Environment - Nephrology Residency Training Program

The Training Program is positioned within Alberta Health Services’ Northern Alberta Renal Program (NARP), through which hemodialysis, peritoneal dialysis and renal transplant patients are cared for in Edmonton and in satellite dialysis units in outlying communities. Dr. Kailash Jindal is the Director, Division of Nephrology & Transplantation Immunology and the Regional Clinical Program Director, NARP.

The University of Alberta Hospital is one of Canada's leading clinical, research and teaching hospitals, treating more than 700,000 patients annually from across western and northern Canada. The 18-bed in-patient unit is adjacent to an18-station outpatient S hemodialysis unit. Both the peritoneal dialysis unit (~150 active patients) and the renal transplant program (~700 active patients) are located nearby.

The clinical renal program is supported by several ancillary services. These include:

  • An active renal pathology service headed by Dr. Kim Solez, an international authority on renal transplant pathology and cybernephrology
  • An active clinical trials program which has participated in multi-centre trials of new immunosuppressives, agents to treat acute renal failure, and innovations in peritoneal dialysis catheters. The clinical trials staff are available to facilitate the development and processing of clinical studies initiated by trainees and may assist in data collection. The program is supported by a statistician
  • A tissue typing laboratory with a particular interest in molecular HLA typing and the role of alloantibody in allograft rejection
  • Basic science research programs which emphasize mechanisms of tissue injury, the mechanism of action of immunosuppressive agents, the regulation of HLA and cytokine gene expression, endothelial biology and glomerular physiology. Research is also conducted on the mechanisms of peritonitis
  • A host of clinical research programs exist, headed by Divisional members with training in Clinical Epidemiology, Ethics, Health Economics and Health Administration
  • An active ambulatory care program exists, with clinics for patients with general renal disorders, those on renal replacement therapy, and recipients of renal transplants. There are longitudinal clinic experiences organized for each trainee where he/she sees new patients and follows patients discharged from hospital in both general nephrology and transplantation.
  • An on-site pediatric nephrology service staffed by three pediatric nephrologists
  • A multidisciplinary team of surgeons, dieticians, social workers, physiotherapists, and occupational therapists who participate in the care of the renal patient

The program is also supported by a Nephrology Nurse Clinician Program. Several senior nurses with a career interest in nephrology manage many of the repetitive aspects of the care of the renal failure population, including routine out-patient problems in renal transplant recipients, patients on peritoneal dialysis, home hemodialysis, and a renal insufficiency clinic. A dedicated nephrology staff member assists with in-patient management of patients admitted for dialysis access and awaiting chronic care. This results in substantial protection of the renal subspecialty resident from "educationally unrewarding" activities.