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Artwork of a navigational compass
Dr. Kenar JhaveriAugust 25, 20232 min read


Navigating the complexities of glomerular diseases (GD) in nephrology is no small feat. These rare conditions demand specialized knowledge and tailored management. Let's dive into the significance of this niche and the challenges faced by those who pursue expertise in this area.

🌍  A Global Niche

GD management is a specialized field within nephrology due to the rarity and intricacy of these diseases. Training programs worldwide offer advanced GD-focused fellowships, enhancing diagnostic and management skills.

πŸ“š  Empowerment Through Knowledge

Advanced training in GD empowers healthcare pros to provide top-tier care. Accurate diagnoses, customized treatments, and better outcomes are all on the horizon with specialized expertise.

πŸ”¬  Advancing Through Research

GD fellowships open doors to research activities like clinical studies. Pioneering new treatments and diagnostic techniques can lead to groundbreaking contributions to the field.

πŸ’‘ Collaboration & Networking

GD training fosters collaborations with experts. Think of it as a hub for exchanging ideas and experiences, boosting careers beyond training's end.

🧩  Survey Insights

Our recent survey offered intriguing insights into GD fellowships. We had over a 90% response rate! Success factors include multidisciplinary collaborations, local expertise, and research support. Challenges range from funding woes to visa hurdles.

πŸ†  Pathways to Success

Success in GD programs hinges on institutional support, multidisciplinary teams, and protected research time. Challenges, like declining interest in nephrology and funding struggles, need addressing for sustained growth.

πŸ”  Peering into the Curriculum

Interestingly, many programs lack formal curricula. With the GD landscape evolving rapidly, structured education is vital.

🌐  Global Training Landscape

GD fellowships thrive in North America and Europe. Though some programs boast decades of history, newer ones are sprouting up to meet the demand for expertise.

πŸ‘Ά  The Pediatric Perspective

Initial childhood glomerular disease diagnosis can be very challenging. Bridging this gap could transform care for young patients.

🩺  Clinical Proficiency & Beyond

GD expertise requires interpreting pathology, immunosuppression finesse, and more. Clinical experience through specialized training can fuel academic careers and nurture interest.

πŸ”¬ Pathology & Biopsies

Renal pathology is a cornerstone. In-house nephropathologists and kidney biopsies build skills crucial to GD management.

πŸ“š Tailored Curriculum

Our analysis revealed gaps in structured curricula. Keeping up with GD advancements demands a solid education foundation.

🌟 Enhancing Success & Overcoming Challenges

Institutional backing, multidisciplinary teams, and faculty expertise are success catalysts. Addressing funding, interest decline, and resource scarcity is crucial.

🌍  The Global Perspective

Patient diversity enriches experience. Global observational studies and collaborations broaden knowledge and connections.

πŸš€  Proposed Solutions

To address challenges, we propose funding alternatives like philanthropy and grants. Advocacy for immigration reform, grassroots nephrology interest campaigns, and multidisciplinary clinics can transform the landscape.

πŸ’‘ Advancing the Field

GD fellowships are essential for the evolving world of nephrology. By strengthening training, we empower experts who'll drive innovation, patient care, and research in glomerular diseases.

Let's champion specialized training in glomerular disease management and revolutionize nephrology!



Medicine doctor hand working with modern computer interface as medical concept-3

A qualitative evaluation of advanced training programs in glomerular diseases:

Results from a program directors' survey


Dr. Kenar Jhaveri

Kenar D. Jhaveri, MD, is Professor of Medicine and Associate Chief in the Division of Kidney Diseases and Hypertension at the Zucker School of Medicine at Hofstra/Northwell. He is Chair of ISGD's Education Committee. Dr. Jhaveri completed his residency training at Yale University New Haven Hospital in Internal Medicine and then a fellowship in Nephrology at New York Presbyterian Hospital-Weill Cornell campus. His clinical and research interests are in glomerular diseases, AKI, and cancer-related kidney complications or Onconephrology. He is one of the founders of this field back in 2009 and since then has created and led the American Society of Onconephrology (ASON). He is a world leader in this field in nephrology. In addition, he is the founder and program director of the Galdi Fellowship of Glomerular Diseases and Onconephrology at Northwell Health and has won several awards at local, national, and international levels in nephrology and medical education. His interest in nephrology education is vested in using creative ways of teaching nephrology to medical students, residents, and fellows. He has published on onconephrology and also in using social media and other innovative tools (games, concept maps, role playing, creative writing) to make nephrology a fun and exciting field. He has conducted numerous faculty development seminars to teach these techniques and has a teaching-oriented blog at He is currently editor in chief of ASN Kidney News, where he also writes the "Detective Nephron" column.