A series of multi-disciplinary conferences provide a framework of instruction to complement the practical training of the post doctoral fellows. These conferences are intended to help prepare the fellow for the Nephrology Board Examinations and becoming an outstanding independent clinical nephrologist. In addition to the post-doctoral fellows, others who attend these conferences include members of the nephrology faculty, community nephrologists, students and residents on nephrology rotation. Conferences are mandatory for all nephrology fellows except when on vacation or away at professional meetings or when clinical emergencies arise. A description of the current conferences scheduled for the nephrology fellowship program is listed below.
CORE LECTURE SERIES:
When: Every Monday & Wednesday.
Time: 12:00 - 1:00 p.m.
This is a two year course consisting of approximately 80 lectures (40 in year 1 and 40 in year 2). These core tutorial lectures include topics on disorders of fluid and electrolytes; acid base; acute renal failure; chronic renal failure; nutrition; hypertensive disorders; glomerular & tubulointerstitial renal disease; genetic diseases of the kidney; vascular diseases of the kidney; renal anatomy and physiology; renal diseases associated with systemic disorders; modification of drugs in renal failure; immunology; transplantation; renal replacement therapy with hemo- or peritoneal dialysis; pregnancy and the kidney; geriatric aspects of nephrology; imaging in renal diseases; diagnostic tests of renal disease ; ethical issues of dialysis and transplantation; the impaired physician, patient safety issues etc. This multidisciplinary course is taught by clinical and basic science faculty of Loma Linda University Department of Medicine (especially Nephrology), Pathology, Urology, Radiology, Surgery, Immunology, and Pediatrics and at times from visiting faculty from other institutions. The purpose of this course is to provide a systematic review of clinical nephrology spread over the two year fellowship.
During the first 2 months of fellowship, core lectures will emphasize basic aspects of Nephrology such as hemodialysis, peritoneal dialysis, renal imaging, urinalysis, basic renal diagnostic tests,and emergencies in nephrology for example. These will be repeated on an annual basis.
When: Second Tuesday of every month
Time: 8:00 – 9:00 a.m.
This conference meets once monthly. This conference will be attended by key faculty members of the Nephrology Division of LLUMC and LLUVAMC, plus fellows plus other house staff on nephrology service. Proposed research projects of fellows and/ or attending will be presented and discussed in detail. Any papers, abstracts, poster presentations, other presentations to be made at local or national meetings pertaining to research will be presented/discussed and critiqued by the faculty. At the beginning of each academic year, basics regarding research/including use of biostatistics will be presented. Ideas for new research projects will be discussed. The conference is intended to act as a “springboard” toward involvement in research.
When: Third Tuesday of every month
Time: 8:00 - 9:00 a.m.
This conference meets once monthly and recently-published articles from peer reviewed journals will be presented by fellows on a rotational basis and will periodically involve an in-depth review of pertinent articles on a specific topic. Emphasis will also be placed on assessing the validity of the information and the clinical relevance. This conference will be attended by fellows as well as residents/students on rotation and by faculty members of the Nephrology Divisions of LLUMC and LLVAMC.
When: Fourth Tuesday of every month
Time: 8:00 – 9:00 a.m.
This conference meets once monthly. Renal biopsies submitted from cases at Loma Linda University Medical Center, Loma Linda VA Medical Center or from outlying referring hospitals will be presented. Cases will be reviewed by the faculty renal pathologist either in a conference room stetting using video projection of high-resolution scanned microscope slides or around a multi-headed microscope. The emphasis is on recognizing the light, immunofluorescence, and electron microscopy findings and correlating with pathophysiologic aspects of renal disease. Fellows, nephrology attending faculty, members of the nephrology teams from both hospitals including residents, and students, and pathology residents will participate in a discussion regarding each case, including clinical issues of treatment pertinent to the case. Pediatric cases are also reviewed. Biopsies of both native and transplant kidneys are presented.
When: Every Thursday (weekly)
Time: 4:30 – 5:30 p.m.
This weekly conference will be attended by the nephrology faculty, the nephrology fellows and members of nephrology teams from LLUMC and LLVAMC. Community nephrologists frequently attend. An interesting nephrological case is presented on a weekly basis. Presentation will rotate between a key faculty member and a fellow or resident. Cases will be discussed in detail with a review of the literature.
On a monthly basis, specific case-related nephrology board questions will be presented for discussion, thus preparing the fellows for taking Nephrology Boards.
MORBIDITY AND MORTALITY CONFERENCE:
When: Fourth Thursday every other month (part of case conference)
Time: 4:30 - 5:30 p.m.
On odd months, a morbidity/mortality conference will be held. Cases flagged for review from either LLUMC, LLVAMC pertaining to Nephrology/ Renal Transplantation because of concerns regarding untoward results/events or patient mortality will be reviewed; nephrology attending staff and the fellow will review the case and discuss areas for improvement.
NEPHROLOGY IN REVIEW:
When: Once a month on Monday or Wednesday noon (Interspersed with Core Curriculum Lectures).
Time: 12:00 - 1:00 p.m.
This conference reviews Nephrology Topics with assigned reading for the fellows to study in advance. The fellows come prepared to discuss the topic facilitated by one of the faculty.
When: First Thursday of every month
Time: 6:45 - 7:45 a.m.
This conference meets monthly and is attended by vascular surgeons, interventional radiologists, nephrologists, surgery residents and fellows, radiology residents and fellows, and nephrology fellows. During this conference challenging cases related to dialysis vascular access are presented and discussed. Angiographic images are reviewed and therapeutic interventions, potential complications, and alternatives are discussed.