The number of providers trained in Interventional Nephrology is small, and the American Board of Internal Medicine was not able to provide a separate track for its training as the number of board takers would be small. Therefore, the American Society of Diagnostic and Interventional Nephrology (ASDIN) has been spearheading the goal to provide training and oversee the certification in the field. In its fifteen tears, the society has overseen the growth in the field and provided certification requirements to standardize training.
  
Vascular dialysis access is commonly proclaimed both as the “lifeline” and the “Achilles heel” for patients on dialysis. It is well established that the mechanical and infectious complications of dialysis access adversely affect patient outcomes. End-Stage Renal Disease (ESRD) costs Medicare approximately $40 billion, almost 8% of Medicare's total expenditure for only 1% of its ESRD beneficiaries.

A significant proportion of these costs were incurred by dialysis access related complications, which also accounts for a significant proportion of hospitalizations in patients with ESRD.

Today, more than 500,000 patients are on dialysis in the United States, making the issues related to ESRD care ever more challenging.

  

 

The ability to diagnose and treat patients with kidney disease requires a comprehensive approach that necessitates use of special techniques, including:

1. Angiograms
2. Angioplasty
3. Thrombectomy of clotted dialysis access
4. Peritoneal dialysis catheter placement
5. Hemodialysis catheter placement: Acute and Chronic
6. Stent of venous and arterial vasculature

   

These unique aspects of nephrology care are not only quite technical, difficult, and intriguing, they are challenging for a general nephrologist. Traditionally, specialists other than nephrologists have rendered these procedural aspects of nephrology care, creating multiple layers of care with a complex array of somewhat disconnected providers.

All Interventional Nephrology faculty at LSU Health Shreveport are Nephrology American Board of Internal Medicine (ABIM) board certified and American Society of Diagnostic and Interventional Nephrology (ASDIN) Internal Medicine certified physicians.

   

TRAINING GOALS:

To provide Interventional Nephrology Fellows with an organized, comprehensive, supervised, full-time educational experience in vascular interventional nephrology including the ability to provide consultation and case selection, perform the full array of vascular and interventional procedures, identify and manage potential complications, provide appropriate peri-procedure care, and assist in long-term management integrated with the clinical management of referring physicians. Training is offered for fellows having completed Nephrology Fellowship and have a keen interest in dialysis access care of ESRD patients.

Over One Year... the Fellow will:

  • Spend 6 months in dialysis access labs under Direct Supervision of Nephrology staff certified in Interventional Nephrology
    • All procedures are supervised and performed directly under the care of staff physicians
  • Spend 6 months rotation in research and electives
  • Pursue one or more dialysis access related research project(s) to be presented at LSU research conference and annual ASDIN meetings
  • Follow ASDIN-approved curriculum for fellows in training
  • Take nephrology call not exceeding one in five weekday/weekends averaged over the year
  • Have one half day a week CKD clinic for the duration of training

Left: Current Fellow Dr. Ittikorn Spanuchart (to the right) with Dr. Bakhtiar Amin

CONTACT US

Program Director:
Nephrology/Interventional Nephrology -
Bharat Sachdeva, MD
bsach@lsuhsc.edu
(318) 675-7402


Program Coordinator:
Nephrology/Interventional Nephrology - Cristal Willcox
cwillc@lsuhsc.edu
(318) 675-5943

 

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Interested in Joining Us for IN Fellowship?

Application Deadline: March 1 (for July start)
Application Requirements:
CV, Personal Statement, 2 LORs (One from Nephrology Program Director)
Interventional Nephrology track is a one-year fellowship available to applicants after their nephrology fellowship and does not need ERAS application.
We do sponsor J-1 visa for selected applicants but are not giving any H1b visa.

Interventional Nephrology Fellowship