Consultative Nephrology

The entire spectrum of clinical nephrology is managed by the consultative services at Jackson Memorial Hospital, University of Miami Hospitaland Clinics, the Sylvester Cancer Center, and the Bruce W. Carter Department of Veterans Affairs Medical Center. The attending nephrologist and renal fellow see patients with complex presentations of acute and chronic renal failure, acute glomerulonephritis, challenging electrolyte disorders, renal disease in the obstetrical patient, and renal failure in the Intensive Care Unit. State-of-the-art renal replacement therapies, including continuous modalities of dialysis, are available for the critically ill patient with renal failure. Over 750 acute dialysis treatments are performed each month at Jackson Memorial Hospital alone. Outpatient clinics take place at Jackson Memorial Hospital and the VA Medical Center, ensuring a broad exposure to outpatient nephriology care.

Outpatient Dialysis

The division cares for over 450 patients with end stage renal disease (ESRD) receiving maintenance dialysis. Patients are treated in one of four university- affiliated dialysis clinics located throughout Miami-Dade County. The largest facility, conveniently located on campus, provides care for 200 hemodialysis and 80 peritoneal dialysis (PD) patients. The University of Miami PD program is an active teaching program, and patients are followed by a nephrology fellow and attending physician. Through our partnership with DaVita Healthcare and the Baxter Corporation, we have been able to provide an integrated program of patient education and clinical care that allows the patient to make an informed and appropriate choice of renal replacement therapy. Attending physicians in the division are both medical directors of the dialysis clinics and primary providers of care for many of the ESRD patients in our units. Fellows follow hemodialysis and peritoneal dialysis patients longitudinally in the on-campus units in their second year of training.


The Kidney Transplant Program at the University of Miami School of Medicine/Jackson Memorial Medical Center performs over 250 kidney and combined kidney-pancreas transplants annually. A team of four surgeons, four transplant nephrologists, a transplant nephrology fellow, and seven nurse coordinators offer state-of-the-art patient care in combination with innovative research initiatives. The availability of laparoscopic donor nephrectomy for living donor kidney transplantation has resulted in a shorter hospital stay and recovery period for our living donors. The successful combination of patient care and research has allowed this program to achieve success that is recognized on a national level. Recent statistics about the local wait list as well as patient and graft survival are available from the Scientific Registry for Transplant Recipients (center code: FLJM). The extrarenal transplant programs (liver, small bowel, heart, and lung) are also very busy and present diagnostic and management challenges for the nephrology service. The nephrology transplant fellowship program is directed by Dr. Giselle Guerra.