Message from the Program Director

View LAMC Nephrology Overview (power point file)

Welcome!  I am delighted to introduce to you our combined Kaiser Permanente Los Angeles Medical Center (LAMC)/Cedars-Sinai Nephrology Training Program. Both Kaiser Permanente and Cedars-Sinai have had high quality nephrology training programs providing structured and highly educational experiences to fellows for many years. By combining our programs, we offer fellows clinical experiences with highly diverse patient populations and practice environments. Our program is designed to provide a balanced exposure to both hospital and outpatient nephrology in an ethnically and economically diverse community and academic setting. At LAMC, our fellows are exposed to multi-disciplinary CKD care, all aspects of renal replacement therapy—hemodialysis, peritoneal dialysis, CRRT, nocturnal hemodialysis, home hemodialysis, as well as transplantation and apheresis. At Cedars-Sinai Medical Center, fellows will rotate on both the hospital consultation service and inpatient transplantation service. Cedars-Sinai has received world recognition for the care of highly sensitized renal transplant recipients. In addition, each fellow has his/her own nephrology clinic to see new consults and follow up patients. Fellows have a robust outpatient experience in several other ongoing clinics, including transplant, nephrolithiasis, home dialysis clinics. They have the opportunity to interact with the pediatric nephrologists both in conferences and in a tertiary care renal genetics clinic. A new tertiary care glomerulonephritis clinic started in 2016 at LAMC.

Structured didactics are important aspects of our clinical training. Fellows play an active role in the departmental conferences that are typically held four to five days out of the week, which include Journal Clubs, lively clinical case conferences, grand rounds, board review, physician wellness, quality improvement conferences, and pathology slide review. Fellows are provided with dedicated research time during which they are actively involved in ongoing clinical research and scholarly activity under the supervision of a faculty mentor. If desired, fellows have the option of doing rotations at other institutions or gaining additional experience in interventional radiology or transplantation. Flexibility is an important aspect of our program.

I am committed to provide an educational experience designed to prepare our fellows for careers in clinical or academic nephrology.  I have been pleased to play a role in the launching of many careers in nephrology and medicine over the years. I am extremely proud of our graduates. The Kaiser Permanente LAMC program has had a high nephrology board pass rate for the past 25 years. More importantly, our graduates are playing leading roles in the communities they serve, providing excellent care to their patients, as well as contributing to the science of Nephrology in their publications and teaching.

In 2020, the new Kaiser Permanente School of Medicine will open in Pasadena. Los Angeles Medical Center is one of the six sites where the medical students will gain clinical experience. All of us at LAMC are looking forward to interacting with these students and helping shape the education of a new generation of physicians.

On a larger scale, with the current uncertainty in the direction of healthcare in this country, the opportunity for our fellows to work in both a vertically integrated health care system and a private practice hospital setting provide our trainees with the experience to become proficient in both systems. With an electronic health record system that integrates both the inpatient and outpatient arenas in both settings, we can provide seamless, longitudinal, and individualized care to optimize the quality of life for our patients. I am convinced that training in our program will prepare our fellows for the future of Medicine and Nephrology whatever direction healthcare in this country takes.

Sincerely,

Dean A. Kujubu, M.D.
Program Director