Program Overview

The Duke Philosophy

The Duke Nephrology Fellowship Program is fully accredited and awards 5 new fellowships each year. The program provides structured training tailored to meet the goals of each individual trainee.

"Our approach is to attract the most talented fellows and then equip them to accomplish whatever they wish in Nephrology."

World-Class Training for an Academic or Clinical Practice Career

Whether a fellow intends to pursue a clinical career or a research career, the first year of training is composed of clinical training on four consultative services and two outpatient rotations.

Fellows looking for training to prepare for a career in clinical practice complete the 2 year Accreditation Council for Graduate Medical Education (ACGME) nephrology fellowship with the second year (the clinical concentration pathway) consisting of additional time on the clinical services and potentially elective experience tailored to the interests of the individual with possibilities including transplant nephrology, geriatric nephrology, home suitable dialysis, GN, public policy/administration, and many others.

For fellows interesting in pursuing an academic career, the first year of research is part of the ACGME nephrology fellowship. The second year (and possibly additional years) of research is served as a Biomedical Scholar, an Institutional Council for Graduate Medical Education (ICGME) fellowship. Eligible fellows will be placed under the Duke/UNC/Wake Forest UTC/TL1 NC TRIO Training grant or additional funding is sought from both internal and external sources. Below is a list funding award achievements from graduates of our fellowship program since 2000.

  • 14 Foundation Fellow Awards
  • 22 Career Development Awards
    • 10 NIH K Awards
    • 2 VA CDAs
    • 10 Foundation CDAs
  • 14 NIH R01s from Duke Fellow Graduates
  • 4 VA Merit Awards from Duke Fellow Graduates
  • 6 NIH Loan Repayment Awards

Night Float

Fellows will not take overnight call during their fellowship. We have a night float system in place since 2019.

  • Night float blocks are two-weeks in duration, 5 days each week

    • days off are covered by an upper level fellow who is moonlighting or a faculty member

  • First years have 3- two-week night float blocks

  • Second years have 2- two-week night float blocks

  • Third years do not have night float

Moonlighting

After your first year you will be eligible for internal nephrology moonlighting with approval of the program director. Additional moonlighting activities are available at the Durham VA and Duke.

ABIM Nephrology Board Pass Rate

Since 2011, our program graduates have achieved a 99% first time board pass rate (59/60)

Program Highlights

  • Large Academic Referral Hospital
  • Night Float (2 full nights off each week)
  • Internal Moonlighting
  • Integrated VA Experience
  • Fellow Driven Program Improvements
  • 1st Year Outpatient Clinical Immersion (8 weeks)
  • Dedicated Study Time for ABIM IM Boards
  • Well-Developed Clinical Concentrations
  • Longitudinal Transplant Exposure
  • Individualized Career Development
  • Genetics Exposure and Education
  • Quality Improvement Training
  • Kidney Biopsy Experience
  • 10 Months of Time for Career Development
  • NIH Training Grant via U2C/TL1 (Master's Degree)
  • Duke Glomerulonephritis Clinic
  • POCUS Curriculum (POCUS Machine at Duke and VA)
  • Onconephrology Clinic
  • Kidney Stone Clinic
  • Flexible Research Scholar Pathways
  • Urine Microscopy Training
  • Clinician Educator Tract
  • Longitudinal Transplant Exposure (Transplant Fellowship)
  • Longitudinal Experience in PD and HHD
  • Interventional Nephrology Exposure
  • Cultural, Social, and Recreational Activities of Durham, NC and Research Triangle Area
  • 1st year Fellows go to NKF SCM
  • 2nd year + Fellows go to ASN Kidney Week + Other conferences

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