Contact Information

The Ohio State University Wexner Medical Center
Division of Nephrology 
395 W. 12th Ave., Ground Floor 
Columbus, OH 43210

Program Director: Uday Nori, MD
Uday.Nori@osumc.edu

Program Coordinator: Shawnna Graves-Rogers
Shawnna.Graves2@osumc.edu 
614-293-4250


About this program


The Transplant Nephrology Fellowship Training Program at The Ohio State University Wexner Medical Center is a one-year intensive clinical program approved by the American Society of Transplantation. There is one position available each year.

Since this fellowship is not accredited by the Accreditation Council for Graduate Medical Education (ACGME), it is only available to candidates who have completed two years of an ACGME-accredited (or equivalent) nephrology fellowship. 

Candidates completing this training are considered eligible for United Network for Organ Sharing-approved medical directorships for individual transplant programs.

Program highlights

The Transplant Nephrology Fellowship Training Program at Ohio State provides fellows with extensive inpatient and outpatient clinical experience as well as longitudinal didactic teaching. 

The program prepares fellows to:
  • Manage kidney and pancreas transplant recipients at all stages of their care
  • Become competent in immunosuppressive regimens
  • Diagnose and manage complex nephrology issues 

The Transplant Nephrology fellow is expected to perform at the level of a junior faculty member since he or she has completed the traditional nephrology fellowship and is board eligible. Therefore, fellows are allowed a significant amount of input in all decisions regarding immunosuppression as well as patient management.

Our Center

The Comprehensive Transplant Center at Ohio State Wexner Medical Center is one of the largest organ transplant programs in the nation, performing approximately 200 kidney and 30 pancreas transplants annually.

The four full-time transplant nephrologists participate in all aspects of patient management, working alongside the transplant surgeons. Post-transplant care is provided as a multidisciplinary, collaborative model both in inpatient and outpatient settings. The center also provides long-term care for the duration of the allograft function, regardless of longevity.

Conferences and lectures

In addition to the didactic sessions meant for the Division of Nephrology, these are considered mandatory for the transplant fellow:

Patient Selection Committee meeting
  • Wednesdays, 7:30 a.m. - 9 a.m.
  • All new pre-transplant patients and living donors are discussed in a multidisciplinary setting
Transplant Pathology Conference
  • Wednesdays, 2 p.m. - 3 p.m.
  • Our four dedicated nephropathologists review the transplant kidney biopsies from the previous week using a multi-head microscope and a high-definition projector
  • Attended by the transplant surgeons and nephrologists
Comprehensive Transplant Center (CTC) Grand Rounds
  • Tuesdays, 8 a.m. - 9 a.m.
  • Attended by all the organ groups and their subspecialty fellows
  • Presentations are rotated among all the organ groups
Transplant Nephrology Core Curriculum lecture series
  • Weekly lecture attended by the nephrology fellows
  • Lecture is delivered by the transplant nephrologists and other members of the multidisciplinary team (e.g., surgeons, tissue typing lab director)
  • The transplant fellow is expected to give one lecture every month
  • All inpatient rounds and scheduled outpatient biopsies are conducted in the morning, leaving time for the noon conference and afternoon clinic 

Application Process

Application process

If you are interested in applying for the Transplant Nephrology Fellowship at Ohio State, you will need to contact us with these documents: 
  • Letter of interest
  • CV, including publications
  • Three letters of recommendation
  • United States Medical Licensing Examination (USMLE) transcript
Mail or email the above to:

Uday Nori, MD
Program Director
Uday.Nori@osumc.edu

The Ohio State University Wexner Medical Center
Division of Nephrology 
395 W. 12th Ave., Ground floor
Columbus, OH 43210

Curriculum

Curriculum

Curriculum

  • Transplant immunology
    • Normal immune response
    • Response to allografts
    • Tolerance
    • Crossmatches, flow cytometry
    • Identification of anti-HLA (human leukocyte antigen) antibodies and donor-specific antibodies
  • Pharmacology and immunosuppression
    • Immunosuppression agent categories
    • Review mechanisms of the agents
    • Current pharmacotherapy
    • Investigational agents
    • Therapeutic drug monitoring of immunosuppressive therapies
    • Steroid avoidance and withdrawal
    • Calcineurin inhibitor (CNI) elimination, minimization and withdrawal
    • Drug interactions
    • Drug adverse effects
    • Longterm reduction of immunosuppression
  • Medical complications of transplantation
    • Opportunistic infections
      • Bacterial
      • Viral
      • Fungal
    • Hypertension
    • Atherosclerosis
    • Hyperlipidemia
    • New onset of diabetes after transplantation (NODT)
    • Transplant-associated malignancies
      • Viral-driven malignancy, including post-transplant lymphoproliferative disease (PTLD), cervical cancer, Kaposi’s sarcoma, nasopharyngeal cancer
      • Non-virally driven malignancy, such as renal cell and skin
    • Hepatobiliary disease, hepatitis C virus
    • Musculoskeletal, bone and mineral metabolism
    • Post-transplant erythrocytosis 
    • Metabolic syndrome
  • Organ allocation
  • Pre-transplant evaluation of the recipient
  • Evaluation of the living kidney donor
  • Graft dysfunction
    • Acute rejection – cell-mediated and antibody-mediated
    • Chronic rejection, chronic allograft dysfunction
    • Surgical and operative complications
    • Infection
    • Nephrotoxicity
    • Recurrent glomerular disease
    • De novo disease
    • Renal artery stenosis
  • Expected outcomes and risk factors
    • Living related donor (LRD)
    • Deceased donor organs
    • Standard criteria donor (SCD)
    • Expanded criteria donor (ECD)
    • Donation after cardiac death (DCD)
    • Pediatric en bloc
    • Living unrelated donor (LURD)
    • Race
    • Human leukocyte antigen (HLA) matching
    • Relapse of native kidney disease
  • Special issues in pediatric renal transplantation
  • Pregnancy and contraception
  • Transplantation ethics
  • Pancreas transplantation
  • Kidney transplantation in other solid organ transplant recipients
    • After other organs
    • Combined kidney and “other” organ
  • Transplantation of ABO-incompatible and cross-match incompatible individuals
  • Paired kidney exchange programs
  • Business administrative aspects

Training

Inpatient training

The fellow spends seven months in the inpatient section, gaining experience in the care of early post-transplant patients, immunosuppression management and collaborative management, working alongside the surgeons in a multidisciplinary setting. 

Transplant nephrologists attend two inpatient transplant services:
  • Inpatient transplant medicine service – staffed by an internal medicine resident and intern, as well as a nurse practitioner who assists with patient management and discharges
  • Transplant consult service – provides care for all transplanted patients in the medical center admitted to other services, including the transplant surgery services
Responsibilities include:
  • Daily multidisciplinary bedside rounds on all new post-transplant recipients
  • Daily notes in the electronic medical records (EMR) on all new consults and follow-up patients
  • Performing procedures, including dialysis and transplant renal biopsies
  • Assisting in the education and supervision of house staff

Outpatient training

The fellow attends one early post-transplant management clinic and one longterm management clinic each week, under supervision.

In this setting, the fellow has the opportunity to evaluate and manage immunosuppression regimens as well as common post-transplant complications such as glucose intolerance, hypertension and opportunistic infection.

Attending the longterm management clinic allows the fellow to understand the concepts of safe immunosuppression reduction to prevent cardiovascular morbidity and manage the various metabolic complications associated with longterm immunosuppression.

Each of the four transplant nephrologists has two half-day clinics every week covering living donor evaluations, pre-transplant kidney and pancreas evaluations and post-transplant follow-ups. The transplant fellow will be assigned to two half-day continuity clinics every week, one to do pre-transplant evaluations and the other to do post-transplant follow-ups.

The fellow will be responsible for the overall care of the patients seen in the clinic for the duration of the training year – vis-à-vis monitoring of the labs, modifying immunosuppression and answering any questions raised the patients.

This format will offer independence in decision making and experience in continuity of care for the patients. Since there are outpatient clinics every day, there will ample opportunities for both the transplant and the general nephrology fellow to work independent of each other.

Transplant Pathology Series

Transplant Pathology Series

  • Review of Banff criteria
  • Acute and chronic rejection, subclinical rejection
  • Calcineurin inhibitor toxicity
  • Recurrent disease
  • C4d staining
  • BK virus nephropathy
  • Thrombotic microangiopathy
  • Clinical management of pathologic findings
  • Protocol transplant biopsies

Research

Research

Fellows participate in a variety of ongoing or new clinical research projects related to kidney disease or kidney and pancreas transplantation.

Resource Materials

Resource materials

The following are some of the primary materials that the transplant fellow is expected to use for training. In addition, journal articles will be used as supplementary materials on a regular basis.
  • Handbook of Kidney Transplantation, fifth edition  Danovitch G. 
  • Primer on Transplantation, third edition  Hricik D.
  • Transplant Nephrology Core Curriculum by the American Society of Nephrology

Conferences and lectures

In addition to the didactic sessions meant for the Division of Nephrology, these are considered mandatory for the transplant fellow:

Patient Selection Committee meeting
  • Wednesdays, 7:30 a.m. - 9 a.m.
  • All new pre-transplant patients and living donors are discussed in a multidisciplinary setting
Transplant Pathology Conference
  • Wednesdays, 2 p.m. - 3 p.m.
  • Our four dedicated nephropathologists review the transplant kidney biopsies from the previous week using a multi-head microscope and a high-definition projector
  • Attended by the transplant surgeons and nephrologists
Comprehensive Transplant Center (CTC) Grand Rounds
  • Tuesdays, 8 a.m. - 9 a.m.
  • Attended by all the organ groups and their subspecialty fellows
  • Presentations are rotated among all the organ groups
Transplant Nephrology Core Curriculum lecture series
  • Weekly lecture attended by the nephrology fellows
  • Lecture is delivered by the transplant nephrologists and other members of the multidisciplinary team (e.g., surgeons, tissue typing lab director)
  • The transplant fellow is expected to give one lecture every month
  • All inpatient rounds and scheduled outpatient biopsies are conducted in the morning, leaving time for the noon conference and afternoon clinic 

Second Year Nephrology Fellows

Haritha Karuparti, MD
Chief fellow
Residency: Houston Methodist Hospital, 2015
Medical School: Andhra Medical College, India, 2010

Samer Mohandes, MD
Residency: Wright State University School of Medicine, 2014
Medical School: University of Aleppo Faculty of Medicine, Syrian Arab Republic, 2009

Robin Shah, Do
Residency: The Christ Hospital Health Network, 2015
Medical School: Kansas City University of Medicine and Biosciences, 2012

Vahagn Zakaryan, MD
Residency: Canton Medical Education Foundation - NEOMED, 2016
Medical School: Universidad Veracruzana Facultad de Medicina Veracruz, 2005

First Year Nephrology Fellows

Eshetu Obole, MD
Residency: Wright State University, 2013
Medical School: Jimma University College of Public Health and Medical Sciences, Ethiopia, 2003

Gerardo Franco Ahumada, MD
Residency: Canton Medical Education Foundation - NEOMED, 2016
Medical School: Universidad Veracruzana Facultad de Medicina Veracruz, 2005

Jonathan Ducastel, MD

Residency: The Ohio State University Wexner Medical Center, 2016
Medical School: Michigan State University College of Human Medicine - Kalamazoo Campus, 2013

Mohammad Katout, MD

Residency: McLaren Regional Medical Center, 2011
Medical School: University of Damascus Faculty of Medicine, Syrian Arab Republic, 2002

Jessica Nelson, MD
Residency: Geisinger Medical Center, 2016
Medical School: Marshall University Joan C. Edwards School of Medicine, 2012

Nephrology Fellowship Team