Geriatric Nephrology

Fellowship Program at McMaster

Welcome to the Geriatric Nephrology Fellowship Program at McMaster University.

Dr. Meera Joseph, Program Director
Dr. Meera Joseph, Program Director
Dr. Mona Sidhu, Program Director
Dr. Mona Sidhu, Program Director






Goals of Training

Our primary goal in the fellowship program is to further develop the knowledge, clinical and leadership skills of internists essential for high-quality care of older adults with chronic kidney disease. The program is cross-disciplinary, with rotations and supervisory relationships designed to complement the base subspecialty of the trainee. 

Length of Training

6 or 12 months



1. Medical Expert
2. Communicator
3. Collaborator
4. Manager
5. Health Advocate
6. Scholar
7. Professional


Curriculum Highlights

The organization of the teaching program includes:

For fellows with a base subspecialty in geriatrics:

Clinical rotation Minimum Supervisor
Chronic kidney disease clinics 8 wks Nephrologist
Dialysis clinics 4 wks Nephrologist
Renal transplant clinics 4 wks Nephrologist
Geriatric medicine consultation with a  focus on patients with CKD 8 wks Geriatrician


For fellows with a base subspecialty in nephrology:

Clinical rotation Minimum Supervisor
Inpatient Geriatric Medicine consultation with a focus on patients with CKD 8 wks Geriatrician
Outpatient Geriatric medicine consultation with a focus in patients with CKD 4 wks Geriatrician
Rehabilitation of older adults, including those with ESRD 4 wks Geriatrician
Nephrology with a focus on older populations 8 wks Nephrologist


Activities during the time exceeding minimum requirements will be negotiated with the fellowship director and may include:

  • Palliative care
  • Clinical pharmacology
  • A well-defined and feasible academic project (research or education)
  • A well-defined and feasible quality improvement initiative
  • Other clinical electives relevant to geriatrics and nephrology

The teaching program will also include:

  • Weekly academic half-day sessions
  • Participation in geriatric medicine and nephrology journal clubs, rounds, seminars, and conferences.
  • Development of skills in the teaching of residents, staff and other health professionals in geriatrics & nephrology



Supervision & Feedback

1. In training evaluation reports (ITERs) by clinical supervisors, every 4 weeks
2. Evaluation of formal academic or quality improvement project (if applicable)
3. Both nephrology and geriatric medicine program directors will contribute to the final evaluation

Wendy Clark

Medicine, Nephrology
Clark, Wendy
Nephrology Residency and Fellowship Program Coordinator


Azim Gangji

Medicine, Nephrology
Azim Gangji
Director, Nephrology and Transplant Fellowship Program; Committee Chair, Medicine Specialty Programs; Vice President, Education, St. Joseph's Healthcare Hamilton


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