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, 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
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 VidantWellness 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!
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 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
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