Our division has an active pediatric nephrology fellowship program designed to train subspecialist pediatricians for academic careers. Clinical responsibilities are concentrated in the first year of the three-year fellowship. Fellows will provide care for pediatric patients with a wide variety of conditions, including glomerular diseases, tubular disorders, congenital anomalies of the kidneys and urinary tract, hereditary kidney diseases, hypertension, acute kidney injury, chronic kidney disease, and end-stage kidney disease. Fellows learn how to prescribe hemodialysis, peritoneal dialysis, continuous kidney replacement therapy, modified aquapheresis and apheresis for a variety of clinical scenarios.In addition, fellows follow their own cohort of patients in the outpatient clinic for the duration of their fellowship training to become proficient in the longitudinal management of children with kidney disease.

Opportunities for clinical, translational, and basic science research in the second and third years of fellowship are available through divisional research and through the outstanding faculty of Washington University School of Medicine. Efforts are made to carefully place each fellow into a thriving research environment appropriate to his/her background and interests to optimize success. Recent fellows  have successfully completed a dual Med/Peds nephrology fellowship, fast-track residency program into fellowship and a Masters in Clinical and Translational Science research.

Research training in the division focuses on several areas of nephrology: kidney development, glomerular diseases, genetics, hypertension, chronic kidney disease and complications in pediatric dialysis patients and kidney transplant recipients. Recent clinical and translational research in kidney transplantation has looked at the impact of complications such as post-transplant infections, malignancies and bone/mineral metabolism in pediatric kidney transplant recipients. Areas of ongoing research by fellows and faculty include non-invasive methods to detect transplant rejection, vascular development and blood pressure regulation, repair mechanisms after acute kidney injury and clinical outcomes of pediatric patients with autoimmune glomerular diseases.