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Nephrology Fellowship

Dartmouth Hitchcock Medical Center is a 400-bed tertiary care facility located in Lebanon, NH, serving northern New England.

Dartmouth Hitchcock Medical Center is a 400-bed tertiary care facility located in Lebanon, NH, serving northern New England.

The Nephrology Fellowship Program at DHMC is designed to prepare internists for the diverse clinical and academic career opportunities in the field of Nephrology.

The program provides a particularly strong hands-on clinical experience in all aspects of Nephrology and Transplantation. The Fellow experience is divided equally between the Inpatient and Outpatient setting and includes training in home dialysis and telemedicine. Rotations include electives in Pediatric Nephrology, Renal Pathology, Intensive Care, Ultrasound, Apheresis, Palliative Care and Protected Research Time. We offer two positions per year for the two-year program.

Our Fellows participate in teaching the Fluid Electrolyte and Kidney Course at the Geisel School of Medicine at the Instructor level.

Fellows have the opportunity to explore an additional one-year fellowship in Critical Care Medicine to become eligible for double Board Certification in Nephrology and Critical Care.

The DHMC Nephrology Program is unique in that fellows have the opportunity apply to the ACGME approved 3 year Nephrology/Leadership in Preventive Medicine Residency track. With this 3-year program fellows become Board Eligible in Nephrology and Preventive Medicine and obtain an MPH degree from the prestigious Dartmouth Institute fee of tuition while earning a fellow salary.

Our Program takes pride in our diversity and a collegial and friendly work atmosphere. Former fellows lead successful careers in academic and private practice all over the country.


The mission of the Nephrology Fellowship Training Program at Dartmouth Hitchcock Medical Center is to advance Kidney Health through research, education, clinical practice, and community partnerships, providing each person the best care, in the right place, at the right time, every time.

Program aims

The overall goal of the nephrology fellowship program at Dartmouth-Hitchcock Medical Center is to provide outstanding practical and academic training in every aspect of clinical nephrology and to prepare fellows for productive careers afterwards. The fellowship is designed to foster mastery of nephrology knowledge and skills and to provide a framework for a career dedicated to lifelong learning and the advancement of care for our patients. Our overall goal is achieved through mastery of the following competency-based general objectives:

  1. Patient Care: To render care that is patient-centered, compassionate, appropriate, effective and evidence-based to patients with nephrologic disorders in both the ambulatory and inpatient setting based on the skillful acquisition and careful analysis of the patient’s history, physical findings and laboratory results.
  2. Medical Knowledge: To gain a thorough understanding of established and evolving biomedical, clinical, epidemiological and cognate sciences related to nephrologic disorders and be able to apply this knowledge appropriately to the care and education of patients, the education of learners and colleagues and the design of scholarly projects.
  3. Practice-Based Learning and Improvement: To develop skills that promote self-improvement and a pattern of life-long learning by seeking out and incorporating into daily practice
    1. evidence from scientific studies,
    2.  feedback from colleagues and mentors, and
    3. insights gained from self-assessment of practice outcomes so as to continually enhance one’s skills in the delivery of outstanding care to patients with endocrine disorders.
  4. Interpersonal and Communication Skills: To appreciate the critical importance of the effective exchange of information with patients and their families, staff and colleagues in ways that promote a sense of team work and that enhances outcomes for both individual patients and society as a whole.
  5. Professionalism: To carry out ones responsibilities as a physician through responsible self-motivation and in a manner that adheres to ethical principles, is sensitive to the needs of patients, their families, staff and colleagues, and avoids conflicts of interests.
  6. Systems-Based Practice: To understand the complexity and workings of the broader health care system within our institutions and society at large so as to provide optimal care though the mobilization and coordination of disparate resources and the effective counsel of patients with regard to health care options.

Fellows are eligible to participate in the Leadership in Preventive Medicine Residency.

The Center for Evaluative Clinical Sciences provides additional opportunity for study in public health, outcomes research, and clinical research.

Basic science research opportunities may be available to suitable candidates at Dartmouth College, The Geisel School of Medicine at Dartmouth and affiliated institutions.

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