Overview of East Carolina University

Nephrology Fellowship Program

Our office, ECU Nephrology and Hypertension

Our hospital, Vidant Medical Center

Current breakdown of RotationsRotation 1st year 2nd year

Consults 3 3

ESRD Service 2 2

Outpatient 2 2

Dialysis 1 --

Transplant 1 1

Independent Study -- 1

Procedural/Float 1 --

Research 1 2

Elective 1 1

2013-2014 block schedule (our transition year from 4 to 6 fellows)

Educational Conferences

• Case Conference weekly• Journal Club monthly• Nephrology Grand Rounds monthly• Fellow Lecture Series weekly– Including orientation and board review series

• Fellows Didactic Pathology Conference monthly• Renal Biopsy Conference monthly• Research Conference monthly

Ambulatory Clinics• Continuity clinic ½ day per week (includes ½ day of GN clinic once a

month when assigned to AM continuity clinic)• Acute transplant clinic ½ day per week

– 4 months per year• Chronic transplant clinic ½ day per week

– 4 months per year– See fellow cohort only unless on transplant rotation

• Outpatient Hemodialysis shift– 2 months per year on outpatient block– See fellow cohort (1st yr = 5 patients; 2nd yr = 10 patients)– Fellows get to select their dialysis teaching attending

• Home Hemodialysis Clinic with Dr. Christiano during outpatient block (2 months each year)

• PD clinic – Monthly throughout fellowship (2 patients per fellow)

FacultyCynthia Christiano, MDDivision Chief of Nephrology & HypertensionAssistant Professor of MedicineMedical Director ECU DialysisMedical Director Dare County DialysisInterests: Dialysis, Advanced CKD, Dialysis Water Treatment, Quality Improvement and Safety

MJ Barchman, MDProfessor of MedicineDirector of ApheresisDirector of CRRTInterests: Critical Care Nephrology, CRRT, Acute Kidney Injury, Electrolyte and Acid-Base Disorders, Glomerular Diesease, Apheresis, Medical Education

Paul Bolin, Jr., MDProfessor and Chairman, Department of Internal MedicineInterests: Kidney Transplantation, Hypertension, Apheresis

Tejas Desai, MDAssistant Professor of MedicineAssociate Director Internal Medicine Residency ProgramFounder and Editor-In-Chief , Nephrology On-DemandInterests: Web-based teaching, Electrolytes and Acid-Base Disorders

Melanie Hames, DOFellowship Program DirectorClinical Assistant Professor of MedicineInterests: Early CKD, Prevention/slowing progression of CKD, Dialysis, Fellow Education

Hsiao Lai, MDAssistant Professor of Medicine and PediatricsInterests: Renal Development, Hypertension, CKD prevention, transition of care from pediatrics to adult

Reggie Obi, MDAssistant Professor of MedicineInterests: Glomerulonephritis

Pankaj Jawa, MDAssistant Professor of Medicine (as of late 2013)Interests: Kidney Transplantation, Acute Kidney Injury, Electrolytes and Acid-Base Disorders

Current Fellows

Hiren Joshi, MD Aman Bilal, MD Ananda Gurram, MD

Satcha Borgella, MD Marjan Vandevar, DO

1st year fellows

2nd year fellows

Program statistics• ACGME accredited – As of 2/2012, achieved a 10 year accreditation status

• 100% first-time takers board pass rate since 2005– 91% board pass rate since inception of fellowship

• Significant growth in multiple areas:– Kidney transplant program • 37 kidney transplants 2009 up to 90 in 2012• Paperwork submitted to begin pancreas program

– Growing faculty with ongoing recruitment in anticipation of further growth

– Fellows (from 4 to 6 fellows effective 7/1/14)

Benefits• For details see VMC GME website http://

www.ecu.edu/gme/office.cfm• Salary 2013-14:– PGYIV $55,216– PGYV $56,988

• 15 days per year vacation• 12 days per year sick leave

Benefits

• 10 days per year professional/meeting attendance• 5 days per fellowship for visa/interviews/admin• $1500.00 book and travel per 2 year fellowship• Additional $500.00 + 3 days extra travel for any

poster or oral presentation accepted at ASN, ASH, AST

• $1500.00 support towards Board Review DVD purchase or towards registration to attend board review course (ASN or Brigham/Harvard)

• $100.00 per month meal allowance

About Vidant Health• Serves 1.4 million people from 29 counties in Eastern NC• 10 hospitals, also physician offices, home health, hospice and

wellness centers• Affiliated with the Brody School of Medicine at East Carolina

University

About Vidant Medical Center

• One of 4 academic medical centers in NC• 850 bed Tertiary referral center and level 1

trauma center• Over 500 physicans and 1200 nurses on staff • Average 44,000 admissions per year, 111,000

emergency room visits and 266,000 outpatient visits per year

• Largest employer in NC east of Raleigh

About Greenville• Population 86,000 (135,000 Pitt Co),

located on the south bank of the Tar River, 85 miles east of Raleigh. Modest cost of living.

• Home of East Carolina University, 2nd largest University and fastest growing campus in the UNC system

• In 2012, ranked in the top ten of the nation’s “Best Small Places for Business and Careers” by Forbes Magazine

• 13 elementary schools, 5 middle schools, 4 high schools; also 10 private schools

About Greenville / Pitt County• Numerous parks and fitness centers including

ECU Student Recreation Center (SRC) and Vidant Wellness Center

• Variety of restaurants, Pitt County Farmer’s Market, Umbrella Market downtown

• Lot of local festivals and celebrations: Farmville Dogwood Festival, Great Pirate Purple/Gold Pigskin Pigout Party, Pirate Fest, Winterville Watermelon Festival, Ayden Collard Festival, Pitt County Fair, Washington Music in the Streets

• BMX Pro Town USA

About Eastern North Carolina• Numerous state parks, rivers and beaches• Opportunities for hiking, kayaking, canoeing, waterskiing,

golf, camping, fishing, biking, running• 9 lighthouses in NC, many of which you can still climb• The Outer Banks – Manteo – Roanoke Island – summer

production “The Lost Colony”• Ocracoke Island• Beaufort - waterfront town with great restaurants –

Shackleford Banks for the wild ponies• Family beaches including Emerald Isle, Atlantic Beach and

the Beaches of the Outer Banks

About Eastern North Carolina• New Bern – home of Pepsi Cola and great restaurants,

Tryon Palace and more• Aurora Fossil Museum• Historic Bath, home of Blackbeard the Pirate• Sailing in Oriental (village of 875 people and 2700 boats)• Fort Macon State Park near Atlantic Beach• The Duplin Winery in Rose Hill• Wright Brother’s Monument in Kill Devil Hills – 1st in flight• NC Aquarium at Pine Knoll shores• Not far away is Raleigh, Cary, Norfolk, historic

Williamsburg. A little farther – the NC Zoo in Asheboro.

And a couple of pages from our photo album….

Music in the Streets - Washington, NC Pee Dee the Pirate

– ECU Mascot

ECU Pirate Football – Purple Pride!

Full moon paddleMorning of the kayakalon

Life in Eastern North Carolina

And our wonderful coordinator Elaine - her family enjoying a day of boating on the river!

Contact information

• Melanie Hames, DO Program Director– Office (main #) 252-744-2545– hamesm@ecu.edu

• Elaine Briley Fellowship Coordinator– Office 252-744-3865– brileye@ecu.edu

Other Nephrology Info: Meetings• Annual Renal Disease and Electrolyte Disorders Aspen July 22 - 26, 2013• AST Fellow’s Symposium – Grapevine TX Sept 20-22, 2013• ASN Board Review course – Chicago Aug 10-16, 2013• Renal Biopsy in Medical Disease of Kidney – NY Jul 17-20, 2013• ASN Annual Meeting – Atlanta Nov 5-10, 2013• International Conference on CRRT - San Diego Mar 4-7, 2014• National Kidney Foundation - Las Vegas Apr 22-26, 2014• American Society of Hypertension (ASH) - New York May 17-20, 2014• American Society of Transplantation - San Fran July 26-31, 2014• NKF abstract deadline ~December 2013• ASN abstract deadline ~June 2014

Other Nephrology Info: Websites• American Society of Nephrology www.asn-online.org • International Society of Nephrology http://www.isn-online.org/ • Renal Physicians Association (RPA) http://www.renalmd.org/ • National Kidney Foundation (NKF) www.kidney.org • American Society of Hypertension (ASH) www.ash-us.org • American Society of Transplantation (AST) www.a-s-t.org • American Society for Apheresis http://www.apheresis.org/ • Renal Research Institute (RRI) www.renalresearch.com • The Nephron Information Center http://nephron.com/index.shtml • Nat. Institute of Diabetic, Digestive, Kidney Dzs http://www.niddk.nih.gov/ • Renal Fellows Blog http://renalfellow.blogspot.com/ • ECU Nephrology On Demand (NOD) http://www.nephrologyondemand.org/

Other Nephrology Info: Websites• Other educational websites• HTN, Dialysis and Clinical Nephrology www.hdcn.com• Schrier Atlas of Kidney Disease http://www.cybernephrology.ualberta.ca/cn/Schrier/Default6.htm • AJKD Atlas of Renal Pathology

http://www.ajkd.org/webfiles/images/journals/yajkd/AJKD%20-%20Atlas%20of%20Renal%20Pathology.htm• KDOQI guidelines http://www.kidney.org/professionals/kdoqi/guidelines_commentaries.cfm#guidelines• KDIGO guidelines http://www.kdigo.org/• molecular weights/valences http://nephron.com/cgi-bin/SI.cgi• body surface area calculator http://www.ultradrive.com/bsac.htm• Medical calculator http://medcalc3000.com/• NIH cardiovascular info (incl JNCVII, NCEP) http://www.nhlbi.nih.gov/health/prof/heart/index.htm

• For your patients• American Association of Kidney Patients www.aakp.org• Fresenius Patient Info http://www.ultracare-dialysis.com/engine/renderpage.asp?pid=s0151