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How much do trainee nephrology fellowship jobs pay per year?

As of Aug 22, 2026, the average yearly pay for trainee nephrology fellowship in the United States is $43,530.00, according to ZipRecruiter salary data. Most workers in this role earn between $33,000.00 and $51,000.00 per year, depending on experience, location, and employer.

What is a trainee nephrology fellowship?

A Trainee Nephrology Fellowship is a specialized postgraduate medical training program for doctors who wish to become nephrologists—physicians who diagnose and treat kidney-related diseases. During the fellowship, trainees gain hands-on experience in managing various kidney disorders, performing procedures like dialysis, and learning about kidney transplantation. The program typically lasts two to three years and includes both clinical and research components, preparing fellows for board certification in nephrology. Successful completion allows physicians to work independently as kidney specialists in hospitals, clinics, or academic settings.

What are the key skills and qualifications needed to thrive as a trainee nephrology fellow?

To thrive as a Trainee Nephrology Fellow, you need a solid background in internal medicine, completion of a residency, and a medical license, alongside a demonstrated interest in nephrology. Familiarity with dialysis machines, renal imaging techniques, laboratory diagnostics, and electronic health records is essential, and certification in Advanced Cardiac Life Support (ACLS) is often required. Strong analytical thinking, attention to detail, teamwork, and compassionate communication with patients and colleagues are vital soft skills. These competencies ensure effective diagnosis and management of complex kidney diseases, safe patient care, and successful integration into multidisciplinary healthcare teams.

What are some common challenges faced by trainee nephrology fellows during their fellowship, and how can they be managed?

Trainee Nephrology Fellows often encounter challenges such as managing a high volume of complex patients with chronic kidney disease, balancing clinical duties with academic research, and staying updated on rapidly evolving therapies. Time management and prioritizing patient care while fulfilling training requirements can be demanding. Fellows benefit from seeking mentorship, participating in multidisciplinary rounds, and regularly debriefing with peers and supervisors to manage workload and stress effectively.

What is the difference between Trainee Nephrology Fellowship vs Nephrology Resident?

AspectTrainee Nephrology FellowshipNephrology Resident
CredentialsCompleted internal medicine residency; advanced nephrology trainingCompleted medical school; in residency training in internal medicine
Work EnvironmentSpecialized nephrology clinics, hospitals, research settingsHospital wards, outpatient clinics, general internal medicine
PurposeSubspecialty training to become a nephrologistGeneral internal medicine training with nephrology rotation
DurationTypically 2-3 yearsUsually 3 years of residency

The Trainee Nephrology Fellowship is a specialized program for physicians who have completed internal medicine residency and wish to focus on nephrology. In contrast, a Nephrology Resident is still in general internal medicine training with some nephrology exposure. The fellowship offers advanced, focused training, whereas residency provides broad foundational experience.

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Trainee Nephrology Fellowship jobs near you
Infographic showing various Trainee Nephrology Fellowship job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 81% Full Time, 16% Part Time, and 1% Contract. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $43,530 per year, or $20.9 per hour.

Physician Nephrology (Transplant)

SD Department of Veterans Affairs

Cincinnati, OH • On-site

$124K/yr

Full-time

Posted 3 days ago

New

Job description

The Transplant Nephrologist provides nephrology care, educates trainees, and maintains effective professional relationships to support high-quality patient care. Physicians must hold an MD/DO from a VA-approved school, complete an ACGME residency, and maintain an unrestricted U.S. license. Board eligibility/certification in Internal Medicine and Nephrology is required.Qualifications:To qualify for this position, you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation.
Basic Requirements:
  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Degree of doctor of medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from one of the schools approved by the Department of Veterans Affairs for the year in which the course of study was completed.
  • Current, full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia.
  • Residency Training: Physicians must have completed residency training, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification. (NOTE: VA physicians involved in academic training programs may be required to be board certified for faculty status.) Approved residencies are:
    • (1) Those approved by the accrediting bodies for graduate medical education, the Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA), in the list published for the year the residency, or fellowship if applicable, was completed; OR
    • (2) One year of post medical school training (internship, first year of residency, or transitional year residency) approved by ACGME or AOA followed by two years of post-training independent practice (performing under a full and unrestricted license) in the United States; OR
    • (3) Non-US residency training programs followed by a minimum of three years of verified independent practice in the United States (performing under a full and unrestricted license) performing duties related to the position they are applying for (United States fellowships would be creditable towards this requirement), which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate professional training and believes has exposed the Physician to an appropriate range of patient care experiences.
    • Exceptions:
      • Residents currently enrolled in ACGME/AOA accredited residency training programs and who would otherwise meet the basic requirements for appointment are eligible to be appointed as "Physician Resident Providers" (PRPs). PRPs must be fully licensed physicians (i.e., not a training license) and may only be appointed on an intermittent basis. PRPs are not considered independent practitioners and will not be privileged; rather, they are to have a "scope of practice" that allows them to perform certain restricted duties under supervision. Additionally, surgery residents in gap years may also be appointed as PRPs.
      • In rare and unusual circumstances, the Facility Director can submit a memo to the VISN Director through the VISN Chief Medical Officer, who may approve requests for reasonable exceptions to the residency training requirement for Physicians whose composite record of experience, accomplishments, performance, and qualifications warrant such action.
  • Proficiency in spoken and written English.
Preferred Experience:
Qualifications
  • Board Certification in Nephrology
  • Completion of an accredited Transplant Nephrology Fellowship required
  • Eligibility for medical licensure and VA credentialing
  • Prior Veterans Affairs clinical experience preferred
  • Experience with Cerner electronic health record systems preferred
  • Peritoneal dialysis experience preferred but not required
  • Experience serving as Medical Director of outpatient dialysis facilities preferred but not required
  • Participation in dialysis quality improvement initiatives, regulatory compliance, and patient safety programs required
  • Experience in fellowship education and trainee supervision
  • Demonstrated leadership in dialysis operations and quality improvement
  • Strong commitment to Veteran-centered care and interdisciplinary collaboration
  • Must qualify for a faculty appointment at the University of Cincinnati.
Clinical Responsibilities
  • Evaluation and management of kidney transplant candidates required
  • Comprehensive post-transplant care of kidney transplant recipients required
  • Management of immunosuppressive therapies and transplant-related complications required
  • Inpatient and outpatient nephrology consultation services
  • Management of chronic kidney disease, hypertension, and end-stage kidney disease
  • Oversight of dialysis patients, including acute and chronic dialysis services
  • Collaboration with regional transplant centers and multidisciplinary care teams
Academic and Educational Responsibilities
  • Active participation in the education of nephrology fellows and internal medicine residents
  • Precepting fellows in continuity clinics, inpatient consult services, and dialysis rotations
  • Participation in fellowship curriculum development, conferences, and trainee mentorship
  • Engagement in quality improvement, clinical operations, and scholarly activities
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Physical Requirements: Per VA Directive and Handbook 5019 - a physical examination will be conducted based on the physical requirements of the position. A physical examination prior to placement is required. Heavy lifting, 45 pounds and over; light carrying, under 15 pounds; reaching above shoulder; use of fingers; both hands required; walking (8 hours); standing (8 hours); ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; ability to distinguish basic colors; ability to distinguish shades of colors; hearing (aid permitted); mental and emotional stability; clear speech. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Rigid deadlines and need for high degree of accuracy periodically becomes stressful.Education:
Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are:
  1. Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted.
  2. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation (COCA) for the year in which the degree was granted.
  3. For foreign medical graduates not covered in (1) or (2) above, confirmation must be made that the medical school meets (or met) Educational Commission for Foreign Medical Graduates (ECFMG) eligibility requirement for year graduated.
NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area.
Employment Type: OTHER

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