I have worked in Nephrology for 8 years. During my subspeciality training I did rotational postings in wards, out patients, consultation services, Hemodialysis, peritoneal Dialysis and Renal Transplant services.
I have been trained in management of patients with various renal problems such as acute Renal failure, Chronic Renal failure, Hypertension, nephrotic syndrome, nephritic syndrome, acid base and electrolyte disorders, CAPD and transplant patients. I have been exposed to routine and emergency management of patients admitted in other specialties with associated renal problems. I have also been trained in management of all renal emergencies.
As a dialysis resident I gained experience in managing patients on hemodialysis, continuous Renal Replacement Therapy in the ICU setting, plasmapheresis and peritoneal dialysis. I have also independently performed kidney biopsies and insertion of haemodialysis vascular access (femoral and jugular catheterization and arterio-venous fistula procedures).
I have completed clinical fellowship in Nephrology at University of Toronto I started this fellowship on 21st January 2003 and completed on January 20, 2005.This fellowship has allowed me to work in all aspects of nephrology. I have worked extensively on continuous renal replacement therapy in the ICU patients especially using the citrate and heparin protocols. I have also been involved in the training and teaching of the postgraduate medicine residents doing their rotations in nephrology at the University of Toronto.
I have regularly participated in the daily developmental academic activities – seminars, journal clubs, case presentations, inter-departmental meetings with pathology and urology, and have also attended a number of conferences and updates in nephrology. I have also completed a clinical fellow in Renal Transplantation at the University of Toronto. This fellowship is accredited to the American Society of Transplantation.
I have done 12 months of rotation in the multiorgan transplant unit and have gained valuable experience in transplant protocols and also in the use of marginal donors and double kidney transplants. The transplant unit at the Toronto General Hospital is one of the largest in North America and performs both living and deceased donor transplants and the exposure to donor evaluation, all forms of immunosuppression and individualization /minimization protocols is excellent
During this transplant fellowship , in additional to patient management, I have been involved in administrative responsibilities including training of Nephrology fellows rotating through transplant.
I also had training in Transplant pathology, Histocompatibility laboratory, and also had experience managing kidney and pancreas (KP) transplant recipients.I am currently also involved in clinical and Lab based research in kidney transplantation.