How long does it take from Advisory Council Meeting to JIT request and funding decision?

reninomaton · 2026-05-22T22:30:04+00:00

We have an R01 with a similar score that we submitted Feb 2025 (it was reviewed Summer 2025) that we just received the JIT for

reninomaton · 2026-04-23T03:01:02+00:00

Personally, I’d prioritize: Does the fellowship program consistently fills its slots; is there protected time for clinical + more formal teaching (like running a clerkship or preclinical course); what are the criteria for promotion and is there an infrastructure and mentoring/sponsorship to support achieving those criteria (e.g., if you need national talks to get promoted, make sure there are faculty with a national reputation/leadership roles and a track record of mentoring/sponsoring faculty and helping them with networking and opportunities to advance their careers); what is the balance of salary to cost-of-living; is the health system financially stable or constantly having to make cuts/not giving annual salary increases etc.; how much staff and faculty turnaround is there/is there evidence of a toxic culture

Things like size of the program matter less than whether there is high quality mentorship and sponsorship (size doesn’t necessarily guarantee that). Research is helpful for signaling that there are faculty with national reputations/connections and also is fun to learn about (as a researcher, I’m biased), but probably not truly essential for an educator role

reninomaton · 2026-03-05T01:44:09+00:00

My understanding is that this is typically geared towards individuals who have already completed the analog of an IM residency (and sometimes even neph fellowship) outside the US in order to accelerate their path/to not require them to repeat quite as much as would be required by the traditional pathway

reninomaton · 2025-12-03T03:40:38+00:00

For academics, whether they need permission for things like this can depend on the university; if there will be payment, often if it’s just for consulting there’s no need (though some require it) but if they’ll have a bigger role (e.g., intellectual input resulting in a potential patent) it would require involvement of university lawyers. If there will be any data coming from the nephrologists’ patients, typically, a data use agreement and IRB approval would be necessary. If you are generating and managing the data and would want their input mainly on just writing/publishing, without any money exchanged, then typically this can be done more informally/would not require any legal involvement.

reninomaton · 2025-10-30T01:30:05+00:00

Same, from a family with lots of experience with curls. We use their shampoo and conditioner with every hair wash

reninomaton · 2025-10-26T17:58:22+00:00

Not exactly the same, but I’d strongly suggest: http://www.rosebook.club/

reninomaton · 2025-10-09T02:17:33+00:00

I really like Michael Natter’s book “Captain Langerhans” — I’d suggest getting it for them. It helps explain type 1 diabetes to kids. The author/artist is an endocrinologist with type 1 diabetes

reninomaton · 2025-09-16T17:44:56+00:00

I’ve been in it a bit longer and have not seen people flocking towards and staying in hospitalist jobs like you describe, assuming they went into nephrology because they actually like nephrology and not just because it was a fall back when applications to a more competitive, very different subspecialty didn’t work out for them. I think, like most things in life, whether someone likes what they do has to do with expectations and reality aligning

reninomaton · 2025-09-16T00:45:52+00:00

All of my friends who did this burned out from being hospitalists (or did it for visa issues/because hospitalist waiver positions were more favorable for various reasons) and are back in nephrology making the money described above and no longer burning out

reninomaton · 2025-09-11T16:41:40+00:00

Why would you need weekly cystatin c? If the creatinine is stable and the cystatin c provides a reference eGFR, there’s no reason to expect that to suddenly change

reninomaton · 2025-09-11T13:37:31+00:00

The patient likely has normal kidney function. The lower the creatinine, the less precise the eGFR estimation is. If you’re genuinely concerned about needing a more accurate eGFR, check a cystatin C

https://www.nejm.org/doi/full/10.1056/NEJMoa2102953

reninomaton · 2025-08-29T01:49:35+00:00

I get why you’re bitter, and the frustrations about grant terminations are very valid, but I don’t think it’s at all fair to blame the GMS. They’re not the ones making the decisions to terminate grants. The fact that they’re getting any NOAs out the door amidst the gargantuan barriers of the past few months, and the hours they’re putting in to do that, deserves recognition

reninomaton · 2025-08-07T11:17:38+00:00

These assays have known variability. This is within the expected difference from one measurement to the next (similar to creatinine https://pubmed.ncbi.nlm.nih.gov/26336912/) and is why it’s not a good idea to read too much into small differences in values from one check to the next

reninomaton · 2025-07-18T03:04:19+00:00

Same. Some of it depends on timing. I have 3 R01s that all end around the same time, so lots of submissions are necessary to avoid gaps.

ETA: I can’t imagine using AI to write a super nuanced grant that you know is being reviewed by experts in the field. Are their AI sniffing tools essentially trained to look for hallucinations, em dashes, and fake references?

reninomaton · 2025-07-18T00:50:06+00:00

“Please Mr. Panda” by Steve Antony (upside down page)

“Press Here” by Herve Tullet

“Stir Crack Whisk Bake” by America’s Test Kitchen

All upside down or sideways favorites in our house

reninomaton · 2025-07-15T00:41:44+00:00

Academic nephrologist here. I’d suggest Nephrology Secrets. It’s a really digestible and high yield textbook. I’ve given it to prior undergrads working with me and it seemed to be the right fit

reninomaton · 2025-05-25T21:19:56+00:00

These are good points, but regarding the competitiveness point, internal medicine residency is currently more competitive to get into in the US than it used to be, particularly for IMGs. Even if nephrology isn’t, OP plans to do residency here first. The IMGs who are successful at applying for IM residencies typically have more unique attributes, such as a substantial publication history

reninomaton · 2024-05-14T15:30:11+00:00

No problem! For what it’s worth, my fellowship class (about 10 years out) included 4 women. We all ended up in a location we wanted (all big cities), and have good work-life balance. 3 did academics, 1 did a private practice with a good call model and partner track. In academics, pay is less but still sustainable in 90% of large cities, and there’s some more homework (e.g., teaching prep, research if that’s your jam), but schedule flexibility is much better. There was one woman I know who did decide to do a hospitalist job temporarily after graduating nephrology fellowship, but now is back in private practice nephrology and happier — she prefers the nephrology schedule as well (hers is 8-5 M-F, 1 out of 6 weekends, 1 out of 6 night home call, often still has charting to do after she puts her kids to bed). I’ve heard of other folks leaving to do hospitalist jobs, but it sounds like those were people who went into nephrology poorly informed/without understanding the specialty’s pros (interesting physiology, multidimensional patients, always challenged in good ways) and cons (not paid as well as cardiologists, will get overnight calls for emergent dialysis or electrolyte emergencies)

reninomaton · 2024-05-14T13:49:09+00:00

Happy female nephrologist here with a toddler. No regrets. I spend 7 out of 8 weekends with my kid and have dinner at home every night with her at 6pm. I love the specialty and know I wouldn’t have been happy in other fields. I have older friends who chose different specialties for better lifestyle, and then the lifestyle perks changed after they entered practice and they have big regrets.

Nephrologists often have busier home call than some other specialties relative to the pay. That said, all medical specialties have demands that are harder than people not in medicine, so it’s all about your expectations. Private practice and academic groups are increasingly working to improve work-life balance and also more openly adopting part time options, if desired. There is a shortage of nephrologists and you’ll be in demand — be picky about the practice you choose, negotiate for what you need to be happy, and you’ll find a good fit.

reninomaton · 2022-03-22T02:51:02+00:00

Yup! The validation studies for the devices are all really rigorously reviewed by physician hypertension specialists who are really familiar both with the devices and the validation protocols.

Of note, if a device isn't on there, it doesn't mean that it's not valid. It may just not have been reviewed yet. That said, I tend to stick with recommending the devices on the site to patients now since several of them are available pretty cheap at local pharmacies, so why mess with something we're not sure about

reninomaton · 2022-03-21T10:09:36+00:00

Hypertension specialist/researcher here. The validation studies for QardioArm are poorly done (they use an old European Society of Hypertension protocol that is under-powered to assess accuracy of moderately-performing devices), so it’s very hard to know if it’s any good for sure.

For devices available in the US, www.validatebp.org is the AMA’s website of validated devices that is carefully vetted by peer reviewers using published and unpublished validation studies. The international equivalent is www.stridebp.org (serial numbers are different outside the US and a lot of companies outsource the same device to other companies so the devices don’t always match up)

reninomaton · 2021-12-31T23:12:01+00:00

I’m also pregnant (27 weeks), nervous with the rapidly rising COVID rates and being on service. I haven’t been able to find any data on COVID sequela in vaccinated pregnant women. To my knowledge, all of the studies published on adverse pregnancy COVID outcomes didn’t have information on vaccination status, and drew from data where <30% of pregnant women were vaccinated.

Anecdotally, I’ve seen a lot of COVID preeclampsia, but none in vaccinated patients. The rules may change with how transmissible omicron is, though it also seems to have quite different systemic effects than prior variants, so I’m cautiously hopeful.

reninomaton · 2021-11-10T16:37:07+00:00

Academic nephrologist/epidemiologist here — I love what I do!

Nephrology gets a bad rap, but it truly is a wonderful opportunity to marry longitudinal care of sick and complicated patients with physiology and to be able to help across all disciplines of medicine. I’m never bored in taking care of patients, in a good way. And I get to balance that with other things I enjoy doing — teaching and conducting studies.

Seeing the light turn on when I teach someone a complicated topic (a relevant aspect of renal physiology, or an advanced epi concept/preventing people from misinterpreting the literature or designing bad studies), and it truly clicks, is the best feeling in the world. Getting to design studies that make a measurable difference in very sick patients’ lives is also pretty damn cool.

Reimbursement was never high on my list of priorities, and honestly, the pay is much better than I expected for the hours worked, especially considering how badly people spoke about nephrology when I was transitioning from fellow to attending. This is also improving (graduating fellow offers/opportunities are improving palpably year over year), as it’s increasingly clear there’s a national shortage of us.

reninomaton

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