CaRMS Program Directory

University of Western Ontario	Adult Nephrology

Program Director:	Quota: For Program Quota, click here.
Dr Nabil Sultan, MD, FRCPC
Department: Medicine
Address: Nephrology Training Program London Health Sciences Centre Victoria Hospital Room A2-340 800 Commissioners Rd E London,ON N6A 4G5 Phone: (519) 685-8524 Fax: (519) 685-8569	Websites of Interest: http://www.uwonephrology.ca View provincial eligibility criteria : http://www.carms.ca/eng/r4_eligibility_prov_e.shtml

Program Contact

Name:	Dawn Peterson
Title:	Administrative Assistant
E-mail:	Dawn.Peterson@lhsc.on.ca
Phone:	(519) 685-8524

Supporting Documentation

Document	Mandatory	Optional
Medical school transcript	X
Reference letter Number of letters: 3 One from Program Director.	X
Personal letter	X
Proof of Citizenship	X
Curriculum Vitae	X

Review Process

Applications submitted after the file review has opened on August 24, 2011 :

- will not be considered

References and other supporting documents which arrive after the file review has opened on August 24, 2011

- will be considered

Interviews

Date(s) of Interview :

Tuesday - October 18, 2011 [0800 - 1700 hrs]
Wednesday - October 19, 2011 [0800 - 1200 hrs]
Friday - October 21, 2011 [0800 - 1200]

Details regarding interview

Victoria Hospital Nephrology Conference Room or University Hospital Nephrology Conference Room at The London Health Sciences Centre

Selection Criteria

All application files are reviewed by the Program’s Selection Committee using the following criteria:

Letters of reference
Academic performance
Scholarly activity (research awards, presentations, publications, etc)
Teaching excellence
Administrative involvement
Personal interview

Program Highlights

Our Nephrology Program is resident-centred and is designed to provide an educational environment under which the Resident thrives and is provided extensive exposure to both ambulatory and in-patient Nephrology care.

At the beginning of the PGY-4 year we immediately start a weekly half day orientation Summer Education Series which covers some core topics in Nephrology that are critical for a new trainee to be exposed to. This Summer Education Series lasts for 8-weeks and all of the PGY-4 Nephrology Fellows are protected from clinical duties for these sessions. The topics covered during this Summer Education Series include:

Hemodialysis Prescription
Continuous venovenous hemodiafiltration
Peritoneal Dialysis Prescription
Introduction to Renal Pathology
Plasmapheresis
Hands on experience with PD equipment and review of PET testing
Hands on experience with the Hemodialysis Machine
Hands on experience with the PRISMAFLEX Machine

Throughout the Nephrology Fellowship, we have a regular weekly Academic Half Day, during which, case-based seminars are given by the staff Nephrologists on topics encompassing Renal Physiology, Transplant Immunology, Clinical Transplantation, Nephrotic/Nephritic Syndromes, Hereditary Renal Disease, Renal Stone Disease and Renal Replacement Therapy. We also run a 1-year Dialysis Course that focuses on excellence in dialysis education. In addition to this, we have bi-monthly Renal Biopsy Rounds in which interesting cases are reviewed with our Staff Pathologists. A bi-monthly General Nephrology Journal Club provides training in critical appraisal, and not only looks at diagnostic and therapeutic trials, but also focuses on ethical and resource-related articles and issues. We also have monthly Transplantation Journal Clubs and quarterly Plasmapheresis Journal Clubs, which provide further educational opportunities to our Fellows. In addition to this, we have 4 visiting Professors a year who spend “one-on-one” time with the Fellows. The Fellows are protected from clinical duties for these sessions.

Our program is dedicated to interventional nephrology and all nephrology trainees get trained In temporary dialysis catheter insertion, perm cath removal and native and transplant biopsies. Fellows with a further interest in interventional nephrology will have the opportunity to also receive Training in perm cath insertions and rewires, as well as PD catheter insertion.

Program Curriculum

Program Year	Content and Sequence of Rotations Number of Months (or 4-week blocks)
	1	2	3	4	5	6	7	8	9	10	11	12
First	Consults University Hospital		Transplant University Hospital		Home Dialysis South Street Hospital		Consults Victoria Hospital		Hemodialysis Victoria Hospital		Clinics Victoria Hospital or University Hospital
Second	E	E	E	E	E	E	R	R	R	R	R	R

E = Elective // R = Research

Mandatory Content of Training

Description	Duration	Sites in which this training may be taken
In – Centre Hemodialysis Home Dialysis Transplant Consult Ambulatory Care	2 months 2 months 2 months 4 months 2 months	Victoria Hospital-VH South Street Hospital -SSH University Hospital-UH Victoria Hospital (VH) and University Hospital (UH ) Victoria Hospital (VH) or University Hospital (UH )

Elective Content of Training

Description	Duration	Sites in which this training may be taken
Paediatric Nephrology Pathology Community Out-Patient Transplant Home Dialysis Hemodialysis Research	Up to 2 months Up to 2 months Up to 4 months Up to 4 months Up to 2 months Up to 2 months Up to 2 months Up to 6 months	Victoria Hospital University Hospital Windsor/St. Catherine’s University Hospital and Victoria Hospital University Hospital Victoria Hospital Victoria Hospital University Hospital or Victoria Hospital

Program Resources

Both University Hospital and Victoria Hospital have well-established libraries that Trainees have access to 24-hours a day. In addition to this, University Hospital has a Nephrology Library with an extensive collection of nephrology journals and textbooks. The University of Western Ontario Medical Library, which also has an excellent collection of medical journals, is walking distance from University Hospital. At the beginning of their Nephrology residency, each trainee is provided with his or her own personal copy of the following textbooks:

Primer on Kidney Diseases – 4^th edition
Renal Physiology – Koeppen and Stanton
Handbook of Kidney Transplantation – 4^th edition
Handbook of Dialysis – 3^rd edition
Burton Rose’s Clinical Physiology of Acid-Base Disorders

The residents are all also members of the American Society of Nephrology and this gives them access to NephSAP assessment programs and the Journal of the American Society of Nephrology. As members of the Canadian Society of Nephrology, they also have access to the Kidney International journal. An office is provided for our Trainees at both Victoria Hospital and University Hospital, with computers and printers. Internet access is available to most nephrology journals. Subscription to the “Up-to-Date” program is also available at the hospital and can be remotely accessed at home as well.

Training Sites

The Nephrology Program at The University of Western Ontario provides an integrated training program combining patients from 3 hospitals which form the London Health Sciences Centre (LHSC)-South Street Hospital, Victoria Hospital and University Hospital. All three sites have in-hospital hemodialysis programs, in which, 294 patients are receiving hemodialysis therapy. The London Satellite Hemodialysis Unit at Victoria Hospital coordinates the care of a further 230 patients on self-care hemodialysis and those undergoing hemodialysis in eight other satellite units throughout South Western Ontario. The training program in transplantation is centred at the University Hospital, where all of the transplants for this region are carried out. The transplantation catchment area has been expanded to include Sudbury, Sault Ste. Marie and Windsor. The Unit does between 60-100 deceased-donors, living-related and living non-related graft transplants per annum.

Other organized scholarly activities

ACTIVITY	TIME	LOCATION
Nephrology Journal Club	1800-2000 (monthly)	Outside the Hospital
Nephrology Research Evening	1800-2100 (yearly)	Outside the Hospital
Renal Transplant Journal Club	1800-2100 (Monthly)	Outside the Hospital
Plasmapheresis Journal Club	1800-2100 (Quarterly)	Outside the Hospital