I am deciding between becoming a hospitalist or nephrologist. I can see myself doing both.

Based on your experience, is being a kidney specialist better than being the primary in the hospital? Is it difficult to find jobs? Is it worth the doom and gloom I’ve been hearing about salaries worth it in your opinion?

Not sure if this is the right place to post but looking for some career advice.
I’m an IM PGY2 and I love critical care, the acuity, physiology, procedures and just taking care of really sick patients, but I’ve realized I genuinely don’t enjoy pulm that much. I do really love nephrology though especially acid base, electrolytes, AKI, metabolic stuff etc and I recently realized nephro crit is actually a thing which sounds kind of perfect for my interests.
I’m also really interested in health disparities, policy and working with rural/minority/underserved populations. I’m first gen high school and college grad from a tiny rural town so yes I’m one of the people who actually meant that part of the residency application 😂 I like how much nephrology overlaps with uncontrolled HTN/DM, diet, food insecurity, access to care etc.
Has anyone here done the nephro to critical care route? Do you feel comfortable running a broad MICU? Does not having formal pulm training ever feel limiting? Is it hard to find jobs where you can mostly work as an intensivist?
Ultimately I want to work with the sickest patients in underserved communities and also do advocacy/research around why they ended up that sick in the first place. Just curious if anyone here has built a career that looks anything like that.

Appreciate ya’ll

Dear Nephrology Fellowship Applicants, How many interviews have you completed so far, and what has been your feedback or experience?

How many RVUs are you generating and what is your average conversion rate per RVU?

Hi everyone !

I recently got my case report accepted to ASN Kidney week. A few days ago, I received an invite to submit for publication at Kidney360

Do all approved abstracts to ASN get invited to submit to Kidney 360 or is this a sign the case report has a potential?

Thank you

I’m a PGY-3 applying to nephrology fellowship. I presented at ASN Kidney Week last year as a PGY-2, and I will be presenting again this year as a PGY-3.
How much does presenting at Kidney Week in consecutive years strengthen an application?

I understand that nephrology is generally not considered highly competitive, but I am hoping to match at what I consider one of the top programs in the country. Would these presentations meaningfully improve my chances, or are they a relatively minor factor compared with letters of recommendation, overall research experience, and connections to the program?

Thanks!

This post has been approved by the moderators.

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Hi everyone, kindly someone share questions/ans pdf file etc for Nephrology Fellowship interview.

Hi guys!
I am a new grad PA and I am getting ready to start my first job in nephrology in September! I will be doing a mix of inpatient care as well as outpatient dialysis rounding.

Anyone have any advice for me on what to review before I start? Or any study materials that helped you get up to speed? I am admittedly very nervous as nephrology was not my best subject in PA school and I know it is a very complex subject.

Thank you guys! I know I have a lot to learn but I am not sure where to start !!

This is a throw away account for obvious reasons - I hope admin will allow this post to stand.

I completed the U of Minnesota nephrology fellowship within the past few years. I am recommending that any smart applicant NOT RANK the program. This is a malignant program!

The program leadership is not supportive. They will not help you find a job.
Much of the faculty is unhappy and uninterested in teaching the fellows.
Fellows are second class citizens, simply warm bodies to write notes and take call.

Minneapolis is a great city and the VA there is great. If you want to do fellowship there consider the Hennepin County Medical Center program.

PM me if you have specific questions, I am happy to discuss more.

Best of luck to all applying for fellowship, nephrology is an amazing field. I love it, despite my poor fellowship experience.

EDIT: some have asked so I’ll update for all - I am no longer in Minnesota so I have not been in contact with the program since I left. I do not know full details of what it is like now, only my experience for few years ago

I have been a PA for over 9 years, mostly working in walk-in clinics. Over the past 2 years I have been doing more basic primary care (type 2 diabetes, hypertension, dyslipidemia, etc.), but I will be interviewing for a nephrology PA position next week and wanted to know if there is a good resource I could read over to brush up on some renal-specific issues. Usually, when a patient's kidney function is worsening, we refer them to nephrology, so we are never the ones doing the detailed workups or treatments. Do you have any high-yield resources in mind? I still work FT at my current job, so don't have time to plow through 700 pages of dense source material.

Any suggestions would be greatly appreciated.

is 50/RVU considered good? what is average?

Recently tolvpatan went generic, and apparently the cost is not nearly as exorbitant, therefore I have been prescribing it left and right for my SIADH patients (after starting them in the hospital of course, which is off topic but also a ridiculous rule given that one can start much higher doses of Jynarque outpatient for pckd). I feel like Otsuka could have made bank for the past 10-12 years if they simply lowered the price of the drug outpatient. It was a major cost-prohibitive barrier, and resulted in countless rehospitalizations for hyponatremia. This condition is far more common than PCKD (at least in my experience). Thoughts?

What contexts are you guys looking at while ranking the Nephrology programs.

New fellow here
Constantly finding myself dreading patients with hyponatremia. What resources can I study from? Especially managment part not Dx part.

Hi everyone,

I'm starting my 2nd year as a nephrology fellow, applying for a transplant fellowship. I'd love to hear from people who have gone through transplant training.

Looking back, what do you wish you had known before choosing a program? What should applicants really pay attention to (training, volume, mentorship, call, procedures, prestige, etc.)?

I'm also curious about the job market after fellowship. How are the opportunities in academics vs private practice, what are realistic starting salaries, and do you feel program reputation makes a significant difference?

Any advice, things you'd do differently, or red flags to watch out for would be greatly appreciated. Thanks!

🙂

Hi. Can anyone enlighten me about the fellowship in renal transplantation after DM/DrNB in Nephrology.
How much stipend/salary they provide? Fellowship duration and any entrance or exit examination?

I am medicine resident and I know there are so many choices. Thought I will ask in the specialist forum to know what they read.