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Clinical Rotations

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Clinical Rotations

Hospital Services

The hospital services are based out of St. John's Medical Center and Hillcrest Medical Center.

Each hospital has a separate team consisting of an attending physician, fellow and 1-2 internal medicine or family medicine residents. The nephrology service is the primary attending on less than 5% of the admissions.  The faculty round daily with the team providing managements oversight plus focused time for education.

Fellows are exposed to the intricate details of HD, PD, and CRRT on the floors and in the ICU. They will gain competence during the rotations and will deal with AKI, CKD, fluid electrolyte disorders, acidosis, and glomerulonephritis.

At Oklahoma Heart Institute, fellows will be exposed to CRRT training in the setting of ECMO utilization in the CVICU. 

The use of urine microscopy is very much encouraged with our own microscope and centrifuge for the nephrology service. 

Close communication and discussions with the internal medicine services ensures good patient care and maintenance of internal medicine knowledge.


Transplant Rotations

Fellows rotate at Nazih Zuhdi Transplant Institute, Integris Baptist Medical Center for a period of 2-3 months during the course of their fellowship. The Nazih Zuhdi Transplant Institute performs over 100 kidney, 10 kidney -pancreas, 30 liver and other solid organ transplants every year.  The fellows learn transplant medicine with the finest of transplant doctors in a state of art facility. 

The program pays for accommodation and mileage expenses for the transplant rotation. 

Ambulatory Clinic

Tisdale Specialty Clinic

The ambulatory clinics are located at the Wayman Tisdale Specialty Clinic and the Schusterman Center Clinic. As part of their ambulatory continuity clinic experience, each fellow will be assigned patients whom they will follow for the duration of their fellowhsip. Fellows will also be responsible for following patients they acquire during their hospital rotations.

Fellows are exposed to a myriad of kidney diseases including Glomerulonephritis, chronic kidney disease, cystic kidney diseases, fluid and electrolyte imbalances, and complex hypertension. 

What makes the OU Fellowship clinic more unique is the exposure to the pediatric population with ages from 14-18, mainly for hypertension and monitoring of chronic kidney disease.

From the beginning of fellowship, fellows get much exposure to transplant nephrology in their continuity clinic as well as during their transplant rotation.


Vascular Surgery - understand the anatomy, pathophysiology, and planning into developing an AVF. In association with the OU Vascular Surgery service, observing the outpatient setting to the OR in developing a plan for a clinic patient to begin the process of establishing a patient on dialysis. 

Interventional Radiology - understand and evaluate dialysis access at both centers at our Hillcrest and St. John's Medical Center at the Life Access Center with regards to AV Fistulas, Dilaysis Catheters, to assess, maintain, and manage the complications associated with dialysis catheters and fistulas.


Pathology - in addition to the direct exposure almost weekly with our pathologists here in Tulsa and Oklahoma City, from general inpatient biopsies to transplant biopsies in Oklahoma City, fellows can dedicate a month to renal pathology, not only better understand imaging but make the connection between the clinical condition and discuss findings with pathology.