Overview of East Carolina University Nephrology .Overview of East Carolina University Nephrology

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  • 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 day per week (includes day of GN clinic

    once a month when assigned to AM continuity clinic) Acute transplant clinic day per week

    4 months per year

    Chronic transplant clinic 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, MD

    Division Chief of Nephrology & Hypertension

    Assistant Professor of Medicine

    Medical Director ECU Dialysis

    Medical Director Dare County Dialysis

    Interests: Dialysis, Advanced CKD, Dialysis Water Treatment, Quality Improvement and Safety

    MJ Barchman, MD

    Professor of Medicine

    Director of Apheresis

    Director of CRRT

    Interests: Critical Care Nephrology, CRRT, Acute Kidney Injury, Electrolyte and Acid-Base Disorders, Glomerular Diesease, Apheresis, Medical Education

    Paul Bolin, Jr., MD

    Professor and Chairman, Department of Internal Medicine

    Interests: Kidney Transplantation, Hypertension, Apheresis

  • Tejas Desai, MD

    Assistant Professor of Medicine

    Associate Director Internal Medicine Residency Program

    Founder and Editor-In-Chief , Nephrology On-Demand

    Interests: Web-based teaching, Electrolytes and Acid-Base Disorders

    Melanie Hames, DO

    Fellowship Program Director

    Clinical Assistant Professor of Medicine

    Interests: Early CKD, Prevention/slowing progression of CKD, Dialysis, Fellow Education

    Hsiao Lai, MD

    Assistant Professor of Medicine and Pediatrics

    Interests: Renal Development, Hypertension, CKD prevention, transition of care from pediatrics to adult

  • Reggie Obi, MD

    Assistant Professor of Medicine

    Interests: Glomerulonephritis

    Pankaj Jawa, MD

    Assistant 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


    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 nations 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 VidantWellness Center

    Variety of restaurants, Pitt County Farmers 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 Brothers 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!

    Morning 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


    Elaine Briley

    Fellowship Coordinator

    Office 252-744-3865


  • Other Nephrology Info: Meetings

    Annual Renal Disease and Electrolyte Disorders Aspen July 22 - 26, 2013

    AST Fellows 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