Fellowship Training Program in Pediatric Nephrology
Additional Educational Experience
There is a very active schedule of academic conferences, lectures, and courses available to the trainees (see weekly schedule [PDF]), many of which are shared with the Division of Nephrology of the Department of Medicine. The formal teaching program begins during the first month of fellowship with a Core Curriculum course for nephrology fellows in both the Department of Pediatrics and the Department of Medicine. In this series of weekly didactic seminars, the faculty review basic principles of renal physiology and pathophysiology, and clinical aspects of renal disease. A standard textbook and selected articles are used to supplement the series of lectures. A monthly three-hour course on research design and biostatistics, Introduction to Clinical Research, begins in the fall. During the second half of the first year (the spring semester), first-year fellows are required to take the course in Renal Pathophysiology offered to medical students and to sit for the examination. A weekly Journal Club, in which fellows are expected to review in-depth and present two to three journal articles per year, provides the trainee with an opportunity to learn to critically evaluate the literature.
In addition to these formal teaching sessions, fellows are expected to attend the weekly Clinical Conference, a rotating schedule of renal biopsy conference, clinical case presentation, and clinical guest speaker seminars shared with the Division of Nephrology. A weekly Transplant Conference with the Divisions of Transplant Surgery and Nephrology provides a forum for clinical case reviews and research presentations by Sinai faculty and guest speakers. The entire staff of the Department of Pediatrics is expected to attend weekly Pediatric Grand Rounds and Pediatric Faculty Research Seminar, a forum for Pediatrics faculty and fellows to present their research-in-progress.
The pathology and immunopathology experience is an integral part of the fellowship training. A formal course on the interpretation of renal biopsies, consisting of six sessions, is given to the first-year fellows by Steve Dikman, M.D., in the Department of Pathology While on service, the fellow prepares the patient for renal biopsy and, under the direct supervision of the attending, obtains one to two cores of renal tissue. After the biopsy material is processed, the fellow and the attending review the slides in detail with Dr. Dickman.
Ethical issues in clinical medicine are presented at monthly institutional Ethics Luncheons and departmental conferences held on a case-by-case basis. Trainees are required to attend the conferences on ethical issues in research, incorporated into the Introduction to Clinical Research. In order to introduce the trainee to the operational aspects of a nephrology service, fellows assume responsibility for corresponding with referring physicians and are expected to participate in the preparation of grants and other proposals being prepared by their preceptors. They are also encouraged to participate in discussions regarding staffing needs and unit management. A formal teaching session is offered as part of the Core Curriculum to instruct the trainees in the administration of a nephrology facility. Continuous efforts are being made to enable the trainees to attend national meetings (American Society of Nephrology, Society for Pediatric Research). Fellows are expected to submit abstracts and present their work at these meetings.
The Levy Library, which occupies the 10th and 11th floors of the Annenberg Building, is open daily. In it are available more than 1,908 journals and 57,245 monographs. The library provides a wide variety of services, including reference, circulation, interlibrary loan and document delivery, database searching, educational programs, and library orientations. The library also supports an Electronic Information Center, with access to major medical online databases and full-text information in electronic format, as well as a Microcomputer Lab and printers for patron use in the Media Resource Center.