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March 27, 2013

Where Have All the Nephrologists Gone? Long Time Passing!


3 Comments to “Where Have All the Nephrologists Gone? Long Time Passing!”

  1. Paul Friedmann MD said,

    March 27, 2013 @ 9:20 pm

    There is one other thing that is gone, $$$$$. When you consider the complexity of the physiology, the multiple co-morbidities, the amount of office time needed to address these issues, then add the poor reimbursement, why would anyone choose Nephrology. If you took away medical director salaries, and had to rely on income from clinical practice alone, most of us would no longer be practicing in the field.

    My mentor, the late Dr. Geoffrey M. Berlyne, whose thoughts and ideas were decades ahead of his time, said one word to meto me when I told him I was going to be a Nephrologist, “Why”.

  2. Santosh Parekh said,

    September 27, 2013 @ 2:23 pm

    I completely agree with Dr. Friedmann. After spending 2 years on Nephrology Fellowship – starting salaries are around 1,80,000. Even hospitalizes earn around 2,50,000 and subspecialties earn even more. So why would anyone want to be a Nephrologist?

  3. isaac gorbaty said,

    January 30, 2015 @ 10:05 am

    When I trained in Nephrology in 1977-79 I attended the ASN meeting and heard a lecturer say that all the Nephrologists needed for the next 20 years were already in pipeline. Basic Nephrology has not changed in 40 years. There is a huge oversupply of Nephrologists in urban America who are not practicing Nephrology. there are 16 or more Nephrologists on staff at each of the 3 community hospitals I am on staff at. I am shocked that it took over 30 years for the doctors in training to wise up.


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