Consultative Nephrology

The entire spectrum of clinical nephrology is managed by the consultative services at Jackson Memorial Hospital, UHealth Tower, the Sylvester Cancer Center, and the Bruce W. Carter Department of Veterans Affairs Medical Center. The attending nephrologist and renal fellow see patients with complex presentations of acute and chronic renal failure, acute glomerulonephritis, challenging electrolyte disorders, renal disease in the obstetrical patient, and renal failure in the Intensive Care Unit. State-of-the-art renal replacement therapies, including continuous modalities of dialysis, are available for the critically ill patient with renal failure. Over 750 acute dialysis treatments are performed each month at Jackson Memorial Hospital alone.

Clinical Sites

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Jackson Memorial Hospital

JMH serves as one of the main clinical sites for the nephrology training program. As the third largest teaching hospital in the United States, Jackson Memorial Hospital fosters an academic environment that supports the education and training of nephrologists. As the only county hospital serving Miami-Dade County, Jackson Memorial has a mission to provide care to the most underserved populations, yet at the same time be the home of the multi-organ transplant program.

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UHealth Tower

UHealth Tower is a 560-facility bed that became the region’s first university-owned, multi-specialty, acute care hospital and the flagship facility of the UHealth – University of Miami Health System. UMH provides patients with personalized treatment in a high-quality environment and offers the fellow the opportunity to practice nephrology in the private setting.

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Miami VA Medical Center

The Bruce W. Carter Veterans Administration Medical Center is located on-campus within walking distance from all of the clinical sites. It serves the Veterans of three South Florida counties (Miami-Dade, Broward, and Monroe) and is also the tertiary referral center for the West Palm Beach VAMC. The Medical Center has more than 400 beds, of which eighty-one are acute medical beds including Cardiac and Medical Intensive Care Units.

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Sylvester Cancer Comprehensive Center (SCCC)

SCCC is South Florida’s largest provider of all-inclusive interdisciplinary care for cancer patients in the region. While rotating at UMH this facility is also covered and nephrologists become an integral part of a cancer treatment team. With over 1500 inpatient admissions annually, there is tremendous exposure to all aspects of cancer treatments and renal complications.

Ambulatory Practice

We offer three different sites at which fellows have their ambulatory practice. During the first year, fellows rotate through the JMH Ambulatory Care Center while second year fellows develop their outpatient nephrology knowledge at the Diabetes Research Institute. Activity at both locations is under direct supervision of attending faculty.Throughout both clinical years, fellows participate in the nephrology specialty clinics at the Miami VAH as well. Because of the diversity that each site provides, fellows have had a unique experience in out-patient nephrology by the end of their training.

Ambulatory Care Center (Jackson Memorial Hospital)

Jackson’s Ambulatory Care Center (ACC) Nephrology clinic is part of the major safety net clinics in Miami. The clinic serves a population that is multicultural and predominantly low income. Fellows face broad health status disparities weekly and get full exposure to a great variety of glomerulonephritis, chronic kidney disease, electrolyte abnormalities and kidney stones.

Diabetes Research Institute (University of Miami Clinics)

Second year fellows are fully integrated with the faculty and staff as partners. The goal is to expose them to the world of private practice. This patient population consists of adults with private insurance, Medicare or Medicaid.

Veteran’s Affairs Specialty Clinics

The Miami VA Medical Center caters to the military veteran population and their dependents. The nephrology service has a strong presence at the VA in both inpatient and outpatient services with 3 outpatient clinics fully staffed by Faculty. During the inpatient VA block, the fellow attends one of the half clinic days and while on elective rotations and the VA outpatient block, they attend to 2 half-day clinics getting full exposure to advanced CKD, hypertension, diabetic nephropathy and post-transplant in this particular patient population.

Outpatient Dialysis

The division cares for over 450 patients with end stage renal disease (ESRD) receiving maintenance dialysis. Patients are treated in one of four university- affiliated dialysis clinics located throughout Miami-Dade County. The largest facility, conveniently located on campus, provides care for 200 hemodialysis and 30 peritoneal dialysis (PD) patients. The University of Miami PD program is an active teaching program, and patients are followed by a nephrology fellow and attending physician. Through our partnership with DaVita Healthcare and the Baxter Corporation, we have been able to provide an integrated program of patient education and clinical care that allows the patient to make an informed and appropriate choice of renal replacement therapy. Attending physicians in the division are both medical directors of the dialysis clinics and primary providers of care for many of the ESRD patients in our units. Fellows follow hemodialysis and peritoneal dialysis patients longitudinally in the on-campus units in their second year of training.

In-Center Dialysis Units:

  • Conventional Hemodialysis: DaVita Main, North, East, Coral Gables, Kendall, Miami Gardens
  • Nocturnal Hemodialysis Program: DaVita Main

Home-based dialysis (home hemodialysis and peritoneal dialysis):

  • DaVita Main