Transplant Nephrology Fellowship

The transplant fellowship offered by the Division of Nephrology is certified by the American Society of Transplantation (AST)/American Society of Transplant Surgeons (ASTS). Our transplant program, the largest in the region, performs over 140 kidney transplants every year. A wide variety of transplant related therapies including kidney exchange, desensitization, ABO incompatible transplants, and HIV and HCV positive kidney transplants are performed.

The Virginia Commonwealth University Transplant Nephrology Fellowship Program provides an opportunity to pursue advanced training in clinical transplant nephrology and to undertake training in basic science research or clinical research. The program is designed for trainees who wish to receive outstanding educational training in order to pursue a career in either academic medicine or private practice.

Your training fellowship involves one year of training that integrates the six core competencies (patient care, medical knowledge, practice based learning and improvement, interpersonal and communication skills, professionalism, and systems based learning). Each fellow will participate in clinical training, teaching and scholarly activities. The training experience includes involvement in all aspects of pre-transplant care including list management, kidney donor evaluations and assessment and acceptance of deceased donor organs, as well as post-transplant care including performing biopsies and management of immunosuppression. The fellows get hands-on training in immunology through rotations in the HLA lab and transplant kidney biopsy assessments with pathology. Dedicated teaching in transplant infectious disease is also provided. Under faculty mentorship, each fellow is expected to participate in at least one research project which will usually result in a presentation at a national or international conference. Our sites of practice include in-patient and continuity clinics at VCUHS.

After one year of clinical training, our goal is for each fellow to have confidence in independently evaluating and managing patients with a wide variety of kidney transplant issues.

Fellowship Goals and Objectives

Fellows will be trained in all aspects of care for the renal transplant patient, including — but not limited to — pre-transplant evaluation, list management, kidney donor evaluation, peri-operative kidney transplant management and post-transplant care including immunosuppression.

You will rotate through transplant nephrology consults at VCUHS, pre-transplant evaluation clinics and post-transplant continuity clinics. You will also have a dedicated HLA lab rotation and a transplant infectious disease rotation.

Conferences

Nephrology Grand Rounds
This conference series is prepared on an annual basis with presentations given by internal and visiting faculty members and VCU Nephrology fellows. Transplant Nephrology Fellows present one to two times each year on topics of their choice.

Transplant Conference
This conference series is prepared on an annual basis with presentations given by internal and visiting faculty members and VCU transplant nephrology and surgery fellows. Transplant Nephrology fellows present two to three times each year on topics of their choice with the help of faculty mentorship.

Renal Biopsy Conference
Renal Biopsy Conference is held in lieu of Renal Grand Rounds the 4th Thursday of each month. This conference is led by Drs. Massey and Vinnikova jointly.

Journal Club
Faculty members select articles and assign one to each of two fellows each month. The fellow reviews and presents the article, which includes salient methods, results, discussion, and study dissection/critiques.

Research Conference
This monthly conference highlights the various research methods and techniques throughout the university. This will include lectures from Division faculty members, other researchers from VCU (outside of Nephrology) and often visiting physicians from outside institutions.

Fellows will also have the opportunity to rotate through:

  • HLA lab (immunology)
  • Transplant Infectious Disease
  • Plasmapheresis

Program Leadership and Faculty

Program Director, Gaurav Gupta, M.D.

Dr. Gupta is currently the training program director for the Transplant Nephrology Fellowship at VCUHS. Dr. Gupta completed his medical education at the All-India Institute of Medical Sciences, New Delhi, India. After working for two years as a research scientist on the pathogenesis of BK Virus Nephropathy he went on to complete his Internal Medicine residency at the University of Pittsburgh. He then did his nephrology and transplant fellowships from the Johns Hopkins University in Baltimore. He has been a faculty member at VCUHS since 2012 and is currently an Assistant Professor of Medicine.

In addition to seeing patients and running the transplant fellowship training program, Dr. Gupta also serves as on the National Kidney Foundation Board for the state of Virginia. He is also an active researcher with several ongoing translational and clinical research studies at VCUHS.

Transplant Nephrology Faculty at VCU

Anne King, M.D., Medical Director
Gaurav Gupta, M.D., Program Director
Dhiren Kumar, M.D.
Hasan Fattah, M.D.

Eligibility requirements and application details

The applicant should be an M.D. with three or more years of Internal Medicine residency training in an ACGME-accredited training program. A pass on USMLE Step 3 is a mandatory prerequisite for acceptance as a fellow.

Our institution can sponsor J-1 visas. H-1 visas might be available on a case by case basis.

To apply, contact:

Jeanette A. Wood
woodj2@vcu.edu
Phone: (804) 828-3149
Fax: (804) 628-2436
P.O. Box 980509
Richmond, Virginia 23298

Required information:

  • Curriculum Vitae
  • USMLE score reports
  • Medical school transcripts
  • A personal statement
  • 3 letters of recommendation, including one from your program director
  • A photograph

If applicable, please provide the following:

  • ECFMG certificate
  • Medical school diploma (with translation if necessary)

Interview dates for 2016 Interview Season will be every Friday starting with August 29, 2015 ending November 10, 2015. Dates may be added or subtracted, due to demand.

Sample interview itinerary:

10:45 – Arrival
11:00 – 11:30 – Interview
11:30 – 12:00 – Interview/Tour with fellow
12:00 – 12:30 – Interview
12:30 – 1:30 – Transplant Conference
1:30 – 2:30 – Program Overview and Interview with PD
2:00 – 2:30 – Interview
2:30 – 3:00 – Interview
3:00 – 3:30 – Interview – Fellow
3:30 – 4:00 – Wrap up, Questions with PD

Hotel recommendations

We recommend the following hotels; be sure to ask for the VCU rate when making a reservation:

Hilton Garden Inn, Richmond Downtown
501 East Broad Street
Richmond, Virginia 23219
(804) 344-4300
VCU rate: $112 plus tax; parking ($21 plus tax) is not included
A short walk from VCU Medical Center, complimentary shuttle also provided

Crowne Plaza, Richmond Downtown
555 East Canal Street
Richmond, Virginia 23219
(804) 788-0900
VCU rate: $112 plus tax, includes parking and breakfast for one
A short walk from VCU Medical Center, complimentary shuttle also provided

Scholarship

Examples of recent fellow scholarship include:

Graduating 2015:

  1. G. Gupta, A. Regmi, D. Kumar, S. Posner, M. P. Posner, A. Sharma, A. Cotterell, C. S. Bhati, P. Kimball, H. Davis Massey, A.L. King. Am J Transplant. 2015; May. Safe Conversion from Tacrolimus to Belatacept in High Immunologic Risk Kidney Transplant Recipients with Allograft Dysfunction.
  2. Gaurav Gupta, Hasan Fattah, Rivka Ayalon, Jason Kidd, Todd Gehr, Luis F. Quintana, Pamela Kimball, Salima Sadruddin, H. Davis Massey, Dhiren Kumar, Anne L. King, M.D., and Laurence H. Beck, Jr. submitted to the ‘Clinical Journal of the American Society of Nephrology’. Pre-transplant Phospholipase A2 Receptor Autoantibody Concentration is Associated with Recurrence of Membranous Nephropathy Post-Kidney Transplantation
  3. Anil Regmi, Omer Ali, Dhiren Kumar, Anne King, Gaurav Gupta. Late Recurrent UTIs in Kidney Transplant Patients: Risk Factors, Microbiologic and Antibiotic Resistance Patterns. Poster presentation at the American Transplant Congress 2015.

Graduating 2014:

  1. Layal Abdel Rahman, Pamela Kimball, Anne King, Amit Sharma, Adrian Cotterell, Dhiren Kumar, Muhammad R. Qureshi, Felecia McDougan, and Gaurav Gupta. Intravenous Immunoglobulin and Rituximab Based Desensitization Is Ineffective for Highly Sensitized Patients. Poster presentation at the American Society of Nephrology Meeting 2014.
  2. Muhammad R Qureshi, Gaurav Gupta, Layal A Rahman, Marc P Posner, Amit Sharma, Martha Behnke, Stacey Posner, Dhiren Kumar, Anne L King. Minor Variations in Induction Rabbit Anti-thymocyte Globulin Dosing Are Not Associated with an Increased Risk of Infections or Rejection. Poster presentation at the World Transplant Congress 2014.

Graduating 2013:

  1. Linatoc JAT, Ren Q, Behnke M, Sharma A, Posner M, Gehr T, King A. Effect of Hepatitis C Virus (HCV) Infection on the Outcome of Highly Sensitized Kidney Transplant Recipients in Modern Immunosuppression Era. Oral presentation, American Transplant Congress 2012.
  2. Linatoc JAT, Ren Q, Behnke M, Sharma A, Posner M, Gehr T, King A. Effect of Hepatitis C Virus (HCV) Infection on the Outcome of Highly Sensitized Kidney Transplant Recipients in Modern Immunosuppression Era. Oral presentation, Virginia Commonwealth University Resident Research Day. June 2012, Richmond VA.
  3. Gaurav Gupta, Julie Ann T. Linatoc, David Lee, Marc P Posner, Qing Ren, Anne L. King, Pamela Kimball. Incidence and Clinical Course of Antibody-mediated Rejection in Kidney Allografts associated with Non-HLA-antibodies targeting Angiotensin type 1 Receptor. Presented at American Society of Nephrology Meeting 2013.
  4. Julie Ann T. Linatoc, Anne King, Davis Massey, Gaurav Gupta. Relapsing-Remitting Course of Mixed Cryoglobulinemic Glomerulonephritis After Kidney Transplantation. Presented at National Kidney Foundation Meeting 2013.