The Nephrology Transplant Fellowship is one of the most comprehensive training programs of its kind in the country. We emphasize both teaching and scholarship in a vibrant and high-volume case setting that provides trainees with multiple opportunities for inpatient and outpatient care, as well as research.
We accept up to two transplant fellows and one possible research fellow annually. Our program has sufficient volume to allow for maximal exposure to a wide variety of patient encounters. Each fellow will experience every aspect of renal transplantation first hand. Our program structure provides ample time during off-service months to work on research projects. Throughout the fellowship, trainees are encouraged to read relevant articles in transplant to expand their knowledge of the field.
The Washington University and Barnes-Jewish Transplant Center has one of the largest and most experienced kidney transplant teams in the United States. The program is consistently ranked among the nation’s best by U.S. News & World Report for the treatment of kidney diseases.
We offer transplant fellows:
- High transplant volume — We perform more than 200 kidney and 15 kidney-pancreas/pancreas transplants annually. About 30 percent of all kidney transplants are with living donor transplants. This is sufficient volume for fellows to meet UNOS requirements to be kidney/kidney-pancreas program directors.
- Nationally recognized, experienced faculty — Kidney transplant survival rates, which continually remain better than national averages, are a reflection of the program’s expertise. Our acute rejection rate following a kidney transplant is less than 5 percent at one year, one of the lowest kidney transplant rejection rates in the world. We have an ABO incompatible transplant program and are actively involved in paired kidney exchange programs for recipient/donor pairs who are difficult to match.
- Multidisciplinary practice opportunities — We offer a wide variety of inpatient and outpatient clinical opportunities for our transplant fellows. The rotations are split, with 6 months of inpatient opportunities and 6 months in our outpatient clinic.
- Inpatient: We have a strong relationship with our transplant surgical colleagues. Inpatient rounds include medical and surgical consultants, residents, physician assistants, nurse practitioners, transplant pharmacists, and nurses. Fellows lead rounds and participate in all aspects of inpatient care under close supervision by the attending. There are two fellows on the transplant service each block. Typically, one is a general nephrology fellow and the other is a transplant nephrology fellow. Patients are seen with the transplant team (attending, nurse practitioner, surgical team) and includes the management of new transplants, pending transplants and patients with previous transplants who have new renal complications. This service also provides in-patient consultations for acute kidney issues in patients with other solid organ transplants including liver, heart and lung.
- Outpatient: Fellows evaluate patients as potential kidney transplant recipients as well as evaluate possible living donors. Fellows also actively participate in the short-term and long-term care of transplant recipients. We have a deep commitment to our patient population and follow them throughout the life of their allograft. Fellows also attend the weekly kidney transplant selection conference.
- Research opportunities — Washington University scientists are known worldwide for their ongoing development and refinement of immunosuppressive therapy to prevent rejection, as well as strategies to prevent infection. Some of the seminal contributions include: research on the use of rabbit anti-thymocyte globulin given intraoperatively for induction therapy; the evaluation of prophylaxis and pre-emptive strategies for CMV prevention post-transplant; and treatment of BK viral infection and prevention of nephropathy through medication reduction. Fellows are expected to join other transplant nephrologists’ research projects that are funded both intramurally and extramurally. Fellows will have significant time during the outpatient setting to initiate, perform and publish an article.
- Educational conferences — Multiple opportunities for vibrant, didactic discussions occur in daily and weekly conferences. Weekly conferences include the Journal Club and Case Conference, Transplant Selection Conference and Renal Ground Rounds. The Division of Nephrology also has a daily conference at noon.
Transplant fellowship faculty & staff
Transplant fellowship application process
The transplant fellowship is geared to applicants who have completed an AGGME-accredited nephrology training program. Complete the Transplant Fellowship Application (pdf) and follow directions to mail or email the form to our program.
If you have questions about our Transplant fellowship program, please contact:
Rowena Delos Santos, MD
Assistant Professor of Medicine
Director, Transplant Nephrology Fellowship
Washington University School of Medicine
660 S. Euclid Ave., Campus Box 8126
St. Louis, MO 63110
The 2019 ASN TV video below highlights our transplantation and home modalities programs.