I have finished fellowship recently and now i am in private practice.
I would say having a good transplant experience is important, the practice that i am working at has good relationship with other transplant centers and usually they release their patients to community nephrologist after 1 year. That means, you will be managing cellcept, tacrolimus, diagnosing rejection and opportunistic infections so on so forth. Transplant centers are really busy, so they release their patients to community. Having a good transplant education will set you apart and that way you can also keep your patients even after transplant.
I would also get a good training in home dialysis modalities, PD and home hemo. There is a big trend in home dialysis, it is better for patient, especially young patients. It will set you apart if you get good training in these.
I see a lot of GN in my practice. We got an OK training in GN. Wish i had a better education in it. We had a GN clinic but i did not spend enough time, i also did not get enough onconephrology exprience, wish i had more exprience in it. If they have a structreded training in these, that would be helpful. There is glomcon which is helpful for this, but seeing patients is more important.
I really liked CRRT, but i think my program was overkill in this area. We were trained in citrate and used prismaflex. I wish i had more education on SLED and nextstage. Maybe having an option to get trained in these machines is something you can ask. If you want nephro crit, thats another story.
For fellowship training.
We had a very busy program, i think having a night float is a must. I would look for program that has night float. I would look for a program thats open to change, no program is perfect but i would like to see a program that can change and adopt. I would not go to a program that fellows are placing vascath, that is not needed.I would also not go to a program that kidney bx is being done by fellows. After 10 kidney bx, you just want to get it done.
I would say, future of interventional nephrology seems bright especially with value based care, so if interested in procedures, i would ask about learning these opportunities.
You can pick any program you want, so i would look for the best, first year is busy in each program, but it is what it is. I would also think about area you want to practice, would pick a program where you want to practice.