Nephrology Fellowship Clinical Sites
EVMS works in partnership with local hospitals, community physicians, and clinics throughout the area, providing fellows comprehensive clinical experiences in diverse settings. These educational partnerships spread the benefits of an academic medical institution throughout the region, improving the quality of life and the quality of health care for the entire community.
- Sentara Norfolk General Hospital is the primary teaching site for the nephrology fellowship and for Eastern Virginia Medical School. It is a community hospital dedicated to the care of the indigent population of the Hampton Roads Region in Virginia. It is a 525-bed medical/surgical facility and a Level 1 trauma facility. It is staffed by faculty from Eastern Virginia Medical School (EVMS) and by private practice community physicians. Under direct faculty supervision, the nephrology fellows will be exposed to an array of kidney diseases through inpatient consultative services and ambulatory care. A substantial number of inpatients receive acute hemodialysis at Sentara Norfolk General Hospital. SNGH has dedicated medical/surgical, cardiac, cardiothoracic, trauma and burn ICUs, where nephrology fellows will provide renal consultations, acute hemodialysis and CRRT. SNGH also has the region's only renal transplant unit (60-80 renal transplants per year). There are 10 chairs in the acute dialysis unit.
- The fellow continuity clinic will take place in an ambulatory facility at Eastern Virginia Medical School (EVMS) and will be staffed by an EVMS faculty member. On average, the nephrology fellow will perform 2 new patient work-ups and see 4 patients for follow-up per 1/2 day of clinic. The nephrology continuity clinic will provide the fellow with important educational experience for the management of patients with various renal diseases in the ambulatory setting. EVMS will also be the site of the fellow research rotation. The fellow will have the opportunity to elect a basic science or clinical research project, with an EVMS faculty member serving as his/her research mentor. The EVMS Department of Medicine also has a research office that provides support for biostatistics and clinical studies.
- The Veterans Affairs Medical Center - Hampton (VAMCH) is a 468-bed facility that serves 15 county areas in eastern Virginia, as well as 10 counties in northeastern North Carolina. It has one of the largest outpatient hemodialysis units in the Department of Veterans Affairs Hospital System. There are 23 outpatient hemodialysis chairs, with two shifts per day. Currently, there are 83 chronic hemodialysis patients who dialyze at the VAMCH. There is no home hemodialysis program at this time, but it is under development and it is anticipated that it will start accepting patients into the program within one year. There are currently 6 patients on chronic peritoneal dialysis, and this program is expected to grow over the next few years. The VAMCH also has 8 ICU beds. Fellow(s) will gain experience with a variety of chronic and acute renal disease while at the VAMCH, but the majority of their time will be spent caring for the chronic hemodialysis and peritoneal dialysis patients in the ambulatory setting at the VAMCH. There will be adequate and constant faculty supervision by the two VAMCH staff nephrologists.