Nephrology is the medical field which focuses on the treatment of kidney situation and abnormalities. A physician who practices nephrology is called nephrologist.
Nephrology is a subspecialty of internal medicine. Thus, a nephrologists would complete the same training as an internist and then complete an additional fellowship in nephrology.
Nephrologists identify causes and levels of kidney failure and prescribe appropriate treatment such as medication, diet changes, or dialysis. If no one of these treatments work, a kidney transplant likely performed by a transplant surgeon.
Education and Training for Nephrology
A physician can focus in nephrology through two different educational paths. A few nephrologists carry on with additional fellowships in nephrology subspecialties.Subspecialties contain dialysis, kidney transplantation, chronic kidney disease, onconephrology, and procedural nephrology. To focus in adult nephrology, the doctor would complete a three-year residency in internal medicine and then a fellowship in nephrology of at least two years.
To focus in pediatric nephrology, a doctor would complete also a three-year pediatric residency or a four-year shared internal medicine and pediatrics residency, and then a three-year fellowship in pediatric nephrology.
Once completing this training, the doctor is suitable to take the exam and be board specialized in nephrology by the American Board of Internal Medicine or the American Osteopathic Board of Internal Medicine. In both cases, they would first total medical school as an MD or DO and then use at least five years in specialty training.
Where Do Nephrologists Work?
Mainly nephrologists go into private perform after their fellowship, in a single specialty group or a multispecialty group practice. The next biggest percentage at about 20 percent goes into academic positions, which may be in research as well as in teaching or associated practices. Small amounts of nephrologists work for drug companies, medical device manufacturers, or dialysis providers. Some work for large managed care organizations. A few work at a hospital.
are required all through the United States. But they be likely to cluster near where they trained, resulting in oversaturated areas and those where their services would be in more demand.
What Kind of Conditions and Patients Do Nephrologists Treat?
The kidney is exaggerated by many chronic and systematic diseases as well as acute injury, infections, and kidney stones. There is a rising need for renal medicine due to the occurrence of diseases such as diabetes and hypertension. As the Baby Boom generation enters their later years, there will be further need for nephrology.
Patients would be referred to nephrologists if there are any signs of kidney disease, including blood or protein in the urine, disturbances of electrolyte and acid/base balance, kidney stones, acute kidney failure, and chronic kidney disease. Nephrologists might perform a kidney biopsy.