Medicine-Pediatrics Nephrology Fellowship 

We offer a combined Med-Peds Nephrology Fellowship track

The four-year, combined Medicine-Pediatrics Nephrology Fellowship training program completes the ACGME requirements for both adult and pediatric nephrology. Program directors petition the American Board of Pediatrics and American Board of Internal Medicine on behalf of the fellows so that upon completion of the four years of training, fellows will be eligible to sit for both the pediatric and adult subspecialty board exams.

We encourage you to review additional information about our categorical Adult Nephrology and Pediatric Nephrology programs.

Fellows spend the first year rotating through the adult nephrology clinical rotations. They will have one half-day of an adult nephrology continuity clinic each week during this year. During the second year, fellows rotate through the pediatric nephrology clinical rotations and have one half-day of pediatric nephrology continuity clinic each week. Sample schedules are provided below.

Sample schedules are provided below. 

Year 1: Adult Nephrology

   First 6 months blocks:   Second 6 months blocks:
  1. VUMC Renal Consults
  2. Pathology 
  3. VUMC Renal Consults 
  4. VA
  6. Outpatient ESRD 
  7. VUMC Afternoon Consult 
  8. Transplant 
  9. Outpatient Specialty Clinics 
  10. VUMC AKI-ESRD Consults
  1. VUMC Renal Consults
  2. IR 
  3. VUMC Renal Consults
  4. VA 
  6. Outpatient ESRD 
  7. VUMC Afternoon Consult 
  8. Transplant 
  9. Outpatient Specialty Clinics
  10. VUMC Inpatient 

For more details on these rotations and the call schedule, plesae visit the clinical Nephrology Fellowship Training Program here.

Year 2: Pediatric Nephrology

  1. Inpatient 
  2. Inpatient
  3. Elective* 
  4. Inpatientt 
  5. Inpatient 
  6. Elective* 
  7. Inpatient 
  8. Inpatient 
  9. Elective*
  10. Inpatient ​​​​​​​

*Vacation time can be taken in one-week blocks during elective time.  

*Electives include pediatric dialysis, pediatric radiology, pediatric urology and outpatient clinic.

During years three and four, trainees will participate in research with the option to obtain a Master of Science in Clinical Investigation or Master of Public Health during this time. They will also have one half-day of continuity clinic (one year adult and one year pediatric) a week during the research years.

You can read more about the research opportunities on our respective Adult and Pediatric Nephrology Fellowship pages.

Trainees attend daily noon conferences throughout the week. The division offers a wide variety of high-quality didactics for both fellows and faculty, and lunch is provided. A sample of weekly didactics:


  • Board Review and Fellows Conference
  • Home Dialysis Journal Club 
  • Point-of-Care Ultrasound Conference 
  • Dialysis Access Conference 


  • Pediatric Grand Rounds
  • Renal Pathology Conference 
  • Morbidity and Mortality Conference 
  • Journal Club 
  • Case Conference 


  • Physiology Conference 


  • Renal Grand Rounds 


  • Clinical Conference 
  • Transplant Conference
  • Renal Research Conference 

To apply, submit your application through ERAS, designating “Nephrology – Internal Medicine.” ERAS Application Requirements: 

  • Current CV  
  • Transcript of grades  
  • One (1) letter of recommendation from Dean of your medical school 
  • Three (3) supporting letters of recommendation  
  • Recent photograph  

Please contact our program to let us know of your intention to pursue combined Med-Peds training by emailing Tammy Wellman, Program Manager, at