All fellows rotate through the main clinical training sites: UCSF Medical Center, San Francisco General Hospital (SFGH), and the San Francisco Veterans Administration Medical Center (SFVAMC). Our clinical rotations include nephrology consultative services, chronic dialysis (hemodialysis and peritoneal dialysis), and kidney transplantation. Consultative services encompass dialysis care, continuous renal replacement therapy (CRRT) for ICU patients, acute and chronic kidney disease, hypertension management, glomerulonephritis, and electrolyte/acid-base disorders. Nephrology faculty and fellows at the three sites supervise maintenance in center and home hemodialysis and peritoneal dialysis for over 300 end-stage renal disease patients in the San Francisco Bay Area. The Kidney Transplant Unit (KTU) at UCSF performs around 350 kidney transplants per year, including simultaneous pancreas-kidney transplants, expanded criteria donors, and high-risk patients.
Fellows will receive training in procedures including hemodialysis, peritoneal dialysis, continuous renal replacement therapy, urine sediment microscopy, temporary hemodialysis catheter insertion (with real time ultrasound guidance), and kidney biopsies (native and transplant). Fellows will also receive training in renal pathology through the fellows lecture series, renal case conference, kidney transplant biopsy rounds, and renal pathology conference.
Continuity clinic in nephrology, hypertension, and electrolyte disorders is offered at all three main teaching sites. Fellows attend weekly continuity clinic throughout the first two years of fellowship training. Other regularly scheduled outpatient clinic experiences include pre-ESRD (end-stage renal disease) clinic, peritoneal dialysis clinic, outpatient hemodialysis rounds, and post-kidney transplant clinic.