Nephrology and Hypertension Fellowship

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Hurricane Irma

Jackson Health System has resumed normal operations at a majority of its facilities.

The UHealth Jackson Urgent Care at Cutler Bay is now open
The UHealth Jackson Urgent Care center at Keystone Point is now open
The UHealth Jackson Urgent Care center at Country Walk, as well as the Jefferson Reaves, Sr. Health Center and Prevention, Education & Treatment (PET) Center, remain closed due to power outages.

To reschedule an appointment, please call 305-585-6000. Updated information for UHealth Jackson Urgent Care centers is available at JacksonUrgentCare.com.

Overview

The goal of the Nephrology Training Program at Jackson Memorial Hospital, in affiliation with the University of Miami, is to provide trainees with advanced education and experience to enable fellows deliver compassionate, thorough, and evidence-based care to a medically and socially diverse population with nephrologic diseases. This includes inpatient and outpatient consultation; acute and chronic dialysis, including continuous modalities; as well as outpatient consultation and chronic kidney disease care, including the care for renal allograft recipients. The fellow will be provided with educational opportunities required for acquiring Board Certification in the subspecialty of Nephrology. The philosophy of the Program is to develop a commitment and dedication to scholarly excellence in patient care, teaching, and research in an environment of professionalism.

ACGME Accredited: Yes
Residents or Fellows per year: Nine
Duration: Two years training
Postgraduate Training Required: Yes
U.S. Citizenship Required: US Citizen, Permanent Residents/Green Card Holders and J1-Visa

Teaching Hospitals

  • Jackson Memorial Hospital
  • Miami Veteran Affairs Hospital
  • University of Miami Hospital
  • DaVita Dialysis Center
  • Miami Transplant Institute

Residents/Fellows who have graduated our program in the last 10 years obtained faculty positions at:

  • University of Miami, Miller School of Medicine
  • Rush University Medical Center

Requirements

  • MD Degree
  • Internal medicine residency completed (ACGME-accredited)
  • Pre-employment screen by JMH
  • Eligible for licensure in FL Board exam
  • Eligible to sit for ABIM Internal Medicine

Application Deadline
Applications are due by October 1 of every recruitment season

Applicants must apply through ERAS application System. Interviews will take place in the months of August, September, and October during recruitment season.

Typical Schedule

First Year Fellows

  • 12 weeks JMH Consult (Divided into 2 teams A and B)
  • 10 weeks VA Consult
  • 10 weeks UMH Consult
  • 10 weeks transplant
  • 4 weeks elective
  • 4 weeks’ vacation

Second Year Fellows

  • 13 weeks consult service (JMH, UMH, and VA)
  • 25-26 weeks elective
  • 12-13 weeks ambulatory
  • Four weeks’ vacation
  • Educational & Other Experience
  • Consultative Nephrology

Weekly meetings

  • Mondays: Core Curriculum Conference
  • Thursdays: Board Review
  • Thursdays: Weekly Conference in Nephrology
  • Fridays: Research/Journal Club/Case-based learning

The entire spectrum of clinical nephrology is managed by the consultative services at Jackson Memorial Hospital, University of Miami Hospital, the Sylvester Cancer Center, and the Bruce W. Carter Department of Veterans Affairs Medical Center. The attending nephrologist and renal fellow see patients with complex presentations of acute and chronic renal failure, acute glomerulonephritis, challenging electrolyte disorders, renal disease in the obstetrical patient, and renal failure in the Intensive Care Unit. State-of-the-art renal replacement therapies, including continuous modalities of dialysis, are available for the critically ill patient with renal failure. Over 750 acute dialysis treatments are performed each month at Jackson Memorial Hospital alone. Outpatient clinics take place at Jackson Memorial Hospital and the VA Medical Center, ensuring a broad exposure to outpatient nephriology care.

Outpatient Dialysis

The division cares for over 450 patients with end stage renal disease (ESRD) receiving maintenance dialysis. Patients are treated in one of four university- affiliated dialysis clinics located throughout Miami-Dade County. The largest facility, conveniently located on campus, provides care for 200 hemodialysis and 80 peritoneal dialysis (PD) patients. The University of Miami PD program is an active teaching program, and patients are followed by a nephrology fellow and attending physician. Through our partnership with DaVita Healthcare and the Baxter Corporation, we have been able to provide an integrated program of patient education and clinical care that allows the patient to make an informed and appropriate choice of renal replacement therapy. Attending physicians in the division are both medical directors of the dialysis clinics and primary providers of care for many of the ESRD patients in our units. Fellows follow hemodialysis and peritoneal dialysis patients longitudinally in the on-campus units in their second year of training.

Transplantation

The Kidney Transplant Program at the University of Miami School of Medicine/Jackson Memorial Medical Center performs over 250 kidney and combined kidney-pancreas transplants annually. A team of four surgeons, four transplant nephrologists, a transplant nephrology fellow, and seven nurse coordinators offer state-of-the-art patient care in combination with innovative research initiatives. The availability of laparoscopic donor nephrectomy for living donor kidney transplantation has resulted in a shorter hospital stay and recovery period for our living donors. The successful combination of patient care and research has allowed this program to achieve success that is recognized on a national level. Recent statistics about the local wait list as well as patient and graft survival are available from the Scientific Registry for Transplant Recipients (center code: FLJM). The extrarenal transplant programs (liver, small bowel, heart, and lung) are also very busy and present diagnostic and management challenges for the nephrology service. The nephrology transplant fellowship program is directed by Dr. Giselle Guerra.

Board Exam Requirements
Board Exam Requirements are set by the American Board of Internal Medicine; for the complete list of requirements, please click on the following link: http://www.abim.org/certification/policies/imss/neph.aspx

Research
The Nephrology program offers vibrant clinical and basic research programs with opportunities for fellows participation, including case reports and quality improvement projects.

Clinics
Monday mornings, DRI private clinic, Second Year Fellows
Monday mornings, Advance CKD VA Clinic, First and Second Year Fellows
Tuesday mornings, JMH Continuity Clinic, First and Second Year Fellows
Tuesday afternoon, DaVita PD Clinic, First and Second Year Fellows
Wednesday, Nephrology VA Clinic, First and Second Year Fellows
Thursday mornings, Pre Transplant Clinic, Second Year Fellows
Thursday afternoon, DRI Private Clinic,  Second Year Fellows  
Friday mornings, Post Transplant Clinic, Second Year Fellows
Friday afternoon, DRI Private Clinic, Second Year Fellows  
 
Calls
Monday-Friday evenings, weekday
Home calls divided amongst Junior and Senior Fellows
Saturday morning to Monday mornings, three fellows are on call
JMH Consults
Transplant Consults/Clearances
UMH and VA Consults

Angie Saint Jean, BHSA, MBA
Senior Program Coordinator
Phone: 305-585-5215 ext 3
Fax: 305-585-8137

Oliver Lenz, MD, MBA
Professor of Medicine
Interim Chairman, Division of Nephrology and Hypertension
Program Director, Nephrology and Hypertension Fellowship Training Program

Marco A. Ladino Avellaneda, M.D.
Associate Program Director, Nephrology and Hypertension Fellowship Training Program

Prospective Residents

Physicians Services / Housestaff Office
Jackson Memorial Hospital
East Tower Room 1004
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-355-1122
Fax: 305-355-1123

Graduate Medical Education Office
Jackson Memorial Hospital
Institute 118B
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-585-4310
Fax: 305-585-4309

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