Pediatric Nephrology Fellowship Program

Children's Healthcare of Atlanta, in collaboration with Emory University School of Medicine, offers three-year fellowships in pediatric nephrology to qualified, promising physicians.

Our goal

Our goal is to train academically oriented pediatric nephrologists who will be involved in a lifetime of excellence in patient care, teaching and research. Upon successful completion of our training program, fellows will:

  • Be experts in the pathophysiology of pediatric kidney disorders
  • Be skilled in the clinical diagnosis and management of these disorders
  • Have developed a foundation for the scholarly advancement of our field 

Why Choose Children’s

As one of the largest pediatric clinical care providers in the country, Children’s has the expertise and clinical capacity to treat children with kidney disease from the entirety of metro Atlanta and much of the state of Georgia, a clinical catchment area with a population of over 10 million. This is one of the country’s largest catchments for a single hospital system. Our dedicated team of pediatric nephrologists is experienced in the medical management of children with all types of kidney diseases, from the most common to those rarely seen outside of the top pediatric hospitals.

Comprehensive program

With specially designed facilities, innovative equipment, educational programs and family support services, the Children’s Nephrology team offers comprehensive care to all patients. Our multidisciplinary approach integrates the efforts of many dedicated pediatric professionals, including:

  • Physicians
  • Nurse practitioners
  • Nurses
  • Pharmacists
  • Nutritionists
  • Social workers
  • Child life specialists
  • Psychologists
  • Hospital teachers
  • Chaplains
  • Case coordinators 

Facility features

Our modern facilities offer advanced equipment and:

  • Full pre- and post-transplant outpatient services in one centralized location
  • A 18-bed inpatient unit for general nephrology and transplant patients
  • Convenient access to Emory University School of Medicine (located across the street)

Population served

  • Nearly 4,500 outpatient visits a year
  • Average of 45 chronic dialysis patients
  • Average of 28 pediatric kidney transplants performed a year
  • More than 200 pediatric transplant recipients actively followed

Research

At Children’s, we are devoted to developing new and better preventative programs, diagnostic services and treatments through clinical and lab research. We have a rich, diverse and fast-growing research environment and take pride in tailoring research experiences to the interests of our fellows.

Our areas of interest include:

  • Adolescent nonadherence and transition to adult care
  • Behavioral consequences of solid organ transplant
  • Cystinosis
  • Effects of chronic kidney disease in children
  • Hypertension
  • Immunosuppressive strategies
  • Nephrotic syndrome and focal segmental glomerulosclerosis
  • New medications to prevent transplant rejection
  • Noninvasive biomarkers to monitor kidney transplant recipients

Additionally, we are uniquely positioned to advance research nationally by leveraging the vast capabilities in Atlanta, including:

  • Emory University School of Medicine
  • Georgia Institute of Technology
  • Centers for Disease Control and Prevention (CDC)

Learn more about Children's research efforts

About Our Program

First-year fellows spend nearly the entire year dedicated to clinical activities. Second- and third-year fellows primarily spend their time in research (with 16 months of clinical emphasis and 20 months of research emphasis).

Accreditation and funding

Our fellowship program is accredited by the Accreditation Council for Graduate Medical Education (ACGME). There is funding for one or two new fellows each year (four positions total) to be fully supported through the entire three-year program.

Curriculum

First-year fellows spend nearly the entire year dedicated to clinical activities. Second- and third-year fellows primarily spend their time in research (16 months clinical emphasis and 20 months research emphasis).

First year

Clinical training (10 months)

  • Manage patients with a wide variety of kidney disorders
  • Assignments to the inpatient wards
  • Learn skills, such as renal biopsy and ordering dialysis
  • Provide consultation to other services, including the Pediatric, Neonatal and Cardiac Intensive Care Units
  • Manage all acute dialysis modalities and a high volume of continuous renal replacement, predominately in the form of CVVH
  • Manage all perioperative phases of pediatric renal transplant recipients
  • Gain advanced knowledge of fluid and electrolyte management

One month entails full-time assignment to the Children’s at Egleston affiliated hemodialysis unit where fellows have in-depth training in principles, literature and application of dialysis as well as the opportunity for hands-on familiarity with hemodialysis and peritoneal dialysis equipment and techniques.

Introduction to research (2 months)

  • Two months of the first year are dedicated to research orientation with an initial opportunity for project selection
  • Fellows also participate in department-wide courses in Research Fundamentals, Teaching to Teach, Medical Ethics and Quality Improvement methodologies

Second year

Research

  • Consecutive research months in which fellows finalize the selection of research projects and mentors and initiate selected projects

Clinical assignments (2 months)
One month will be a mixture of important experiences including a course with Dr. Charles O’Neill in the Emory Department of Medicine Division of Nephrology, learning ultrasound for the nephrologist. This course is virtually unique in the country and one that numerous practicing nephrologists have taken with excellent reviews.

Additional experiences include teaching sessions with the Emory Histocompatibility (HLA) laboratory, observation of pediatric renal transplant surgeries, interactions with our pediatric renal pathologists, and clinical sessions with our pediatric urology colleagues.

Third year

  • Completion of research project, abstract(s) and manuscript(s)
  • Completion of Quality Improvement project
  • Advanced clinical responsibilities in the inpatient wards (2 months)

Continuity clinics

During the entire three-year training period, fellows attend assigned continuity outpatient clinics a half day per week under the supervision of the program director.

On-call schedule

On-call schedule

  • Fellows take weekend call on average every fourth weekend throughout the three-year training period and weeknight call twice weekly during inpatient weeks only. Night call is always taken from home. An attending pediatric nephrologist is always on back-up call with the fellow.
  • Fellows on-call round with the attending physician on the inpatient service during weekends and holidays.
  • Fellows will average three two-day weekends off every four weeks.

Vacation
Fellows are entitled to three weeks of vacation per year that may be taken at any time during research or outpatient rotation months with approval from the program director.

Advocacy
Each fellow is given the opportunity to attend Camp Independence—one of the oldest and largest camps in the country for children with kidney failure. Camp Independence takes place one week each summer at Camp Twin Lakes, a venue developed specifically to provide life-changing programs to Georgia’s children with serious illnesses, disabilities and other challenges.

Learn more about Camp Independence

Research training

In addition to clinical training, fellows pursue mentored research. The area(s) of concentration will be selected based on the interest of the fellow who is responsible for designing, implementing and completing a hypothesis-driven project with the guidance of a Scholarship Oversight Committee of advisors and mentors.

Fellows are encouraged (albeit not required) to apply for and secure external funding for their research endeavors and submit the results of their research for dissemination in an appropriate scholarly venue. Research opportunities are diverse and plentiful and may include collaboration with investigators from other divisions, departments or schools within Emory University.

Fellows interested in a career focused on clinical research are encouraged to apply for Emory's Master of Science in Clinical Research (MSCR) program.

Conferences

Teaching is enhanced by a highly organized curriculum comprised of a variety of conferences and seminars that are offered throughout the year.

Daily Conferences

  • Multidisciplinary Inpatient Care Rounds

Weekly Conferences

  • Practical Nephropathology Course for Nephrology Fellows (first year)
  • Emory Adult Nephrology Grand Rounds
  • Pediatric Departmental Grand Rounds
  • Emory Transplant Conference

Monthly Conferences

  • Pediatric Nephrology Renal Pathology Conference
  • Pediatric Nephrology Journal Club
  • Pediatric Nephrology Invitee Conference
  • Pediatric Nephrology Orientation and Core Curriculum Course
  • Multidisciplinary Pediatric Renal Transplant Patient Care Conference
  • Multidisciplinary Patient Care Dialysis Conference
  • Combined Urology and Nephrology Conference

Quarterly Conferences

  • Research in Progress Seminar
  • Combined Rheumatology and Nephrology Journal Club

How to apply

In order to be considered, applicants must have completed an accredited three-year pediatric residency by the beginning of the fellowship program.

A completed application file includes:

  1. Completed application form
  2. Current curriculum vitae
  3. Personal statement including:
    1. Description of previous research and clinical experience
    2. Reason for interest in a pediatric nephrology fellowship
    3. Indication of career goals
  4. Three letters of reference (One should be from the director of residency training program)
  5. United States Medical Licensing Examination (USMLE) Steps 1, 2 and 3 Score Reports
  6. Official medical school transcript
  7. Educational Commission for Foreign Medical Graduates (ECFMG) report, if applicable
  8. Recent photograph (optional)

Interviews are required. Application selection is done through the National Resident Matching Program (NRMP).

Contact Barry Warshaw, M.D. with questions.
Email: bwarsha@emory.edu

Our leaders and current fellows

Children’s Nephrology program boasts one of the country’s largest and most diverse faculties by virtue of age, experience, gender and ethnicity. Each faculty member is unified in supporting fellows both professionally and personally.

Our leadership
Larry Greenbaum, M.D., Ph.D., Chief of Pediatric Nephrology, is a highly respected clinician who balances an incredible portfolio of clinical research studies while actively supporting his faculty and fellows. He is a national academic leader who brings a special passion and energy to his patients and co-workers.

Barry Warshaw, M.D., Nephrology Fellowship Program Director and Medical Director of the Kidney Transplant Program, is a distinguished physician who has helped lead the Children’s nephrology and kidney transplant programs for more than 35 years. He serves as the primary mentor for the weekly fellow continuity clinic and as an inpatient attending physician who rotates with the full nephrology faculty.

Current fellows
  • Alana Karp, M.D.
  • Loretta Reyes, M.D.
  • Rima Zahr, D.O.

Meet the nephrology team