Dear Future Nephrologists:
Welcome to the George Washington University (GWU) Nephrology fellowship program! Located in the heart of the Nation’s Capital, our program offers diverse and cutting-edge training opportunities at the George Washington University Hospital, Washington DC VA Medical Center, and Inova Fairfax Hospital. Our program has a rich history of leading the medical community over several decades in the development and implementation of life-saving and disease- modifying kidney therapies.
Nephrologists in-training will have the opportunity to interact and learn from a broad range of faculty to hone their knowledge base and skillsets in general nephrology, as well as acquire specialized training in niche sub-specialty areas within nephrology. Nephrology fellows will have access to state- of -the -art training at the largest peritoneal dialysis program in the city, a growing home hemodialysis program and therapeutic apheresis. They will also be able to gain sub-specialty exposure in cardio-nephrology, onco-nephrology, glomerulonephritis, complex hypertension, precision medicine in kidney disease and point-of-care ultrasound. Fellows also have the opportunity to acquire a comprehensive experience in kidney transplantation at George Washington University hospital as well as while rotating through Inova Fairfax hospital. The anticipated start of a new liver transplant program in the near future will further strengthen the transplant education pathway, by providing opportunities to care for these vulnerable patients.
The training philosophy at GWU Nephrology centers around closely supervised training by faculty trough the fellowship, with the goal of increasing independent thinking and practice as fellows advance through the program. The first of the two years of fellowship training emphasizes learning the evaluation of acute kidney injury, chronic kidney disease, fluid and electrolyte disorders, hemodynamics in critically ill patients, principles of renal replacement therapies and apheresis, kidney transplantation and immunology. These skills are further honed in the second year of training with increasing exposure to the management of glomerular disorders, cardio-nephrology, onco-nephrology, complex hypertension, and procedures including percutaneous kidney biopsies as well as dialysis access related interventions. Point of care ultrasound has become a key tool in the armamentarium of nephrologists in both the outpatient and inpatient setting. To that end, fellows at GWU will have an immersive experience with learning ultrasound imaging relevant to the management of kidney disease.
The strengths of the clinical training program at GWU Nephrology are complemented by the vast array of opportunities for research and scholarly activity we offer. Trainees will be taught how to critically appraise the scientific literature, design research projects, develop experience with manuscript writing, and as well as present their scientific work at regional and national meetings. Robust discussions of clinical cases in nephrology and transplantation, biopsy interpretations at joint conferences in nephro-pathology with faculty from the Mayo Clinic, as well as exposure to cardio-nephrology and critical care nephrology conferences in collaboration with the divisions of cardiology and critical care are a highlight of the nephrology trainee experience. Fellows develop their teaching skills as part of mentoring Internal Medicine residents and medical students who rotate through the GWU Nephrology service, and they are highly valued for their contributions to teaching and education by the Department of Medicine. Trainees with an interest in basic sciences will have the opportunity to rotate through the Dominic Raj laboratory, that studies cardiovascular and renal outcomes and improving health of patients with chronic kidney disease though biomarker discovery, laboratory-based mechanistic studies, and targeted interventions to slow progression of cardiorenal disease. Fellows will be well prepared for a career in nephrology across several domains including clinical practice in the community, academic practice, medical education, procedural expertise, leadership roles in business and the industry, as well as several other developing roles for nephrologists in interdisciplinary spaces. Several alumni of the GWU Nephrology program have gone on to pursue further sub-specialty training in areas such as transplantation, academic careers as well as private practice, and remain and important resource for trainees as they navigate their career paths.
Throughout their training, fellows form lasting bonds within the GWU Nephrology family as they bring their rich and diverse backgrounds and experiences into the program and get to interact and work with a broad range of thoughtful and caring group of faculty, advanced care practitioners and other members of the healthcare team. The well- being of trainee physicians is of utmost importance to the program, with several built in mechanisms to ensure appropriate case load to avoid burnout. The program supports the need for work-life balance as a physician in training, while simultaneously ensuring adequate clinical exposure to provide the necessary experience to advance to independent practice. Additionally, a strong effort to ensure diversity and inclusion in the representation of trainees as well as faculty is one of the key missions of the program, to build a vibrant and inclusive environment at work.
The field of nephrology has been galvanized by several recent developments with newer cardiorenal protective therapies that have the opportunity to change the landscape of outcomes with kidney disease, major advances in kidney transplantation, growing interest in home dialysis therapies and a heightened awareness and recognition of disparities in access to care. Several of these advances are reflected in the mission and vision of the GWU Nephrology program and align with the national mandate to reduce the burden of kidney disease via the Kidney Health Initiative of the United States Government. We are delighted to invite you to be part of this exciting specialty and our program. We welcome your talent and enthusiasm in the collective fight against kidney disease, and look forward to supporting your aspirations as a future nephrologist.
All the best,
Janani Rangaswami, MD, FACP, FCRS, FAHA
Fellowship Program Director,
Professor of Medicine
George Washington University
Welcome to the George Washington Nephrology Fellowship Program! Since joining GW in 2018, I have been thrilled to work with compassionate, intelligent, collegial, and hard-working physicians committed to providing the best care for our patients as well as to train the next generation of doctors. Here at GW, you will find a diverse patient population with complex medical diseases as well as critical illnesses. Our faculty are dedicated to teaching the foundations of clinical nephrology as well as advanced expertise in glomerulonephritis, cardio-renal syndrome, onco-nephrology, critical care, plasmapheresis, ultrasound, and home dialysis modalities. On the research end, we have dedicated basic science laboratories for hypertension, chronic kidney disease, and the gut microbiome, as well as several ongoing clinical trials in transplantation, dialysis, chronic kidney isease, and glomerulonephritis. Our fellows are furtnate to observe cutting edge therapies, learn from world experts, and live in one of the greatest cities in the world. We hope that you will continue to learn more about our program and all it has to offer.
Renu Regunathan-Shenk, MD
Fellowship Assistant Program Director
Associate Professor of Medicine
George Washington University
The principal clinical training centers are at the George Washington University Hospital, the Veterans Affairs Medical Center, and Inova Fairfax Hospital. The structure over the 24-month program is as follows:
10 to 12 months
Inpatient rotations at George Washington University and VA Medical Center
4 to 5 months
Transplant Medicine Service
5 to 6 months
Outpatient hemodialysis, Home hemodialysis and Peritoneal dialysis
Specialty ambulatory clinics
The George Washington University Hospital (GWUH) is located in the center of Washington D.C., the state of the art tertiary care 385 bed hospital offers a wide range of nephrology services including treatment of complex acute kidney injury, continuous renal replacement therapies (CRRT), conventional as well as extended hemodialysis dialysis therapies and peritoneal dialysis.
It is the referral site for Extracorporeal membrane oxygenation (ECMO) and for extracorporeal therapies including plasmapheresis, exchange transfusion and leukapheresis. The kidney transplant program is expanding to include pancreas and liver transplant program. The robust cardiology and cardiothoracic surgery programs offer an opportunity to work on complicated acute kidney injury cases and cardiorenal syndrome.
Fellows will learn to treat chronic kidney disease, vascular access problems, fluid-electrolyte disorders, and glomerular diseases. Kidney biopsies are performed with assistance from dedicated radiology faculty. Fellows have an opportunity to work with the interventional radiologists to learn vascular access management. We work collaboratively with our urology colleagues to care for patients with nephro-urological problems. The rotations are complemented by a rich outpatient clinic experience.
The Veterans Affairs Medical Center in Washington, D.C. is a level 1A facility which provides comprehensive medical care for the veteran population in the D.C. Metropolitan area. The Renal section of the Washington, DC VA has 4 full time nephrologists on staff who hold faculty appointments at George Washington University. The section performs dialysis in the inpatient and outpatient setting at the medical center including: chronic intermittent hemodialysis, CVVHD/F (Prismaflex machines), SLEDD (Tablo machines) and peritoneal dialysis (manual and cycler). The section cares for the entire spectrum of CKD in the outpatient and inpatient setting including kidney transplant recipients. Kidney transplants are performed at the VA in Pittsburgh but all pre-transplant evaluations and post transplant care is under the DC VA Renal section.
The Renal Care Center located in building 6 of the Medical Center was built in 2006 to include a chronic hemodialysis unit for approximately 60 individuals as well as a chronic peritoneal dialysis unit, conference room, two patient exam rooms, and offices for all 4 nephrologists, a renal dietitian and renal social worker. There is also a dedicated office for nephrology fellows. Important features of Renal Care Center facilities for fellowship training include: dedicated space for urine microscopy, phase contrast microscope with LCD display, ultrasound machine with vascular and abdominal probes (portable to dialysis unit and hospital), full digital library access to a host of journals, textbooks and medical programs such as Up-to Date through VA Intranet. Fellows are invited to participate in specialized hypertension clinic established between the cardiology and renal sections.
Fellows rotate through the Inova Kidney Transplant Center and experience broad exposure to transplant ambulatory care clinic in a private practice setting. GW Nephrology Fellows have the opportunity to learn from outstanding teachers with multiple decades of experience at one of the region’s leading transplant centers. Our fellows spend at least six months of their clinical training focused on transplant nephrology at two training sites: George Washington University Hospital and Inova Fairfax Hospital.
GW Nephrology Fellowship Program Highlights
The GW fellowship offers an optimal blend of unique clinical experience, didactics, and research opportunities. Highlights of the program are given below:
- The program has a rich and long- standing history of pioneering nephrology care across renal replacement therapies, chronic kidney disease care and kidney transplantation in the region.
- Trainees will gain exposure to a diverse range of clinical pathology across George Washington University Hospital, the Veterans Administration hospital and Inova, Fairfax Hospital.
- There are opportunities to train in niche areas such as cardiorenal medicine, onco-nephrology, glomerulonephritis, genetics and precision medicine, kidney transplantation, point of care ultrasound, complex hypertension as well as critical nephrology with dedicated faculty expertise in these areas.
- Rigorous academic environment with state-of-the-art conferences focused on case discussions, journals clubs, pathology conference in conjunction with the Mayo Clinic and presentations from a wide breadth of invited national experts.
- Highest level of commitment to diversity across gender, race, and background with a collegial, respectful, and very supportive environment throughout training and after through a rich network of alumni. This atmosphere allows trainees to excel in their future prospects including academic medicine, private practice, future sub-specialty training and any other pursuits of interest.
Applications are only accepted through the Electronic Residency Applications Service (ERAS).
The candidate must register for both ERAS and the National Residency Match Program (NRMP). A candidate who has not registered with the NRMP cannot be considered during the ranking process. It is very important to remember to register.
Thank you for your interest in the Nephrology Fellowship Program at the George Washington University. We are looking forward to receiving your application and learning more about you. Recruitment for fellows starting in the 2022-2023 academic year will take place virtually. Interviews will be conducted via Zoom on Wednesday and Friday afternoons from approximately 12 to 3:30 p.m. EST from late August to mid-October. Applicants will meet with current fellows and faculty during the interview day. Invitations to interview will be sent out in late July. If you have questions at any time during the application and recruitment process, please do not hesitate to reach out to Lisa Horvath, fellowship program coordinator, at firstname.lastname@example.org or 202.677.6056.
Requirements for GW Fellowships
Fellowship applicants must have completed three years in an ACGME-Accredited Internal Medicine Residency, and be board-certified or board-eligible.
Required Documents for Complete myERAS Application
- myERAS application
- Curriculum Vitae (CV)
- Personal Statement
- Three Letters of Recommendation (one from the program director)
- USMLE / COMLEX Scores (must have passed Steps I-III prior to start of fellowship year)
- Medical Student Performance Evaluation (MSPE)
- ECFMG Status Report for International Medical Graduates (must have certification)
- Licensing Information and Board-Eligibility/Certifications (if applicable)
- Citizenship Status
International Medical Graduates
We can only consider applicants with J1 visas. Please see our GME Visa policy.
IMGs must have completed an ACGME-accredited residency program.
Graduates of International Medical Schools must also be certified by the Educational Commission for Foreign Medical Graduates (ECFMG).
If you have any questions, please contact Lisa Horvath, fellowship program coordinator, at 202-677-6056 or email@example.com.
Nephrology Virtual Tour
Thank you for your interest in our Nephrology fellowship program. While we wish we could be meeting you in person, we are thrilled to offer you this virtual tour as an opportunity to see and learn more about the facilities and resources available to our fellows.
To view a faculty member's full profile, click their name to be directed to the SMHS Faculty Directory.
The faculty for the Division of Kidney Diseases and Hypertension include:
Professor Emeritus of Medicine
Transplant Medicine Faculty
Veterans Affairs Medical Center (VAMC) Faculty:
Veterans Affairs Medical Center (VAMC) Research Faculty:
|Marylynn Aminrazavi, NP|
|Alexandra Mack, NP|
|Ellen McCormick, NP|
|Muhammed Siddiqui, MBBS|
|Danielle Kincaid, MPH|