University of Kansas Medical Center
The University of Kansas Nephrology Fellowship Program was originally certified in 1986. Well over 100 fellows have graduated from the program since its inception. Traditional transplant nephrology clinical fellowship consists of twelve months of training that involve rotations in all aspects of transplant training. Renal transplant fellowship at the University of Kansas offers trainees a broad and in-depth learning environment in all aspects of transplant nephrology. The Center for Transplantation continues to grow, having completed over 200 kidney transplants in 2020. The transplant nephrology fellow serves an integral role in the management of transplant patients. Transplant nephrology provides an inpatient consultant service with orders for immunosuppression and internal medicine-based management, including fluid and electrolyte decisions. The transplant nephrology fellow works closely with the transplant surgery team, including the transplant surgery staff, transplant surgery fellow, and nurse practitioners. The transplant nephrology team determines the initial induction and maintenance immunosuppression decisions in co-management with transplant surgery. The daily adjustments to immunosuppression, including calcineurin inhibitor dosing and steroid management, are made by the transplant nephrology fellow. Adjustments to anti hypertensives, electrolyte supplementation, and dialysis orders are also primarily ordered by the transplant nephrology fellow. Additional experiences with the HLA lab (MTN is the first organ bank in the United States), transplant infectious disease, multiorgan transplant are available and can be tailored to suit the interest of the trainee.