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The objective of this course is to provide an intensive exposure to general nephrology consultations in an acute care hospital. The student will evaluate nephrology consultations covering a broad spectrum of general nephrology at Indiana University Hospital, Eskenazi Health, or Methodist Hospital. The student will evaluate patients with acute and chronic renal failure, glomerulonephritis, fluid and electrolyte disorders, hypertension and acid-base disorders. The student will be exposed to acute renal replacement therapies including hemodialysis, hemofiltration and peritoneal dialysis. The student will gain experience in the day-to-day management of acutely ill patients with complex medical problems. The student will serve as the primary contact for initial consultation and follow-up. Assignment to hospital will be at the discretion of the course director. This will be based on ensuring highest quality of education.  Feedback will be given on both oral presentations and written notes.  The clinical evaluation form will be used as the assessment tool.

Elective Details:

Primary Contact for Add/Drops: Kathleen Prag, MD (kprag@iu.edu)

Director: Kathleen Prag, M.D.

Campus: Indianapolis

Location: IU Health University Hospital, IU Health Methodist Hospital, Eskenazi Health Services (Indianapolis)

Learning Objectives

    1. Recognize and differentiate etiologies of acute kidney injury (MK2)
    2. Explain and treat CKD specific problems including anemia, hyperparathyroidism, electrolyte disorders and acid base disorders (PC2)
    3. Discuss the mechanics of dialysis  modalities, including risk and benefit (PC5)
    4. Formulate plans for treatment of acid base and electrolyte disorders in critically ill patients (PC3)
    5. Formulate treatment plans for patients with complicated hypertension (PC3)
    6. Formulate treatment plans for those patients with complex volume management (PC3)
    7. Identify abnormalities in urine microscopy (MK3)


  • Clinical Performance Evaluation Form; (Clinical Observation, oral presentations, written notes, scholarship).

Enrollment Information

Prerequisites: 3rd or 4th year status; Medicine and Surgery clerkships must be completed

Availability with Max Students per Month:


Duty Hours: 40

Time Distribution: 80% Clinical; 10% Didactic; 10% Library

Elective Type Category: CP - Clinical Practice

Notes and Enrollment Information:


Students are always welcome to contact the course director, even at the last minute, regarding adding the nephrology consultative rotation as we have many opportunities each month.

Third Year Elective? Yes

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: None

Service Learning Included: None