Clinical Concentration Pathway


Defining a Clinical Interest During Fellowship Training

A second year clinical concentration is offered to fellows completing the two-year clinical track who after fellowship mostly seek a clinical position, either in private practice or as a clinician-educator in an academic medical center. We feel that a clinical concentration allows the fellow to capitalize on the specific expertise available within the Duke Nephrology and other divisions at Duke. Fellows spend the majority of their second year with clinical mentors and are aided by a comprehensive curriculum governing the specific concentration. Fellows develop an expertise in a subfield of nephrology, specifically renal transplantation, geriatric and palliative Nephrology, home suitable dialysis, and vascular access. 

The Transplant Concentration

This offers a one-year experience, which is integrated into the second-year of the 2-year clinical fellowship. It provides broad exposure to all aspects of kidney transplantation, including clinical transplantation, transplant administration, HLA testing and transplant pathology.


Scott Westphal- 2015 currently faculty University of Nebraska
Shalini Bumb- 2016 currently faculty University of Cincinnati
Supreet Sethi- 2016 currently faculty Cedars-Sinai Medical Center
Jessica Morris- 2018 currently doing transplant fellowship Duke

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Transplant nephrology is nephrology on steroids - both literally and figuratively. The exposure I had during my first year of fellowship first piqued my interest in this field. I was able to tailor my second year to allow for the transplant concentration, which gave me the opportunity to work and learn more about kidney transplant under amazing mentors. The transplant concentration started me on a journey, which I'll now continue with another year of fellowship dedicated to kidney transplant.

Shalini Bumb, MD
Duke Nephrology, Class of 2016

The Geriatric and Palliative Care Concentration

This capitalizes on a close working relationship Duke Nephrology has built with the division of Geriatrics at Duke University. Clinical exposure involves inpatient geriatric and palliative services, workshops and focused training in communication, and a specific geriatric CKD clinic with non-dialytic treatment of advanced kidney disease.  Duke also participates in the ASN Dimitrios G. Oreopoulos Visiting Program in Geriatric Nephrology. 

The Home Suitable Dialysis Concentration

The home suitable dialysis concentration offers a one-year experience, which is integrated into the second-year as well. It provides a broad exposure to all aspects of peritoneal dialysis, home hemodialysis, access care, and logistics of home suitable dialysis in a broad patient care setting including three distinct health systems. 


Samantha Suthar- 2015 currently private group practice at Georgia Kidney Associates (Atlanta)
John Duronville- 2017 currently faculty Duke Nephrology

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"The clinical concentration in home dialysis has allowed me to gain extra experience in caring for patients undergoing peritoneal dialysis and home hemodialysis. Such exposure is often limited in the inpatient setting and many centers that have a limited home dialysis population. This has allowed for a better understanding of the physiology and technical aspects of these modalities. It has also enabled me to become familiar and comfortable with managing such patients longitudinally and troubleshooting common obstacles and complications that are encountered in this subset".

Samantha Suthar, MD
Duke Nephrology, Class of 2015

The Interventional Nephrology Concentration

The interventional nephrology concentration allows for training in all aspects of access placement and access care in conjunction with Duke Vascular Surgery, Vascular Interventional Radiology, and Interventional Nephrology.


Shafic El Hindi- 2015 currently group private practice Louisville, KY

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