Nephrology Fellowship - The University of Toledo

Program

Fellowship training is offered by the Division of Nephrology for individuals with an M.D. degree. The Nephrology Fellowship Program is a two-year training program, which provides training in both the clinical and basic sciences. This is designed to meet the requirements for certification of the American Board of Internal Medicine. Fellows intent on an academic career will be encouraged to spend an additional third year for research training. The programs sponsors both J-1 visas and H-1B visas.

The UToledo Division of Nephrology offers two training paths.

The first is a traditional two-year Nephrology fellowship.
The second option is to complete a one year Critical Care training fellowship after successfully completing the two year Nephrology training fellowship.

Procedural Training

Fellows graduating from this program will have a full competence in the range of inpatient dialysis techniques including CAPD, IPD, hemodialysis, continuous renal replacement therapies and other home therapies. Furthermore, they will be proficient at the technique of needle biopsy of the kidney, peritoneal catheter insertion and temporary access procedures for hemodialysis. The clinical exposure for each fellow will encompass a wide range of consultative nephrology including acid-base electrolyte disorders, glomerulonephritis, hypertension, acute and chronic renal failure, and management of kidney transplant patients.

Nephrology Faculty Clinical and Research Facilities Available

Renal Transplantation

The University of Toledo Nephrology fellowship is unique among other fellowship programs in that it provides a comprehensive training for our trainees on renal transplantation. The University of Toledo averages 200 kidney transplants annually and in 2024 received accreditation for pancreas transplant. Fellows learn all aspects of management of renal transplant patients from the time of renal transplant both inpatient and in outpatient clinics. They participate in transplant journal clubs and multidisciplinary rounds with the Urology team. A monthly renal biopsy meeting further enhances their training to recognize complications like rejection, drug toxicity and various infectious etiologies. The fellows are well trained at the end of their 2-year nephrology fellowship to recognize, manage and treat rejections, acute kidney injury due to various causes, infections and post-transplant lymphoproliferative disorder. The training emphasizes a multidisciplinary approach, with fellows participating in collaborative care discussions with transplant surgeons, pharmacists, nutritionists, and other specialists. This approach ensures that fellows gain expertise in immunosuppression, patient education, and holistic management of transplant recipients.