Journal of the American Society of Nephrology
2007 JASN IMPACT FACTOR 7.111 HOME   AUTHOR INFO   EDITORIAL BOARD   SUBSCRIBE   FEEDBACK   ALERTS   HELP 
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Published ahead of print on February 28, 2007
J Am Soc Nephrol 18: 1027-1033, 2007
© 2007 American Society of Nephrology
doi: 10.1681/ASN.2006101169

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Editorials

Adult Nephrology Fellowship Training in the United States: Trends and Issues

Mark E. Rosenberg

Division of Renal Diseases and Hypertension, University of Minnesota, Minneapolis, Minnesota

Address correspondence to: Dr. Mark E. Rosenberg, Division of Renal Diseases and Hypertension, MMC 736, 516 Delaware Street S.E., Minneapolis, MN 55455. Phone: 612-624-9444; Fax: 612-626-3840; E-mail: rosen001{at}umn.edu

This article reviews trends and issues related to adult nephrology fellowship education in the United States. The number of nephrology fellowship programs and trainees has continued to increase slowly despite limitations in funding of graduate medical education. The use of the Electronic Residency Application System has provided information for the first time on the number, demographics, and behavior of applicants that can be used as baseline data for tracking trends in fellowship applications and for formulating training policies. Issues that nephrology training programs face are discussed in this review: (1) A more stringent graduate medical education regulatory environment, (2) the use of the National Resident Matching Program to enhance the nephrology fellowship applicant selection process, (3) future nephrology workforce shortages, and (4) the continued subspecialization of nephrology. By working together, nephrology fellowship programs can overcome barriers that are raised by these issues and improve the fellowship training experience.







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