The Pediatric Nephrology fellowship at The University of Iowa is a three-year program that provides training in all aspects of clinical pediatric nephrology and gives fellows tailored opportunities for participation in clinical, translational, or basic science research. Our fellowship program is integrated into the global fellowship training program in the Stead Family Department of Pediatrics and offers broad educational opportunities across the campus. In addition, we have a pediatric nephrology fellows lecture series which covers all the pediatric nephrology content specifications of the ABP to prepare our fellows for success in both the pediatric nephrology board exam and in clinical practice.
We offer unique opportunities in rare renal disease education with a dedicated clinical program with an international referral base. This is supported by the University of Iowa Institute for Human Genetics and is a cross disciplinary program. Our faculty have varied clinical and research interests from basic science to clinical quality improvement, to neurocognitive outcomes in CKD, and more.
Below is a typical 3-year Pediatric Nephrology Fellowship schedule. In addition to the rotations listed below, fellows participate in an outpatient continuity clinic, where they follow their own patients longitudinally. All attending nephrologists participate in staffing the continuity clinic.
Year 1
Inpatient Services*: 16 weeks
Dialysis Outpatient Unit: 8 weeks
Outpatient General Nephrology: 8 weeks
Pathology: 4 weeks
Urology: 4 weeks
Research: 4 weeks
Year 2
Research: 28 weeks (7, 4-week blocks)
Dialysis Outpatient: 4 weeks
Pheresis/Blood Bank: 4 weeks
Inpatient: 8 weeks
Year 3
Research: 28 weeks (7, 4-week blocks)
Transplant (adult/surgical rotation): 4 weeks
Inpatient: 8 weeks
Dialysis Outpatient: 4 weeks
*Inpatient service time is typically divided into month-long blocks
The Division of Pediatric Nephrology divides its rotational service into month-long blocks.
Our inpatient Pediatric Nephrology Service, which is staffed by pediatric residents, is quite active with over 170 admissions per year. In addition, we see over 130 consults from various other inpatient services including the neonatal and pediatric intensive care units. We conduct over 2,000 outpatient clinic visits annually. We have an extensive referral base not only within the State of Iowa, but also from southern Minnesota, southwestern Wisconsin, western Illinois, eastern Nebraska, and northern Missouri. Patients come from across the USA and internationally to receive care in our Rare Renal Disease Clinic (Carla Nester, M.D.), which specializes in the care of patients with atypical hemolytic uremic syndrome and C3 glomerulopathy.
We have an independent pediatric dialysis unit which provides peritoneal dialysis and hemodialysis to pediatric patients. The unit is fully staffed with dietician and social work support to meet the complex needs of our pediatric patients. Our pediatric dialysis nurses are skilled at fistula development and access. Fellows are expected to co-manage dialysis patients with staff and rotate in the dialysis unit during fellowship training.
Our division is fully accredited as a pediatric kidney transplant center. Fellows are expected to actively participate in the management of kidney transplant recipients and can rotate with the adult and surgical transplant teams during their second/third years of fellowships. We also enjoy an excellent, friendly relationship with our transplant surgery division.
Fellows perform or are directly involved in a diverse number of procedures. All procedures are supervised by faculty. These include:
This twice-monthly lecture series is designed to cover the full content specifications of the Pediatric Nephrology sub-board of the American Board of Pediatrics every 2 years in a rotating schedule. The lectures are mostly given by the attending pediatric nephrologists, but the series also includes guest lectures from pharmacy, urology, dialysis nurse management, hospital administration, and dialysis water management. Fellows present selected topics 3-4 times per year. Lectures are designed to be interactive, and the small group format encourages fellows to ask clarifying questions to maximize their learning.
These weekly meetings include case discussions and division updates. The current inpatient cases are discussed as well as outpatient cases as needed.
Weekly departmental fellow seminars provide opportunities to enhance professional development, explore research options, and advance teaching skills. Our fellows interact with other pediatric faculty and fellows during these conferences. They have a chance to present their research to the pediatric department, get feedback, and learn how to evaluate their peers' research projects.
These meetings involve discussions on dialysis outpatient care. We review each dialysis patient with discussion of laboratory results as well as concerns that the primary physician may have regarding growth/nutrition, social well-being, or ability to refer to transplant. This session includes teaching about pathophysiology, management of dialysis problems, and discussion with specialized team members including dialysis nurses, dietician, and social work.
This monthly conference gives the fellows the opportunity to interact with the pediatric transplant team. Pediatric patients who are pending kidney transplant are discussed during these meetings.
Ad-hoc meetings with the renal pathologist are set via videoconference to review slides remotely, allowing fellows and faculty to see the slides with the helpful guidance of the pathologist.
Dialysis "Practicals"
These review sessions allow fellows to see the equipment, learn the technical aspects, and evaluate actual patient studies. Clinical cases conferences are chosen from pertinent patient scenarios with interesting or difficult diagnoses or a diagnostic and therapeutic dilemma.
Journal Club
Topics are chosen to discuss state of the art or cutting-edge articles. Case based discussion sessions are run by faculty and are aimed at assessing the fellows' knowledge base and thought process in article interpretation and review.
Fellows' Pathology Conference
Staff renal pathologists provide teaching seminars for adult/pediatric fellows to review cases and pertinent pathology. Fellows can practice use of the microscope and discuss basic to advanced pathology in a conversational setting.
Adult/Pediatric Pathology Conference
Staff renal pathologists chose interesting cases to be presented at a joint adult/pediatric pathology conference and discuss the clinical and pathological correlates of the case. The referring physician (staff or fellow) is asked to present the case.
Board Review
These seminars include a variety of teaching sessions on a rotating basis. Fellows discuss core curriculum based on KSAP (American Society of Nephrology).
Our division actively publishes in both the basic science and clinical research realms. All fellows in our program are required to complete a basic science or clinical research project. There are a numerous opportunities for research in any field of interest across all subspecialties both within and outside of our own division. Research within our division includes the work of Dr. Carla Nester, Dr. Lyndsay Harshman, Dr. Jason Misurac, Dr. Kathy Lee-Son,vand Mary Lee Neuberger, APN
Fellows also have the opportunity to find research mentors outside the division. For example, previous fellows had mentors in Internal Medicine Endocrinology and Adult Psychiatry/Neurology.
You can find a list of our publications here.Nephrology_Division_Publications_2016-2018.pdf
Our faculty and staff participate in numerous national pediatric nephrology collaboratives, which also provide opportunities for fellow engagement, involvement, and research:
Improving Renal Outcomes Collaborative (IROC): IROC is a national collaborative including 32 pediatric kidney transplant centers. IROC’s mission is “to partner with patients with kidney disease and their caregivers to achieve health, longevity and quality of life equivalent to the general population, by harnessing the inherent motivation and expertise of all stake holders to improve care, spawn innovation and conduct research that improves health and outcomes.”
Nephrotoxic Injury Negated by Just-in-Time Action (NINJA): NINJA is a multi-center collaborative of 15 children’s hospitals. Their mission is to “eliminate all preventable cases of nephrotoxic medication associated AKI in hospitalized children.” Their vision is that “children should only get the nephrotoxic medications they need for the duration they need them.”
Neonatal Kidney Collaborative: The mission of the NKC is to improve the health of newborns with or at risk for kidney disease through multidisciplinary collaborative research, advocacy, and education. www.babykidney.org
CKiD: Chronic Kidney Disease in Children Study: The CKiD Study is a NIH-funded, multicenter, prospective cohort study of children aged 6 months to 16 years with mild to moderate kidney function impairment.
Cure Glomerulonephropathy: (CureGN) is a multicenter five-year+ cohort study of glomerular disease patients funded by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) at the National Institutes for Health (NIH).
SCOPE: The Standardized Care to Improve Outcomes in Pediatric End-stage Renal Disease (SCOPE) collaborative prevents infections in pediatric peritoneal dialysis and hemodialysis patients using large-scale collaboration to identify and spread effective interventions across pediatric care settings.
Pediatric Nephrology Research Consortium (PNRC): The PNRC started in 2004 as the Midwest Pediatric Nephrology Consortium with a mission to develop and execute multi-center clinical and translational studies related to pediatric kidney diseases. With over 200 members, it continues to be an active continent-wide platform for collaborative research by investigators dedicated to developing the evidence for the best standards of care for children with kidney disorders.
Yes! Our active inpatient service, dialysis unit, and transplant program allow fellows to learn through experience and personalized one-on-one teaching. The fellows’ continuity clinic teaches fellows to manage their own patients. And our didactic lecture series ensures that all American Board of Pediatrics Pediatric Nephrology content specifications are covered on a 2-year rotating schedule. Fellows find that there is excellent balance between service expectations, protected research time, and learning. Our fellows graduate confident in their ability to care for patients across the full spectrum of pediatric nephrology.
All graduated fellows have passed the pediatric nephrology subspecialty board examination on their first attempt. All have obtained positions in pediatric nephrology at academic medical centers.
The University of Iowa is a very strong research institution with basic, translational, and clinical research. Research mentors may be found within the division of pediatric nephrology but may come from another department depending on the fellow’s research interests. During the first few months of fellowship, fellows are encouraged to meet with several clinical and basic science investigators who have ongoing projects that match their own interests. The fellowship program director and associate program director will help facilitate these meetings. Should a fellow enter the program with a strong background in research or an identified project, a mentor with similar interests may be identified before the fellowship starts. A strong mentor-fellow relationship is imperative to success in research.
Yes. Research blocks are protected time. It is requested that fellows attend their outpatient continuity clinic and educational conferences. All other activities during research blocks should be dedicated to research, which allows our fellows to complete their research projects, meeting board eligibility requirements.
Call is dependent on the rotations - during all three years fellows are expected to cover 2 weekends per month. During the inpatient rotations, nephrology fellows share call with the attending physicians every other night.
Yes. A Masters in Medical Education is offered by the University of Iowa Carver College of Medicine.
The University of Iowa Masters of Science in Clinical Investigation is designed for clinicians interested in pursuing careers in clinical research and is offered by the University of Iowa Department of Epidemiology in cooperation with the Institute for Clinical and Translational Science.
Tuition discounts and tuition assistance are available. Schedule accommodations will be made to allow interested fellows to pursue a Masters Degree.
Iowa City is 220 miles (3-4 hours) directly west of Chicago on Interstate 80. It's also within a 4-5 hour drive to Minneapolis, Omaha, Kansas City and St. Louis. It has the cultural, educational, social, and political opportunities of a bigger city with the ambiance of a Midwestern town. It’s clean, safe, it has a great city bus system (with bike racks!), wonderful parks, sports, schools and even sailing. Nothing is farther than a 15 min drive, and there are many affordable and safe housing options near the hospital. Those who have lived here and left, frequently return because what they were looking for was in their own back yard.
Like a lot of university towns, Iowa City has a large international community. Growing cultural diversity is another reason Iowa City is an interesting and exciting place to live. Diversity is embraced and celebrated with city and university events, festivals, clubs and programs. The University works hard to recruit and retain minorities with its affirmative action policies. About 13% of Iowa citizens are non-white as are almost 13% of the patients seen in our clinic.
Iowa City and the surrounding areas of North Liberty and Coralville are great places to live! Who doesn't love a commute time of less than 20 minutes? Explore what Iowa City has to offer through our Discover Iowa page.
The Iowa City area boasts many employment options with businesses large and small, including the University of Iowa, one of the state’s largest employers.
Yes. The University of Iowa Stead Family Children’s Hospital is a freestanding state-of-the-art pediatric hospital opened in 2017.
University of Iowa Stead Family Children’s Hospital is the only children’s hospital in Iowa nationally ranked for pediatric care by U.S. News and World Report. Read June 15, 2021 press release.
The 13th annual Best Children’s Hospitals rankings recognize the top 50 pediatric facilities across the U.S. in 10 pediatric specialties: cancer, cardiology and heart surgery, diabetes and endocrinology, gastroenterology and gastrointestinal surgery, neonatology, nephrology, neurology and neurosurgery, orthopedics, pulmonology and lung surgery, and urology.
UI Stead Family Children’s Hospital and the UI Stead Family Department of Pediatrics are recognized nationally for a number of achievements.
Pediatric researchers at the University of Iowa have a long history of breakthrough discoveries in both the clinical and laboratory setting. Meet members of our research team:
Our three-year training program accepts 1-2 fellows per year.
Our program participates in the National Resident Matching Program (NRMP) using the Electronic Residency Application System (ERAS). At the current time, we can only consider applications from U.S. citizens or permanent residents holding green cards, as funding is usually from federal training grants. Highly qualified foreign medical graduates who are ECFMG certified and do not need financial support may also apply. Applications are accepted from July to November; rank lists are due December 2, 2020 and the match date is December 16, 2020.
Requirements for this program are U.S. citizenship (or permanent VISA), the completion of a three-year pediatric residency program, and the necessary qualifications for a resident's physician licensure in the State of Iowa. This license may be obtained by either passing the United States Medical Licensing Examination (USMLE) or other examinations that have reciprocity with the State of Iowa.
The following materials should be uploaded into the ERAS program:
Applications deadline to be determined.
Medical specialty certification in the United States is a voluntary process which serves multiple purposes for the trainee and the public.
Certification is
For more information visit the American Board of Pediatrics for specifics on board certification requirements.
Our fellowship coordinator will contact the fellowship candidate by email with an interview offer. After an interview date is made, the applicant will have an itinerary arranged. Generally, interviews are arranged with all the members of the Division of Pediatric Nephrology, as well as current fellows, support staff, and selected faculty members from outside the Division. If the fellow candidate has a specific research interest, we will arrange an interview with a faculty member in that area.
Due to the COVID-19 pandemic, we are planning to hold virtual interviews for the 2020 match. This will give the applicants the opportunity to meet us and ask questions while still complying with social distancing guidelines and with any travel restrictions that may be in place. Details about the interview day will be provided when an interview is offered.
It takes a special person to dedicate his or her life to the care and healing of children.
At Iowa, you will be exposed to some of the best clinicians, researchers and teachers in our profession. Through formal mentoring programs as well as an open-door philosophy, we provide personalized opportunities for you to learn career-long lessons from these dedicated professionals.
The pediatric nephrology faculty are dedicated to helping you achieve your training aims. Inpatient and outpatient service expectations are well-balanced with ample learning opportunities and enthusiastic teaching, both in one-on-one settings and interactive didactic lectures.
Please check back for updates on our current fellows.
Welcome to the University of Iowa's Stead Family Children's Hospital. We are proud to showcase our extraordinary clinical care, dedication to the education of students and young physicians, and our world-class research programs.
Our comprehensive medical, surgical, and nursing services span the full spectrum of pediatric care. The consistently high rankings we receive on national and international benchmarks attest to the exceptional quality of care we provide. With more than 127,000 annual outpatient visits and more than 10,000 admissions to the 165 beds at University of Iowa's Stead Family Children's Hospital, we draw patients regionally, nationally, and internationally. Our commitment to family-centered care and our outstanding facilities have been praised for their innovative and patient-friendly design.
We are dedicated to excellence in the education of medical students, residents, and fellows, as reflected by a competency-based curriculum that is designed to provide practitioners with comprehensive knowledge and outstanding skills. The clinical and research efforts of trainees are closely mentored and nurtured. Our graduates move on to successful careers in clinical practice and academic pediatrics.
From genomics to cancer biology, from clinical trials to outcomes research, the department consistently ranks among the top National Institutes of Health (NIH) funded Pediatric Departments nationally. Our faculty and staff are engaged in cutting edge basic science and patient-oriented research in our unwavering quest to improve the health and well-being of all children.
We have a diverse faculty with wide-ranging clinical and research interests. Many are internationally known and have been in the department for many years. We also have bright young faculty who bring new interests and enthusiasm to the practice and teaching of nephrology. All clinical faculty participate in resident training, clinical practice, and research.
Carla Nester, MD, MSA, FASN
Associate Professor of Pediatrics - Nephrology, Dialysis and Transplantation
Associate Professor of Internal Medicine
Director, Pediatric Glomerular Disease Clinic
Dr. Nester completed a combined pediatric/internal medicine nephrology fellowship at the University of North Carolina Hospitals. She has been a faculty member at the University of Iowa since 2007 and has been the division director in pediatric nephrology since 2019. Her rare renal disease clinic is internationally renowned for the expert care she provides to patients with atypical HUS and C3 glomerulopathy. She is also active in basic science research with active R01 grants.
Jason Misurac, MD, MS
Clinical Associate Professor of Pediatrics - Nephrology, Dialysis and Transplantation
Dr. Misurac completed his pediatric nephrology fellowship at Riley Hospital for Children at Indiana University Health. He has been a faculty member at the University of Iowa since 2015 and was recently appointed as the associate fellowship director. His research interests include nephrotoxic acute kidney injury and clinical quality improvement. He is the associate medical director of the pediatric specialty clinic, and serves as the associate chief medical informatics officer (ACMIO) for pediatrics. His clinical areas of interest include acute kidney injury, glomerular disease, and hypertension.
Issa Alhamoud, MD
Clinical Assistant Professor of Pediatrics – Nephrology, Dialysis and Transplantation
Dr. Alhamoud completed his pediatric nephrology fellowship in 2018 at The University of Texas Southwestern Medical Center, Dallas Texas. He joined the pediatric nephrology division in 2020. He is the Pediatric Dialysis Co-Medical Director. Areas of interest are acute kidney injury, continuous renal replacement therapy (CRRT), and intra-renal renin angiotensin system.
Lyndsay Harshman, MD, MS
Assistant Professor of Pediatrics - Nephrology, Dialysis and Transplantation
Lyndsay Harshman completed her pediatric nephrology fellowship at the University of Iowa in 2016 and continued her research in the long-term neurocognitive effects of chronic kidney disease. Specifically, her current work includes an NIDDK funded K23 utilizing magnetic resonance imaging (MRI) to quantitatively characterize the structure of the brain (e.g., volumes of regions and tissues) in mild to moderate pediatric CKD. In conjunction with standardized neurocognitive testing, specialized neuroimaging measures are used to evaluate brain structure, function, and metabolism in this population in order to better understand the relationship to underlying renal disease. Dr. Harshman’s clinical interests focus on aligning the above research concepts of brain growth and development in a chronic kidney disease life-course – specifically in the pediatric renal transplantation population. Her other clinical interests include tuberous sclerosis complex (TSC) patients, for whom she co-founded a multidisciplinary clinic. She is the local PI for the Chronic Kidney Disease in Childhood multicenter prospective cohort study and for the Improving Renal Outcomes Collaborative (IROC), a multicenter quality improvement collaborative focused on improving health, longevity, and quality of life in pediatric kidney transplant recipients. Dr. Harshman is also the medical director of pediatric kidney transplant at the University of Iowa.
Jennifer Jetton, MD
Clinical Associate Professor of Pediatrics - Nephrology, Dialysis and Transplantation
Dr. Jetton completed medical school, residency, and fellowship training at Baylor College of Medicine / Texas Children’s Hospital. She joined the rapidly growing pediatric nephrology division at the University of Iowa in 2010. Her clinical and research interests include acute and chronic dialysis and acute kidney injury. She is actively involved in medical education for trainees of all levels and has served as the Director of Pediatric Medical Student Education since 2015. Her primary clinical research interest is neonatal acute kidney injury. She is a founding member of the Neonatal Kidney Collaborative and currently serves as both a steering committee member and Co-Chair of the Education Committee. She also serves on the National Medical Advisory Committee for Make-A-Wish America and is a medical advisor for Make-A-Wish Iowa chapter.
Kang Yu Lee Son, MD, MHSc, FRCPC
Clinical Associate Professor of Pediatrics - Nephrology, Dialysis and Transplantation
Dr. Lee Son completed her pediatric nephrology fellowship in 2013 at University of British Columbia, Vancouver, Canada. She joined the division of pediatric nephrology in 2013. Dr. Lee Son is the medical director of the Pediatric Infusion and Dialysis center at the University of Iowa Stead Family Children’s Hospital. She is also the Physician Value Officer for the Department of Pediatrics. Her research interests include CKD in non-kidney organ transplant recipients and acute dialysis.
Hua Sun, MD, PhD
Assistant Professor of Pediatrics - Nephrology, Dialysis and Transplantation
Dr. Sun completed her pediatric nephrology fellowship in 2020 at Boston Children’s Hospital at Harvard Medical School. She also completed her research fellowship in 2014 also at Harvard Medical School. Dr. Sun joined the growing pediatric nephrology division in 2020.
She has a clinical interest in rare genetic kidney disease in children, and she is dedicated to connecting patients and families with national resources. Dr. Sun is a physician scientist with a special research interest in podocyte disease. She uses transgenic cell and animal models to study the molecular mechanism of various podocyte diseases including minimal change disease, focal and segmental glomerulosclerosis and diabetic nephropathy, with a goal of finding innovative treatment for patients with these diseases.
Jean Robillard, MD
Professor of Pediatrics - Nephrology, Dialysis and Transplantation
Secondary Appointment(s): Molecular Physiology and Biophysics
Dr. Robillard is the former Vice President for Medical Affairs and Carver College of Medicine Dean. He is a longstanding member of the division of pediatric nephrology. Dr. Robillard is semi-retired, though he continues his research activities and mentors faculty through the promotion and tenure process. The Division is deeply indebted to his many contributions through the years.
Brynna Van Wyk, ARNP, MSN
Nurse Practitioner
Brynna completed her Masters in Nursing from the University of Iowa. She became a Certified Pediatric Nurse Practitioner in 2011 and joined the Pediatric Nephrology team shortly after. With a background in pediatric critical care nursing, she spends her clinical time on the inpatient units providing consistency for pediatric nephrology patients in the PICU, NICU, as well as general inpatient units. Her areas of interest are acute kidney injury and biomarkers, as well as acute dialysis of all forms.
Christina JL Michels, DNP, ARNP, CPNP-PC
Nurse Practitioner
Christina Michels completed her undergraduate BSN studies at Goshen College in 2008 and graduate studies as a Pediatric Nurse Practitioner at the University of Iowa College of Nursing in 2016. She serves the Pediatric Nephrology population on an outpatient basis in the Stead Family Children’s Hospital infusion area and the Pediatric Specialty Clinic. Christina specializes in hypertension, prenatal consults, and all aspects of the Pediatric Kidney Transplant clinic with additional interest in transitioning care of adolescents to adult care after kidney transplant. Additionally, she participates in IROC (Improving Renal Outcomes Collaborative) and the C4K (Comfort4Kidney) support group. Christina is Sub-I with Dr. Nester in a couple clinical trials at the University of Iowa. She loves spending time outside and traveling with her husband. Bring on the adventure!