Students in the Nephrology Fellowship Program at Lankenau Medical Center will be extensively prepared to identify and treat a wide range of nephrologic conditions in both in-patient and out-patient settings. Because the field of nephrology is integrative in nature, fellows will gain experience in renal anatomy, physiology, pathophysiology, pharmacokinetic issues and renal replacement therapy, including dialysis and transplantation.

These skills will be learned through lectures, conferences, clinical experience and rotations. Fellows will also have experience with the following:

Inpatient clinical nephrology

  • Acute renal failure and chronic renal failure—its management by conservative methods, including nutritional management of uremia.
  • Hypertension (primary and secondary)
  • Diabetes mellitus, vasculitis and connective tissue diseases.
  • Glomerular and tubulo-interstitial diseases as well as the cystic diseases of the kidney.
  • Both nephritic and nephrotic processes
  • Acid base and electrolyte disorders including divalent ion disorders
  • Nutritional assessment and multiple methods for calculating creatinine clearance and GFR


  • Transplant immunology, transplant therapy including immunosuppressant and steroid therapy, histocompatibility testing and tissue typing
  • Techniques of kidney harvesting, donor retrieval and recipient implantation
  • Short-term and long-term transplant complications including rejection
  • Social and economic, as well as ethical, issues complicating the renal transplantation environment


  • Proper design, methodologic development and statistical evaluation and comprehension
  • The completion of a comprehensive abstract and/or original manuscript

Technical and procedural skills

The fellow is expected to study and experience the performance of indications, complications, interpretation of results, cost effectiveness and application to patient care of the following:

  • Urinalysis
  • Biopsy of both autologous and transplanted kidneys
  • Placement of temporary vascular access for hemodialysis and related procedures
  • Peritoneal Dialysis
  • Acute and chronic hemodialysis
  • Continuous renal replacement therapy

Other areas of focus

The following areas of nephrology knowledge should be reviewed and developed in order to acquire expertise in the prevention, evaluation and management of the following disorders:

  • Disorders of mineral metabolism and nephrolithiasis and renal osteodystrophy
  • Disorders of fluid, electrolyte and acid-base regulation
  • End Stage Renal Disease
  • Renal disorders of pregnancy
  • Urinary tract infections
  • Disorders of drug metabolism and renal drug toxicity
  • Genetic and inherited renal disorders
  • Geriatric aspects of nephrology including disorders of the aging kidney and urinary tract
  • Renal transplantation including…
    • Evaluation and selection of transplant candidates
    • Pre-operative evaluation and preparation of transplant recipients and donors.
    • Immediate postoperative management of transplant recipients including administration of immunosuppressants
    • Clinical diagnosis of all forms of rejection including laboratory, histopathologic and imaging techniques
    • Medical management of rejection, including use of immunosuppressant drugs and other agents
    • Recognition and medical management of the surgical and non-surgical complications of transplantation
    • Long-term follow-up of transplant recipients in the ambulatory setting
  • Dialysis and extracorporeal therapy, including…
    • Evaluation and selection of patients for acute hemodialysis or continuous renal replacement therapies
    • Evaluation of ESRD patients for various forms of therapy and their instruction regarding treatment options
    • Drug dosage modification during dialysis and other extracorporeal therapies
    • Evaluation and management of medical complications in patients during and between dialysis and other extracorporeal therapies
    • Long-term follow-up of patients undergoing chronic dialysis including dialysis prescription and modification and assessment of adequacy of dialysis
    • An understanding of the principals and practice of peritoneal dialysis including peritoneal access, principals of dialysis catheters and how to chose appropriate catheters
    • An understanding of the technology of peritoneal dialysis including automated cyclers
    • Assessment of peritoneal dialysis efficiency using peritoneal equilibration testing (PET) and the principals of peritoneal biopsy
    • The pharmacology of commonly used medications and their kinetic and dosage alteration with peritoneal dialysis
    • An understanding of complications of peritoneal dialysis including peritonitis and its treatment, exit site and tunnel infections and their management, hernias, pleural effusions and other less common complications and their management
    • A understanding of the special nutritional requirements of patients undergoing hemodialysis and peritoneal dialysis