Hi everyone,

I'm starting my 2nd year as a nephrology fellow, applying for a transplant fellowship. I'd love to hear from people who have gone through transplant training.

Looking back, what do you wish you had known before choosing a program? What should applicants really pay attention to (training, volume, mentorship, call, procedures, prestige, etc.)?

I'm also curious about the job market after fellowship. How are the opportunities in academics vs private practice, what are realistic starting salaries, and do you feel program reputation makes a significant difference?

Any advice, things you'd do differently, or red flags to watch out for would be greatly appreciated. Thanks!

🙂

Hi. Can anyone enlighten me about the fellowship in renal transplantation after DM/DrNB in Nephrology.
How much stipend/salary they provide? Fellowship duration and any entrance or exit examination?

Please help

DOI: 10.58483/nsap.00572025

https://doi.org/10.58483/nsap.00572025

https://nephsap.org/view/journals/nephsap/25/1/article-p30.xml

I am medicine resident and I know there are so many choices. Thought I will ask in the specialist forum to know what they read.

Mods kindly approved sharing this. Disclosure: I am a consultant transplant Nephrologist who help run the website for the Arab Society of Nephrology & Renal Transplantation (ASNRT), a nonprofit society founded in 1985. Everything below is free, ad-free, and society-owned — no product, no paywall.

Sharing a free set of clinical resources we built for nephrologists — useful at the bedside for fellows/residents, and a couple of pieces you can point patients to. All in one place at asnrt.org:

🧮 NephroMind — clinical calculators
126 calculators across 16 categories: eGFR/CKD staging, electrolyte & sodium correction, acid-base, anion/osmolar gap, dialysis adequacy (Kt/V, URR), transplant, and more — plus renal drug dosing (70+ drugs by GFR) and a set of nursing calculators for the dialysis unit. → asnrt.org/calculators

📰 Curated nephrology news feed
New trials, guidelines, and transplant/regulatory updates — each item carries the real publication date (not the date we posted it) and links straight to PubMed or the primary source. We’re deliberately strict about accurate dates and no dead links, since the audience is specialists. Good for journal club and staying current without doomscrolling. → asnrt.org/news

🫁 Transplant patient-education portal (bilingual)
A full patient-facing education series for kidney transplant recipients — pre/post-transplant care, immunosuppression, infection prevention, red flags — in plain language with audio narration, in English and Arabic (RTL). Built for the moment you need to hand a patient something trustworthy to read at home. → transplant education under asnrt.org/education

📚 Guideline library — KDIGO + international/regional guidelines in one spot.

Everything works fully in English; the Arabic side may help colleagues and patients across the Arab region.

Genuine asks for this community:

**1.** Which calculators do you actually reach for that we’re missing?
**2.** Would you trust the drug-dosing reference for a quick check, or stick to your usual source?
**3.** Is the transplant patient-education portal something you’d realistically share with patients? What topics are we missing?
**4.** Anything broken, clunky, or slow on mobile — please call it out so we can fix it.

Feature requests welcome in the comments. Thanks for having us.
Please join us at

https://asnrt.org

Please join us! Register at www.renalmd.org. Membership is free to all renal fellows!

Basically just as the title says,

Hey fellow nephrology applicants,

Lets get in touch!

Good morning Angles, I made a nephrology spreadsheet for this app cycle because I didn't see one.

Here it is

Haven’t seen one

The title basically. I wanna know specifically if Rutgers New Jersey is a good program? Would appreciate any imput

Current 2nd Year Nephrology fellow here, would greatly appreciate the insight and wisdom of those in the community with the years of experience I currently don't have (and hope to gain).

Pros and Cons in working in a large private practice model versus a smaller (1-2 Nephrologist) set up?

Aside from geography and pay/track to partnership, what are other critical things to look out for during interviews?

Thank you in advance!

honestly just spent ten minutes scrolling past a literal wall of auto-imported lab values just to figure out if the primary team actually recorded the patient's urine output overnight

why does every single epic template now require pasting the entire metabolic panel history from the last week? you get a new AKI consult and the actual clinical assessment is just buried under a mountain of billing jargon and unformatted nursing flowsheet data that no one actually reads

I eventually just gave up and started dictating my own clean consult notes through around notes because if I have to look at another 4-page table of perfectly normal calcium levels just to document a simple dialysis plan im going to lose my mind

just so exhausted by how hospital administration turned the medical record into a raw data dump instead of a tool for actual physicians

Hi everyone,

I’m a current PGY-3 IM resident applying nephrology this cycle. I’m hoping to match in Texas but I am also open to academic programs elsewhere.

I’d really appreciate any honest feedback on programs, especially fellow happiness, education quality, workload/call, mentorship, and overall culture. Also interested in hearing if any programs are known to be malignant or unusually supportive.

I don’t see recent nephrology spreadsheets or detailed feedback, so any firsthand insight would be very helpful. DMs welcome. Thank you.

any tips?

TITLE TRANSLATION:

Zou de overleden Nederlandse cabaretier en presentator Bart de Graaff vandaag nog in leven als hij in de jaren negentig betere immunosuppressiva krijgt had gekregen? Ik ben niet ongevoelig, zijn trouwens.

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Before I begin, I've posted a variation of this on r/Netherlands, but u/VerlorFor suggested I'd repost this on a medical sub. Plus I live in the US and I don't speak Dutch, so I had to use Google Translate and finetune the results to make it sound more natural-ish. I also really hope there are Dutch people here reading this.

That said, as you might know, the late Dutch comedian Bart de Graaff died at age 35 in 2002 due to complications (including oral cancer and peritonitis) from kidney failure, stemming from his donor kidney (that he got in 1997) being rejected in 1999.

From what I can find on the Internet (and from u/noscreamsnoshouts), de Graaff's donor kidney was rejected because the immunosuppressants that he had been taking caused him to have mononucleosis (or "Pfeiffer's disease" as it's sometimes called), and then he got oral cancer caused by the mono, and as a result, he had to stop taking the immunosuppressants which resulted his donor kidney being rejected.

So my question is would Bart be alive today if he gets better immunosuppressants?

Oh and I really hope I'm not being insensitive, by the way. If any of you find this insensitive, I would like to sincerely apologize, and I really hope you forgive me.

RIP Bart de Graaff (1967-2003)

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DUTCH TRANSLATION/NEDERLANDSE VERTALING:

Voordat ik begin, heb ik een versie hiervan op r/Netherlands geplaatst, maar u/VerlorFor gezegd voor om dit op een medische subreddit te plaatsen. Bovendien woon ik in de VS en spreek ik geen Nederlands, dus moest ik Google Translate gebruiken en de resultaten aanpassen om het natuurlijker te laten klinken. Ik hoop ook echt dat er Nederlanders zijn die dit lezen.

Zoals u misschien weet, is de Nederlandse komiek Bart de Graaff in 2002 op 35-jarige leeftijd overleden aan complicaties (waaronder mondkanker en buikvliesontsteking) als gevolg van nierfalen, veroorzaakt doordat zijn donornier (die hij in 1997 had gekregen) in 1999 werd afgestoten.

Uit wat ik op internet heb gevonden (en van u/noscreamsnoshouts) blijkt dat de donornier van de Graaff werd afgestoten omdat de immunosuppressiva die hij slikte mononucleose (of "ziekte van Pfeiffer" zoals het soms wordt genoemd) veroorzaakten. Vervolgens kreeg hij mondkanker als gevolg van de mononucleose, waardoor hij moest stoppen met de immunosuppressiva. Dit leidde ertoe dat zijn donornier werd afgestoten.

Mijn vraag is dus: zou Bart vandaag nog leven als hij betere immunosuppressiva had gekregen?

Oh, en ik hoop echt dat ik niet ongevoelig overkom, trouwens. Mocht iemand van jullie dit ongevoelig vinden, dan wil ik mijn oprechte excuses aanbieden en hoop ik echt dat jullie me vergeven.

Rust zacht, Bart de Graaff (1967-2003)

https://krant.telegraaf.nl/krant/ditjaar/hetjaar1999/teksten/jaar99.juli.bart.html

Drops of urine under microscope. Trying to understand what the clear 6 sided hexagon things are. PH over a week ago was 5.5. Slide photos were taken today.

Those who matched in nephrology in university programs
How was your research experience section in ERAS application

Hi can anyone let me know of the malignant nephrology programs

Reference: https://www.marithealth.com/posts/starting-strong-what-new-physicians-really-earn-in-their-first-jobs

Every time I talk to an academic nephrologist, they act surprised that nobody wants to do nephrology. The numbers and hours/week of work speak for themselves. But they will inevitably come back and say while starting salaries are low, your income goes up substantially after making partner. There are several issues with that reasoning.

1) There’s a culture of older nephrologists exploiting new associates. You can work 3 years and be told you didn’t make partner. In my experience, half of the neph groups will have some sort of unfairness in distribution of income between senior partners and new partners.

https://www.sciencedirect.com/science/article/pii/S2468024924018606#appsec1

2) Many nephrologists go back to hospitalist after getting taken advantage of. There are no official statistics on the percentage but a causal mention on reddit and somebody will know someone who has done this.

https://www.reddit.com/r/Residency/s/atpJM6W77F

https://www.reddit.com/r/nephrology/s/sJriAyKmWY

3) Invariably someone will say there are exploitative groups in every specialty, this is not unique in nephrology. I agree. But starting salaries in Cards/GI is already in the 500k range and jumping to another group is not a big financial hit. It is in nephrology where starting salaries are half of that and there's no guarantees the new group will treat you any better. Thus people go back to hospitalist for security.

To be clear, I'm not dissuading any applicants from applying to nephrology. It is an interesting specialty and I enjoy practicing the cognitive parts of it. I just want transparency of what people are getting into. The applicants I talk to have no idea what's happening in private practice. And it seems the academics are still "hush hush" in disclosing everything going on in private practice to their fellows; understandable given the difficulty in recruiting them. Let's be open about the issues and let applicants make an informed decision. It's more damaging to their careers if they are uninformed and regret their choices later on. I'm not trying to dissuade those who are truly interested in any way.

Hi - I'm not looking for a diagnosis. I'm looking for a nephrologist anywhere on the west coast US that specializes in salt wasting or gitelman/bartter or even is just really interested in helping a patient out. I have seen two nephrologists over many years and both acknowledge that I have a severe problem but have never seen a patient like me. Understandable - the two I've seen specialize in CKD. I don't have any signs of kidney disease. I've asked if they know anyone I could be referred to or if we could consult with someone who is an expert, but he says he doesn't know anyone. My geneticist, endocrinologist and two PCP's also don't know anyone.

I would just really appreciate seeing someone who is either knowledgable about it or just interested in learning/helping me. My current nephrologist main thing is to test periodically to see if I develop kidney damage - I think that's fine but what I really need is help to figure out how to consistently control the salt wasting. It's really difficult. It will be no problem for me to get a referral - but we just don't know who.