Each first year fellow will have three, two week outpatient rotations. The schedules for these are put together by the program director and vary according to the specific needs of the fellow and available opportunities. These periods are an opportunity for the fellow to be exposed to important areas of interest that are overlapping with the scope of a practicing nephrologist as well as a chance to see patients in the outpatient setting without being paged for inpatient issues
Rotation is coordinated by Dr. Harpreet Singh (APD)
Examples of Opportunities to Select and Second Year Experiences:
- Pediatric Nephrology (can reach out to Dr. Reeti Kumar – Raleigh clinic on Wednesdays though may be different for fellows without pediatrics experience)
- GN clinic (Dr. Harpreet Singh – Tuesday afternoon)
- PD/HHD clinic Dr Rebecca Frazier is director.
- Sign up for shifts here.
- You are required to attend 8 PD Clinics before graduation, these are logged into Medhub
- You are required to attend 2 new start PD training sessions with a patient, these are logged into Medhub
- Vascular access clinic- Dr. Ellen Dillavou
- Mondays (all day) 8am Heart and Vascular Center WakeMed Hospital 3000 New Bern Ave, Raleigh, NC 27610
- Thursdays (all day) 8am Vascular Surgery office, Midtown location 3713 Benson Drive Raleigh NC
- 1st Wed and 3rd Thursday 8am 210 Ashville Avenue Suite 210 Cary, North Carolina 27518
- Outpatient kidney biopsies (Dr. John Duronville)
- Plasmapheresis Dr. Grace Lee, clinics are Tuesdays and Fridays
- Interventional Nephrology at NC Nephrology with Drs. Hoggard, Stern, and or Gupta, contact is Dr. Raasch
- Transplant Clinic including Living Donor Evals (contact Dr. Scott Sanoff)
- Teaching – talk with Dr. John Roberts about getting involved with the med school kidney courses/electives; IM academic half day; IM is always happy for us to do teaching with the residents (i.e. noon conference). Can consider joining the Duke SEEDS Program. which is a year long educational program. Dr. Sparks is the lead of this program.
- Pathology – this can be set up with Dr. Howell/Dr. Barisoni
- POCUS – Dr. Sparks can let you use the handheld Butterfly POCUS, Additional training through the nephrology curriculum.
Clinical Concentrations:
- Home Dialysis- Dr. Lehrich/Dr. Duronville
- Glomerulonephritis- Dr. Harpreet Singh
- Onconephrology- Dr. Ortiz
- Geriatric Nephrology- Dr. Rasheeda Hall
- Quality Improvement- Dr. Cameron
- Clinician Educator- Dr. Sparks
Main highlights of the outpatient rotation:
- Focus will be on hypertension, vascular access, stone clinic, home dialysis, palliative care, and transplant nephrology.
- Attempt to create ”topic oriented” blocks (see sample schedule below)
- Built in time for reading/preparing for upcoming presentations
- No inpatient call/weekend coverage during these two week blocks
Example schedule:
Each fellow will have the option to observe placement of a cuffed dialysis catheter, balloon angioplasty of a PTFE graft or fistula, fistula lysis, creation of an AVF, placement of a PTFE dialysis graft, donor nephrectomy, kidney transplant, nephrolithiasis and therapeutic pheresis. Additionally, during this period the fellow will attend the CKD clinic, Transplant Clinic, their own continuity clinic, SLE Clinic, Hypertension Center Clinic, and outpatient dialysis / PD rounds including monthly CQI meetings. Part of the time will be used to select a mentor and make preparations for research activities in the second year.
You will be contacted in advance by the Program Coordinator to provide any specific requests you’d like to have for you upcoming rotation. This would include clinical focus, self care days, and set time for meetings with mentors.\
Clinical Concentrations During Second Year:
- Home Dialysis- Dr. Lehrich/Dr. Duronville
- Glomerulonephritis- Dr. Harpreet Singh
- Onconephrology- Dr. Ortiz
- Geriatric Nephrology- Dr. Rasheeda Hall
- Quality Improvement- Dr. Cameron
- Clinician Educator- Dr. Sparks
