Curriculum
First Year Curriculum
During the first year, 研究员们沉浸在临床肾脏病学培训中,以发展成为一名杰出的临床肾脏病专家所需的基本知识和技能. Through clinical experiences in the first year, 研究员在评估和管理肾脏医学的全谱方面变得熟练, interpretation of urine sediment, renal replacement therapy, 临时血管导管的放置和处理, 以及经皮肾活检的表现. The foundations of scholarly practice are built, clinical reasoning skills are honed, 建立纵向师徒关系.
第一年研究员参加五项咨询住院服务, nephrology continuity clinic, 以及约翰霍普金斯医院和约翰霍普金斯湾景医疗中心的选修课. 该表仅供参考,全年轮换.
Rotation | Time |
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Inpatient Consults – JHH | 5 months |
Inpatient Consults – Bayview | 2 months |
Transplant | 2 months |
Night float (6 nights per week) | 1 month |
Elective / POCUS | 1 month |
RRT week | 1 week |
Outpatient Continuity Clinic | ½ day per week |
Vacation | 1 month |
Second Year Curriculum
奖学金的第二年增加了对肾脏学门诊实践的关注, scholarly development, and career planning. 今年是高度定制的基础上所选择的职业道路. 研究员可在公共卫生学院攻读研究生课程, pursue formal training in Clinical Education, enter a basic science research lab, or prepare for a private practice career.
Rotation | Time |
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Research | 8-9 months |
INPATIENT | |
Consult | 1.5 months |
Night float (6 nights per week) | 1 – 1.25 months |
OUTPATIENT | |
Hemodialysis | 10 months |
Peritoneal dialysis | 9 months |
Home HD | 2 months |
Subspecialty Clinics | 2 months (1/2 day for 4 days/week) |
Toxicology | 1 week |
Continuity Clinic | ½ day per week |
National Conference Attendance | 0.5+ months |
Vacation | 1 month |
Rotations
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该服务会诊5个不同icu的患者, 以及位于ICU大楼内的楼层推荐十大正规网赌平台. This team consists of a nephrology fellow, supervising attending, and occasionally a critical care fellow, urology resident, medicine resident, and/or medical student.
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这项服务为肿瘤学提供咨询服务, Gynecology, 外科重症监护室和一楼推荐十大正规网赌平台位于肿瘤大楼内. This team consists of a nephrology fellow, supervising attending, medicine resident, and/or medical student.
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该服务为非icu内科、精神病学和泌尿科患者提供咨询服务. This team consists of a nephrology fellow, supervising attending, medicine resident, and/or medical student.
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肾移植服务与肾移植手术团队共同管理. 住院肾移植小组由一名肾移植研究员组成, general nephrology fellow, supervising transplant nephrology attending, advanced practitioner, and internal medicine residents. During this rotation, 研究员将在术后和慢性肾和肝移植患者的管理方面获得丰富的经验.
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这项服务为所有普通住院部和重症监护室提供咨询服务, which includes the John R. 伯顿老年护理中心,也是马里兰州唯一的烧伤中心. This team consists of a nephrology fellow, supervising attending, and on occasion a medicine resident, and/or medical student.
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The Nephrology Night Float 是为了减少研究员的疲劳和确保推荐十大正规网赌平台的安全而设立的吗. “夜间浮动”可以防止随叫随到的员工在一夜频繁睡眠中断后第二天还要工作. 夜间漂浮研究员在约翰霍普金斯医院的内部从周日到周五晚上7点到早上7点. 周六晚上的新闻报道由周末记者第一时间提供. 夜班人员预计将完成所有签到和继续护理,并能够不迟于上午8点离开医院.m. each morning. 夜间浮动研究员的职责是为夜间肾脏病问题提供研究员覆盖.
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这是一个为期一周的轮转,在第一年的早期,以指导和教育研究员门诊HD, outpatient PD, vascular access, and operation and setup of CVVHD machines. 学员们将学习永久性房室通道的插管和脱管.
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研究员在他的纵向轮换中管理门诊血液透析患者. 在为期10个月的轮岗中,研究员与主治医生一对一合作. 每个人轮流在两个不同的透析单位工作.
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研究员在这种纵向轮换中管理家庭透析患者. 研究员在一名专门的主治医生的监督下对一组腹膜透析患者进行了9个月的随访. 每位研究员至少参加2个家庭血液透析诊所,如果需要,有机会进行更深入的家庭血液透析培训.
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在这个每周半天的诊所(在湾景校区), 研究员在肾脏病主治医师的监督下评估和长期管理有广泛肾脏问题的门诊患者. This is a true continuity clinic, 研究员在研究期间跟随他们自己的推荐十大正规网赌平台小组(而不是主治医生的推荐十大正规网赌平台).
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追求临床教育或临床实践途径的第二年研究员在肾科亚专科诊所和移植肾科诊所轮流进行. 临床研究员预计参加至少30次会议. Examples of specialty clinics include:
- Fibromuscular dysplasia
- 遗传性肾脏疾病包括ADPKD、vHL、Fabry和结节性硬化症
- Glomerular disease
- HIV-related kidney disease
- Lupus nephritis
- Secondary hypertension
- Thrombotic microangiopathy
- Transplant clinic (recipient continuity)
- Transplant donor clinic
- Transplant evaluation clinic
- Vasculitis
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Examples of elective opportunities include:
- Hospice and Palliative Medicine
- Outpatient vascular access center
- Pediatric Nephrology
- POCUS
- Renal Pathology
- Radiology (Ultrasound)
- Specialty clinics
- Therapeutic apheresis services
- Urology clinic
- Vascular surgery
- 增设门诊血液透析和腹膜透析诊所
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所有研究员都应在培训期间从事学术活动. 这包括通常在一年级开始的指导研究,在二年级是强制性的. 预计将在科学文献中发表,并在区域和国家会议上作报告.
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第二年研究员至少参加ASN肾脏周和NKF春季临床会议. 此外,大多数研究员全年都参加其他会议和培训班.