University of Missouri School of Medicine MU Health School of Medicine

Nephrology Fellowships

Madhukar Misra

The Division of Nephrology and Hypertension has maintained an active Fellowship program since 1969. Graduates of the Fellowship program are found throughout the world in clinical and academic practice. The main goal of the two-year training program is to provide advanced educational opportunities to physicians in clinical and investigative Nephrology. Additionally, opportunities are available for a third year doing bench research subject to availability of funds.

The program covers all aspects of current nephrology practice including acute and chronic dialysis (hemodialysis and all forms of peritoneal dialysis), ICU nephrology (including CRRT/SLED), medical care of acute and chronic renal transplant patients, hypertension, diabetic nephropathy and other relevant areas in clinical nephrology. Pediatric nephrology experience is also offered.

The first year's experience for Fellows is organized to provide intensive exposure to clinical Nephrology. Time will be spent on the Nephrology consult services at the University of Missouri and the VA Hospitals, in the outpatient clinics and dialysis facilities. Fellows work closely with Nephrology attending faculty as they rotate through the services. Attendings are accessible at all times. Fellows will, under the supervision of the attending staff, develop skills in renal biopsy, peritoneal dialysis, hemodialysis, plasmapheresis, and many other techniques of blood purification and kidney transplantation. Problems dealt with include a variety of electrolyte and fluid disturbances, chronic renal failure, acute renal failure, hypertension, and acid-base disorders. In addition, Fellows teach house-staff and students assigned to Nephrology rotations.

During the second year, Fellows can vary the time they spend in clinical and research activities. Outpatient clinic and consult activities are continued in the second year, but there are unique opportunities to pursue research related to the kinetics of solute transport during peritoneal and hemodialysis, basic renal physiology (both animal and clinical), morphological studies of the peritoneum, immunology, clinical and basic studies in the pathophysiology of hypertension, pharmacokinetics, case studies, and other areas. All Fellows are required to participate in research. We encourage Fellows to tailor the type and amount of research accomplished during Fellowship to conform to their individual interests and career goals.

Education in a more formal guise also continues throughout the Fellowship. Weekly conferences include Faculty and Fellow lectures on special topics, journal and research conferences, renal biopsy conference, radiology conference, Journal Club, and special presentations from visiting professors.

Thank you for your interest in the Division of Nephrology Fellowship Program at the University of Missouri-Columbia. All applicants should apply using the ERAS system.

Madhukar Misra, MD, F.R.C.P. (UK), F.A.S.N., F.A.C.P.
Send comments to:
Division of Nephrology and Hypertension
Clinical Support and Education Building
One Hospital Drive
Room CE422/DC 043.00
Columbia, MO 65212
E-mail: umhsintmednephfellow@health.missouri.edu
Phone: 573-882-7991
Fax: 573-884-4820

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