Date Issued: 06/05/2002
Prior Revision Date:09/05/2008
Date Reviewed and Revised: 03/02/2009

Nephrology Curriculum

Department: Internal Medicine

Faculty Coordinator: Steve Rinner, M.D.

Hospital: Texas Health Presbyterian Hospital Dallas

Periods offered: All

Length: 4 weeks

Max no. of residents: 2

First Day Contact: Steve Rinner, M.D. or Bruce Wall, M.D.

First Day Time: 8:00 a.m.

First Day Place: Dialysis Unit, 3rd floor, Main Hospital

Requirements: Hours: Rounds 8:00 a.m. - 12:00 p.m. Monday thru Friday with Dr. Rinner. Monday and Tuesday 1:30 p.m. - 5:00 p.m. clinic with Dr. Rinner - Wednesday afternoon read - Thursday 1:00 p.m. - 5:00 p.m. clinic with Dr. Wall - Friday hospital rounds 8:00 a.m. - 2:00 p.m. with Dr. Rinner.

Weekends: None

I. Course Description:

Residents will be working one-on-one with a Nephrologist with a busy inpatient and outpatient practice. The residents will be exposed to a wide variety of renal diseases. They will participate in seeing patients in consultation, caring for patients in the dialysis unit and seeing outpatients in the nephrologist's clinic.

II. Course Goals and Objectives: (based on ACGME competencies for resident education)

Patient Care:

Residents together with supervising faculty, must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.

Residents are expected to:

Medical Knowledge:

Residents must demonstrate knowledge about established biomedical and clinical sciences and the application of this knowledge to patient care.

Residents are expected to:

Practice-Based Learning and Improvement:

Residents are expected to be able to use scientific evidence and methods to investigate, evaluate, and improve patient care practices:


Interpersonal and Communication Skills:

Residents must be able to demonstrate interpersonal and communication skills that result in effective information exchange and teaming with patients and their families.

Residents are expected to:


Residents must demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

Residents are expected to:

Systems-Based Practice:

Residents are expected to demonstrate both an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improve and optimize health care.


III. Methods of instruction:

    1. Didactic (schedule, topic, faculty)
    2. Daily residents conference 12:00-1:00 p.m. - IM Training Room
      Wednesday mornings 7:30-8:00 a.m. - Clinical Grand Rounds - IM Training Room
      Wednesday afternoons 12:15-1:00 p.m.- IM Update - Haggar Hall

      One-on-one topical discussion with attending. Examples: Fluid and electrolytes,
      management of hypertension and renal failure, the glomerulonephritides.

    3. Clinical

Residents are assigned to a Nephrologist. The resident is expected to work with the nephrologist seeing both his inpatients and outpatients. He/she is expected to round in the dialysis unit with the nephrologist. Residents are expected to attend every noon conference.