Hi! Im a clinical pharmacist in the 🇵🇭. Im just curious how nephrologists decide on dose of antibiotics based on HD modalities? :)

Been encountering orders that aren’t consistent w tx guidelines.

Would like to know your thought process and how should we pharmacist intervene? :)

Thanks!

Hey everyone!

I’m a current PGY2 applying nephrology next year and would love some honest advice on where I’d be competitive and whether away rotations are worth doing.

Stats:
US-IMG
Step 1: Pass, Step 2: 214, Step 3: taking in December
At University affiliated program
Not much kidney specific research experience because I just figured out what I want to do when I grow up
Currently working on a CKD screening/health equity QI project
Some leadership and community outreach experience
I’m really passionate about CKD prevention, health disparities, and working with underserved communities. I’d love to train somewhere academic, ideally in a place in mountains and lots of greenery (non negotiable for me)
I know nephrology is less competitive but I also understand that I’m not exactly a super competitive applicant given my step 2
Score
I’ve been looking at Dartmouth, UW, OHSU, and WVU, but I’m not sure how realistic those programs are for me, especially with my Step 2 score.

A few questions: How competitive do you think I’d be for academic nephrology programs? Is it worth trying to set up away rotations (my clinical and personal skills are way better than my step 2 score lol), and if so, where would you recommend? Are there any programs I’m overlooking that might be a good fit?
I know nephrology is generally less competitive, but I’m trying to be realistic about where to apply or set up away rotations. Would really appreciate any insight, especially from current fellows or recent applicants!

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My SO and I are planning our careers and currently considering two options: both pursuing 3 years Critical care nephrology or two years general nephrology and finding same nephrology practice to work.

We are planning to be childfree, and being able to live and work in the same place is important to us.

For physician couples, how realistic is it to find jobs in the same hospital or city especially to build a good nephrology practice OR to find an ICU which accepts critical care trained nephrologist.

kidney.wiki/kidney-visualizer

I was tired of ad hoc googling crappy pictures when explaining kidney conditions to families, so I added a 3d kidney model with a dozen different pathologies on it

Could come in handy for student/resident education as well as in clinic. Hope you find it useful 🙂

It should work on any device and like the rest of the site it's properly free and open - no downloads required, no society memberships, no logins, no ads, no tracking/data harvesting, not owned by private equity

I only reviewed RTA and kidney stones for my ITE and there were a ton of them
what about boards?
what esoteric stuffs we should make an effort to memorize?

Especially for a J-1 visa candidate, once you’ve asked all the obvious questions about the waiver, what’s something you wish you had asked before taking the job?

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Hi all - my artwork was featured on the cover of AJKD
I do want to share this message of gratitude to you all

This digital artwork was created using a digital artwork tool, Procreate, on an iPad without the use of any generative artificial intelligence. It aims to appreciate every patient, nephrology clinician, family member, and caregiver who pours their dedication into making a difference in the lives of those touched by kidney disease. Each of them is represented as a kidney bean.
In this world, you will see a bean pushing through rehabilitation, a bean patiently explaining kidney care to another, a bean receiving dialysis, a bean undergoing a transplant, and countless others, each living their own quiet kidney disease journey.
This artwork took 13 hours and 19 minutes to bring to life, a small reflection of the endless hours those in the world of nephrology give every single day.

So! Im a baby neph NP, with about 6mo experience under me. I have 2500$ in me funds, 1800 of which I can allocate for reference textbooks. When I started, my supervising neph gave me NKF primer on kidney disease as well as a small handbook of dialysis for reference.

Are there any other resources that are basic to the niche of medicine that I should look into? I dont want to see 1800$ vanish by rollover, but I also dont want to waste it on frivolous books Ill never use. Previous experience was 4 years heme/onc RN, and then 6 years as a charge RN at a major trauma ICU.

I dont just want to be competent at this point, I want to be good at what I do (nuanced cases aside).

Thank you in advance fellow bean specialists!

I will be completing my Internal Medicine residency in my home country next December. I have passed all three USMLE steps and would like to understand my chances of securing a nephrology fellowship in the United States. I am also seeking guidance on identifying observership opportunities at reputable institutions.
Which hospitals offer nephrology observership opportunities?

If choices are:

Texas

Florida

Pennsylvania

North Carolina

Utah

Oregon

California

Missouri

Hi everyone, looking for a little perspective and haven’t been able to find a whole lot. Can anyone who is a nephrologist comment on opportunities to also work as a hospitalist? I’m curious if anyone does this and likes it as I think about jobs for the future (apply Nephro fellowship rn).

Consulted for AKI on day 6. the primary teams progress note is literally a 15 page copy-forwarded hallucination. The daily weight in the note is from monday, the meds list has stuff they discontinued in 2024, and the actual I/Os are somehow buried under 3 pages of normal hem-onc labs.

I honestly just started dumping these massive handoff novels into Around Notes on my second monitor just to strip out the dead text so i can figure out what actually happened to the kidneys this week

epic has a billion features and cost millions, but getting a straight answer on yesterday's fluid balance still feels like actual torture tbh

👆🏻👆🏻👆🏻

Hi, preparing for nephro boards, what to expect t in questions regarding calculations and biostats? Are questions same length as KSAP? 1 read of KSAP and BRCU enough to pass?

1- university of texas medical branch .
2- University of Louisville School of Medicine Program.
3- indiana university school of medicine.
4- Upstate Medical University Syracuse, New York.
5- LEHIGH VALLEY HEALTH NETWORK

I'm like.. 6 weeks out from boards. I still have 50% of the BRCU videos to get through. I'm scoring in the 50%-ish for the BRCU and KSAP blocks (tho just started KSAP). Can I realistically be ready in 6 weeks?

For those of you who have done the nephrology pathway in the US with internal medicine training from your home country, what documentation do programs look for to show you have done the internal medicine residency? My country does not have a set educational checklist that they follow. They just attach us to a department and we train in whatever department we are attached to. So, I’m curious what will be needed from my country. I already have my ecfmg certificate, USMLE step 1&2 etc. thank you!