies, toxic ingestions and the care of hospitalized chronic dialysis patients. Fellows perform renal biopsies and place central lines for dialysis access.

VA Consult Service

This rotation includes both inpatient and outpatient rotations. Fellows rotate on the acute inpatient consult service as well as in an outpatient hemodialysis unit. This is the first exposure to outpatient chronic dialysis for the fellows.

Outpatient D​ialysis

Includes in-center hemodialysis, home dialysis and peritoneal dialysis. Fellows also receive training in vascular access by vascular surgeons and experienced dialysis access nurses.  

Night Float

Fellows rotate on the night float service for 1 week at a time for approximately 6 weeks per year.  Call is taken from home.  Fellows do not have any daytime duties the week of night float.

Elective Rotations

Fellows can choose elective rotations including:

• Glomerulonephritis
• Onconephrology
• Polycystic Kidney Disease
• Renal Pathology
• Critical Care Nephrology
• Toxicology
• Palliative Care
• Pediatric Nephrology
• Transplant
• Radiology and Vascular Access
• Additional dialysis training, including training in dialysis unit medical directorship

Plasma Exchange

Fellows receive training in plasma exchange at all of our clinical sites.

Procedures

Fellows will become proficient in US-guided native and transplant kidney biopsies as well as placement of non-tunneled hemodialysis catheters.​