University of Vermont Nephrology Fellowship

The University of Vermont Nephrology Program is unique in the country. The clinical faculty represents the only nephrologists in the entire State of Vermont. The University of Vermont Medical Center owns all of its dialysis facilities throughout the State and outreach clinics specializing in chronic kidney disease, electrolyte abnormalities, hypertension, and management of transplant patients occur in neighboring towns where dialysis clinics exist. This provides a centralized, integrated system of health care delivery for the population. The University of Vermont Medical Center is the central facility for the one ACO in the State and the UVM network extends into upstate New York.

The training program is centered on a team approach with the two first year fellows representing the core accompanied by a Nephrology attending, medical resident and third year medical students. This provider team works closely with dialysis nurses both in the hospital and in the satellite units, renal nurse specialists in the outpatient clinic, dietitians, pharmacists, and social workers to provide comprehensive care to patients throughout the State.

The provider team is responsible for the care of 270 in-center dialysis patients, 40 home dialysis patients and nearly 2000 patients with various stages of chronic kidney disease.  All patients in the State requiring in-patient dialysis are sent to the University Medical Center, all patients in the State with undiagnosed acute kidney disease, proteinuria, glomerulonephritis are seen by the team with the fellows performing ~100 native kidney biopsies yearly.247215gme_contactus_button4.jpg

The faculty is internationally recognized for their contributions to acute kidney injury, electrolyte homeostasis, innovation in home dialysis, and delay in progression of chronic kidney disease. The faculty is committed to the teaching mission of the program and all faculty participate in hospital rounds, teaching conferences, journal clubs, simulation activities, and research studies.


Alan Segal, M.D.
Program Director