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Training

Our curriculum is designed to provide each fellow with the foundational knowledge needed to flourish academically and clinically. We continuously seek feedback and make curricular changes to optimize the fellows’ educational experience.

Fellowship Curriculum

All pediatric fellows participate in both in-person and online courses in Evidence-Based Medicine and Clinical Research Methods during their dedicated research months. In addition, fellows are expected to attend and participate in regular journal club meetings, during which critical review of current literature pertinent to pediatric nephrology is conducted. MUSC and the GME office also offer regular conferences pertinent to fellows and their development in these areas.

Fellows are expected to design and implement a research project during their three-year fellowship, satisfying the “Meaningful Accomplishment in Research” requirement of the American Board of Pediatrics in order to sit for the Sub-board examination in Pediatric Nephrology.

Fellows entering the training program are not assigned to a research project. Through discussions with faculty, educators, and clinicians, the fellow identifies a research question and a mentor to assist in addressing it. We firmly believe that a project must be of genuine interest to the fellow, or it is not worth pursuing. The mentor is responsible for providing the ongoing formative feedback that is essential to the trainee’s attainment of competence in clinical care, teaching, and scholarship.

The first block of the first year is protected for this purpose. A project does not have to be identified during that block; rather, the time is intended to give the fellow room to meet with potential research mentors and to work out which direction of research they may be most interested in pursuing.

Each fellow will have a scholarship oversight committee (SOC) with appropriate expertise in scholarly research endeavors; the SOC is appointed during the first year of fellowship. The mentor and SOC together ensure scholarly progress and success. We expect that fellows will submit their completed research projects to a national meeting for presentation, and fellows whose work is accepted are supported by the division to present at the conference.

In addition to their scholarly project, each fellow is expected to participate in a quality improvement project over the course of fellowship. Fellows have access to institutional QI resources and mentorship, and QI work frequently intersects with divisional priorities in dialysis, transplant, and inpatient care.

Research Opportunities

MUSC is home to the Darby Children’s Research Institute, a dedicated pediatric research facility that supports investigators across the Department of Pediatrics and provides fellows with access to laboratory space, core facilities, and basic science mentorship. Fellows interested in bench research can pursue projects there in collaboration with faculty whose work spans kidney development, transplant immunology, and mechanisms of kidney injury.

There are also ample opportunities for clinical and translational research within the division and across the institution. Active areas include kidney transplantation, glomerulonephritis, quality improvement work through collaboratives such as SCOPE in dialysis care, and educational research. Fellows are encouraged to explore the area that interests them most and are supported in identifying a mentor whose work aligns with that interest.

Fellows also have access to institutional research infrastructure through the South Carolina Clinical & Translational Research Institute, including biostatistical support, study design consultation, and regulatory guidance.

Fellows prepare and present instructional lectures to students, residents, nurses, and other medical personnel on topics related to pediatric nephrology.

We almost always have medical students and pediatric residents rotating with the division, so beyond formal lectures there is ample opportunity for bedside teaching, case-based discussion, and day-to-day mentoring for fellows who enjoy that part of the work.

MUSC’s Center for Academic Excellence collaborates with all pediatric fellowship directors to provide resources for fellows in specific areas such as developing a CV, conducting small group discussions, professionalism, and preparing scholarly publications. Fellows have the opportunity to teach and mentor residents as well as medical students in several College of Medicine teaching courses. Fellows may also elect to participate in a certificate program awarded by GME, the Certificate as a Clinician-Educator, which expands formal instruction in teaching and provides an opportunity to be mentored in an educational research project.

Fellows participate in inter- and intra-departmental meetings as they relate to Pediatric Nephrology and are of interest to the individual fellow. As part of this process, policies and procedures are developed and reviewed. We encourage fellows to choose multidisciplinary committees or project development teams that support their interests within our field.

Fellows have many opportunities and resources to perform and evaluate the success of quality improvement projects that affect operations in both Pediatric Nephrology and the children’s hospital as a whole. As an employee of MUSC, each fellow is given free access to the Institute for Healthcare Improvement’s course offerings, including Quality Improvement, Patient Safety, and Leadership.

Protected time is set aside each week for fellow education. The format varies, but the curriculum is built to cover the full American Board of Pediatrics content outline for pediatric nephrology over the course of the three-year fellowship.

Core Didactics

  • Shared fellow didactics with the University of North Carolina at Chapel Hill — held on Tuesdays. Both fellows and faculty present, and the entire body of board-relevant content is reviewed over the course of the fellowship.
  • ASPN fellow lecture series — held monthly and available to all fellows, with protected time to attend.
  • ASPN Pathology and Radiology webinars — held monthly, alternating between pathology and radiology topics.
  • MUSC fellow-wide didactics — all fellowship programs together, covering career planning and professional development. These typically occur twice per year.
  • Statistics course — offered annually and taken together with the NICU fellows.
  • Nephrology / Urology / Radiology case conference — every other month, where difficult nephrology and urology cases are reviewed and discussed together with the radiologists.
  • PICU fellowship conferences — fellows attend morbidity and mortality conference and occasional educational conferences with the PICU fellowship when the content is relevant to nephrology.

Other Conferences

  • Transplant selection committee — monthly
  • Sign-out — every Thursday. In addition to handoff, this is protected time to discuss complicated patients and work through transplant questions as a group.
  • Grand rounds — every Friday morning
  • Transplant QAPI — every three months