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The clinical training year provides the fellow with extensive exposure to a wide variety of clinical problems in pediatric nephrology. This is accomplished by full participation of fellows in all the patient care activities within the division, including:
- direct care of nephrology inpatients
- serving as consultant to both inpatient and outpatient divisional programs
- care of the transplant and pediatric dialysis outpatients
- care of the general Nephrology clinic outpatients
Fellows become proficient in all technical aspects of nephrology such as performing nephrology biopsies, hemodialysis and peritoneal dialysis. In addition, the fellows acquire experience through the Department of Pathology in the interpretation of light, immunofluorescence and electron microscopy, and through the Department of Radiology in the interpretation of uroradiologic studies.
The Division has two clinical services: the End-Stage Nephrology Disease Service (dialysis and transplantation); and the General Nephrology Consult Service. Each fellow spends approximately equivalent time on the End Stage Disease and the Consult Service. The fellow is responsible for:
- supervising the care of all inpatients who are followed by the Division of Nephrology
- providing consultative services for Children's and the neonatal intensive care unit at the Brigham and Women's Hospital, Beth Israel Deaconess and other affiliated community hospitals
- performing acute dialysis and hemofiltration as well as all percutaneous renal biopsies
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