Nephrology

Residency Program at McMaster



Mission statement

Our mission is to teach, role model, continually self-evaluate, innovate and inspire our learners to provide holistic patient-centred care in leading to a competent, compassionate, dedicated and well-rounded nephrologist.

Our Vision

Our vision is to be leaders in Nephrology Education by empowering our learners to strive for excellence and innovation in all CanMEDS domains leading to a responsible, professional and competent nephrologist with a strong commitment to patient-centred care, research and commitment to society, to lead, represent and protect patients with renal disease.

Dr. Azim Gangji,  Program Director
Dr. Azim Gangji, Program Director

Welcome

Welcome to McMaster’s Adult Nephrology Subspecialty Residency Program.

The McMaster University Nephrology Residency Program is a competency-based training program that has a strong emphasis in providing a comprehensive learning experience in order to achieve skills in all CanMEDS domains. The curriculum is unique and aimed to provide exposure to all aspects of nephrology, yet allowing for flexibility and self-directed learning.  The program is tailored to learner needs and therefore a variety of assessment methods are utilized in order to provide trainees feedback and guidance. The academic half-day is novel and graded with PGY4 and PGY5 residents being provided separate and protected academic half days. The faculty are extremely motivated and dedicated to resident learning and oversee all aspects of education. 

The Nephrology Program at McMaster University and St. Joseph’s Healthcare Hamilton is the largest clinical program in Canada and therefore the residents are exposed to a highly complex pool of patients with a variety of renal diseases. In addition, there is a large renal transplant program that performs living, deceased donor and high-risk transplantation and has associated with it a large renal transplant outpatient clinic.  The program emphasizes full patient care including an emphasis on nephrologists performing procedures.

The academic program also has a strong clinical, basic science and medical education research component. There a numerous renowned faculty within the Division of Nephrology who lead major research projects and are leaders in their field. A strong research infrastructure to support trainees in pursuing either clinical, basic science or medical education research is provided. In addition, residents are provided training in completing a quality improvement and patient safety project.



Entry Requirements

  1. For graduates from Canadian and US Internal Medicine training programs, please refer to the CaRMS Medicine Subspecialty Match (MSM website)
  2. For graduates from foreign Internal Medicine training programs, please provide the following: 
    1. Curriculum Vitae (CV/Resume)
    2. Source of funding
    3. Letter of interest indicating reasons for wishing to train at McMaster in Nephrology


Application deadline

  1. For graduates from Canadian and US Internal Medicine training programs, please refer to our CaRMS website   
  2. For graduates from foreign Internal Medicine training programs, the deadline is December 1 prior to entry into the upcoming academic year which starts on July 1st.

 


Program Overview

The McMaster University Nephrology Training program has as its core objective to graduate trainees who are practical and competent Nephrology consultants.  There is a strong emphasis on acquiring knowledge in a contextual manner to help integrate and consolidate knowledge in developing competencies in renal related problems and diagnostic procedures. 

Being a resident-focused program, the goal is to accommodate the resident’s chosen career path and the program has been successful in tailoring a career targeted towards either academic or community-based nephrology. 



Objectives

For the training program, core requirements will consist of the following.  These occur in a four-week block rotation.


PGY4 Year PGY5 Year
1 Clinics I   (General/Urgent Consult/Specialized Clinics) 1 AKI City
Junior Attending
2 Dialysis
Home Therapies I
2 Elective
3

In patient
Nephrology I

3 Transplant
Clinics
4 Research 4 Competence Committee
Selective
5 In patient
Transplant Nephrology I
5 Inpatient Nephrology
Junior Attending
6 Clinics II  (General/Urgent Consult/Specialized Clinics) 6 Transplant
Junior Attending
7 Clinics/Holiday Rotation 7 Clinics/Holiday rotation
8 Competence Committee Selective 8 Pediatrics
Obstetrical Nephrology
9 Acute Kidney Injury
(AKI) -City
9 Research
10 Nephropathology 10 Dialysis
Home Therapies III
11 In patient
Transplant Nephrology II
11 Clinics III (General/Urgent Consult/Specialized Clinics)
12 Dialysis
Home Therapies II
12 Elective
13 In patient
Nephrology II
13 Elective

Phase Timelines

CBME Nephrology timelines



Curriculum

Academic Curriculum
  • Protected Academic Half Days for PGY4  (weekly): 2 sessions per academic half-day (3-4 hours in duration) are provided by faculty to trainees.  The format is either lecture-based and/or case-based learning.
  • Protected Academic Half Day PGY5 (weekly): 2 sessions per academic half-day and one session of case-based learning  (4 hours in duration) are provided by faculty to trainees.  The format is either lecture-based or case-based learning.
  • Evidence-based Thursday noon rounds (weekly)
  • Nephrology Grand Rounds (weekly)
  • Renal Clinical Pathology Rounds (monthly)
  • Research Rounds (every 2 weeks)
  • Nephrology Journal Club (every 2 months)
  • Transplant Journal Club (every 6 months)
  • Peritoneal Dialysis Journal Club (every 6 months)
  • Visiting professor rounds (4 times/year)
  • Quality Improvement and Patient Safety Round (every 3 months)
  • Combined Medicine Subspecialty Rounds (every 3 months)
  • Simulation-based learning (every six months)

 

Procedure Based Curriculum 
  • Hemodialysis central venous catheter insertion
  • Native and Renal Transplant biopsies
  • Peritoneal dialysis catheter insertion (optional)
  • Plasmapheresis

 

Clinical and Contextual Learning Curriculum
  • Longitudinal clinics
  • Hemodialysis clinics
  • Peritoneal Dialysis clinics
  • Vascular Access clinics
  • Pretransplant clinics
  • Post Renal Transplant clinics
  • Living Donor clinics
  • Specialty clinics (Glomerulonephritis, Vasculitis, Hypertension, Genetics, Obstetrical Nephrology, Transition, Transplant)
  • Virtual Care Clinics
 
Research Curriculum

The Nephrology program has a strong research infrastructure to support trainees in pursuing either clinical, basic science or medical education research.  Numerous faculty members of the division have an interest in various aspects of nephrology.   

Additional information regarding the Division of Nephrology’s research productivity can be found at the Hamilton Centre for Kidney Research website.  




Azim Gangji

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

905-522-1155
gangji@mcmaster.ca


Wendy Clark

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

905-522-1155
clarkwe@mcmaster.ca