Message from the Nephrology-Hypertension Fellowship Program Director, Dr. Cynthia Miracle
The University of California, San Diego Nephrology fellowship is designed to prepare physicians for a career in clinical nephrology with added emphasis on research or academic medicine as per their requirements. The program is accredited through ACGME and provides training in all aspects of nephrology. The fellowship offers both a two-year clinical program concentrating on training in clinical nephrology and a three-year research program which consists of one year of training in clinical nephrology and two years of either basic science or clinical research. In addition we often accept fellows to a combined program in adult and pediatric nephrology. Applications for fellowship are accepted through the Electronic Residency Application Service (ERAS), and the selection of fellows will be conducted by a match through the National Resident Matching Program (NRMP).
In all of our programs the first year offers a wide exposure to all aspects of nephrology. Fellows rotate through five different services at three different hospitals. Fellows spend time at the University Medical Center in Hillcrest, Thornton Hospital and Sulpizio Cardiovascular Center in La Jolla and the VA San Diego. Exceptional faculty and a broad patient population are hallmarks of the clinical training.
In the two-year clinical training program, the second year is divided between additional inpatient training and outpatient electives tailored to the interests and needs of the fellow. These electives have included additional exposure in Peritoneal Dialysis, Apheresis, Transplant or rotations outside our division in high risk Obstetrics, Palliative Care, Pediatric/Adolescent Nephrology, Urology or Interventional Radiology. Fellows have also used this time for scholarly pursuits.
In the three-year research program, the research years offer the fellows protected time to conceive, pursue, present, and publish original investigations in nephrology and related fields. Our division has active research interests that span the bench to the bedside. During the research years fellows work closely with the mentor of their choice and clinical duties are kept at a minimum, thereby allowing the fellows an opportunity to excel in the academic aspect of nephrology. Fellows attend a continuity clinic during their second year and various specialty clinics during their third.
Some unique aspects of our program are the exposure to transplant and apheresis. Though transplant experience is a required part of nephrology fellowship, in many programs the fellows are only marginally involved in the pre- and peri-transplant care. Our fellows are key members of the team during all aspects of transplant. Our program is also a leading center in aphresis which is an emerging field in nephrology. We do plasmapheresis for many renal and non-renal disorders. We also provide leukophersis, photopheresis and LDL pheresis.