Adult Nephrology Residency Training Program

McMaster University AST Renal Transplant Fellowship

The McMaster University Renal Transplant Fellowship Program is a fellow focused and centered program with a strong emphasis on competency based education provided in the form of protected academic half days, journal clubs, retreats, simulation and procedural training and a comprehensive curriculum emphasizing the knowledge, skills and attitude required to become a proficient transplant nephrologist.  The program’s vision is to empower our learners to strive for excellence and innovation in all CanMEDS domains to become skilled, responsible, professional, competent and compassionate transplant clinicians providing patient-centered care.

Main objectives of the Renal Transplant Fellowship Program:

  1. Medical Expert
    1. The fellow will demonstrate knowledge and understanding of the immunology and pathophysiology and associated medical complications of transplantations
    2. The fellow will demonstrate knowledge and application of immunosuppressive agents and associated pharmacokinetics, pharmacodynamics and drug interactions
    3. The fellow will develop expertise in the assessment and therapeutic management of renal transplant patients in the pre-, peri- and post-transplant periods including management of medical and recognition of surgical complications

  2. Communicator
    1. The fellow will develop skills in communication as it relates to:
      1. Provision of information to patients and families
      2. Education of information to patients and families
      3. Communicating with the medical team and inter-professionals

  3. Collaborator
    1. The fellow will demonstrate skills in collaboration with:
      1. Attending staff nephrologists and transplant physicians and surgeons
      2. Medical team members (residents, clerks, etc)
      3. Inter-professionals
      4. Surgical colleagues
      5. Hospital administration

  4. Leader/Manager
    1. The fellow will demonstrate leadership and managerial skills in various settings including:
      1. Inpatient Transplant service by overseeing patient care and leading the medical team including junior learners, rotating residents and clinical clerks
      2. Outpatient Transplant Clinics by ensuring clinics are conducted efficiently as  demonstrated by:
        1. Appropriate preparation prior to clinics
        2. Adequate time spent with patients addressing their concerns and ensuring patient education
        3. Collaboration with clinic staff (clinical and administrative staff) in the delivery of safe and optimal patient care
        4. Review and follow up of patients including interval diagnostic tests and therapeutic changes
      3. Educational rounds, Academic Days, Journal clubs, etc
    2. Time management skills

  5. Scholar
    1. The fellow will demonstrate abilities of being a scholar by:
      1. Critically appraising the renal transplant literature and applying the evidence in a patient centered manner
      2. Participating and completing a research or quality assurance project
      3. Teaching junior learners

  6. Professional
    1. The fellow will provide care to transplant patients in an ethical manner ensuring
    2. The fellow will show professional responsibility, integrity and accountability.  This will be demonstrated by fulfilling responsibilities reliably and promptly, engagement in ethical practice, conveying information accurately and accepting responsibility for their actions.
    3. The fellow will demonstrate self-improvement and the pursuit of excellence by responding to feedback and will seek to address deficiencies.
    4. The fellow will develop respectful and professional relationships and communicate using respectful language.  The fellow will recognize appropriate professional boundaries and will be sensitive to the values, attitudes and assumptions of other cultures and will remain open to exploring the personal impact of self on others. 
    5. The fellow will listen attentively to the concerns of patients and others and will demonstrate empathy and compassion.

  7. Health Advocate
    1. The fellow will demonstrate an understanding of the socioeconomic needs of his/her patients and be empathetic to their plight
    2. The fellow will act as a patient advocate and demonstrate compassion towards a group of socially, economically and diverse group of patients
    3. The fellow will recognize the role of supportive organizations such as the Kidney Foundation of Canada and participate in upholding the mission of such organizations in improving the overall care of patients with renal disease.

Format of Delivery of Education

      Rounds

  1. Academic days: weekly sessions are provided by faculty to trainees in either a lecture or case-based learning format.
  2. Transplant Clinical Pathology Rounds
  3. Research rounds
  4. Transplant Journal Clubs
  5. Morbidity and Mortality Rounds
  6. Visiting professor rounds

Procedure Based Rounds

  1. Renal Transplant biopsies
  2. Central line insertion
  3. Ultrasound evaluation of renal transplant

Clinical and Contextual Learning

  1. Fellows Longitudinal clinics
  2. Pre-transplant clinics
    1. Pre-transplant recipient assessment clinics
    2. Donor assessment clinics
  3. Post renal transplant clinics
  4. Inpatient renal transplant service
  5. Transplant patient care and policy meetings
  6. Plasmapheresis clinical care meetings

For more information regarding the McMaster University AST Renal Transplant Fellowship, contact us:

Dr. Azim Gangji
Nephrology and Transplant Fellowship Program Director
Tel: (905) 522-1155 ext 33386
Email: gangji@mcmaster.ca

Mrs. Wendy Clark
Program Administrator
Tel: (905) 522-1155 ext 33386
Email: clarkwe@mcmaster.ca