Nephrology Fellowship

Nephrology Fellowship
Application Opens | July 2, 2025
Next Start Date | July 1, 2026
The Division of Nephrology and Hypertension at TTUHSC offers options in both a two-year ACGME accredited fellowship in Nephrology and a three-year CGME accredited fellowship in Nephrology/Critical Care. The strength of our nephrology program lies in its dedication to developing a well-rounded trainee versed in clinical acumen, research, social determinants of health, and career development to tackle the next step of their career confidently.
Serving as the only trauma 1 hospital in West Texas, we are the premier institution and tertiary referral center for this large catchment area. Additionally, our hospital network as a whole is actively expanding and offering new service lines allowing us to bring in more expertise and complex patients for you to learn from. As a result, we not only see a wide range of pathology, but a wide spectrum of disease presentation and barriers to delivering care to our complex and diverse patient population.
The size of our Division allows us to welcome you as a part of our family and get personalized attention in your areas of interest. Each of our faculty has a wide breadth of interests and expertise to learn from.
Information for Applicants
All applications are processed through ERAS (Electronic Residency Application Service) only. We participate in the NRMP Match. Applications will be reviewed and selected applicants will be contacted to schedule interviews.
Inquires concerning the Nephrology Fellowship can be directed to the program coordinator.
Application Check List:
- ERAS Application
- ERAS Addendum Form (only needed upon invitation for an interview)
- Personal Statement
- Curriculum Vitae (in chronological order with no gaps)
- Dean's Letter
- Medical School Transcript
- 3 Letters of Recommendation
- Notarized copy of Diploma (only needed upon invitation for interview)
- Program Director's Letter/Certification (if had previous residency training in the U.S.)
- Copy of State License (if applicable)
IMG (International Medical Graduates) Additional Requirements
- Only accepts J-1 Visa
- No US clinical experience required but is preferred
- Must have ECFMG certificate at interview
- Clerkship Affidavit (only needed upon interview invitation)
- Valid ECFMG Certificate (required BEFORE invited for interview)
- Authorization form for confirmation of ECFMG certification (only needed at interview)
*TTUHSC does not accept H-1 Visa
*These amounts are for the Lubbock Campus only. Please contact TTUHSC Amarillo and TTUHSC Permian Basin for their salary information.
| Year | PGY1 | PGY2 | PGY3 | PGY4 | PGY5 | PGY6 | PGY7 |
|---|---|---|---|---|---|---|---|
| 2025-2026 | $65,764.23 | $67,250.96 | $69,374.62 | $72,532.94 | $74,685.79 | $76,841.81 | $78,997.84 |
| 2024-2025 | $63,725.03 | $65,165.66 | $67,223.47 | $70,283.84 | $72,369.95 | $74,459.12 | $76,548.30 |
| 2023-2024 | $61,570.07 | $61,570.07 | $64,950.21 | $66,936.99 | $68,923.76 | $70,913.45 | $72,903.14 |
| 2022-2023 | $58,918.73 | $60,250.71 | $62,153.31 | $64,054.53 | $65,955.76 | $67,859.76 | $69,763.77 |
| 2021-2022 | $57,202.65 | $58,495.83 | $60,343.02 | $62,188.87 | $64,034.71 | $65,883.26 | $67,731.82 |
| 2020-2021 | $55,536.56 | $56,792.07 | $58,585.46 | $60,377.54 | $62,169.63 | $63,964.33 | $65,759.05 |
Additional Benefits Include:
- Malpractice Insurance
- Aggregates are $100,000 per incident and $300,000 annual aggregate. Professional Liability Division website or call 806.743.9921
- Health Insurance
- Group Health/Dental/Vision insurance for residents and eligible dependents.
- Workers' Compensation
- Vacation
- Vacation is approved for not more than 15 working days for PGY 1 and 2 and not more than 20 working days for PGY-3 and above.
- Leave
- Sick leave for up to 12 working days per year
- Family and parental leaves of absence (see also US Department of Labor Employment Standards Administrative - FMLA)
- Educational leave
- Military leave not to exceed 15 work days per year.
- Retirement & Savings
- Residents and fellows are not eligible for TTU System's 401K plan but can participate in the Optional Retirement Program (ORP) the Tax-Deferred Account Program (TDA). More information will be provided upon starting your program.
Specific information pertaining to benefits is found in the House Staff Policies and Procedures.
Nephrology PGY4 and PGY5
For Nephrology applicants, we offer a two-year ACGME accredited fellowship designed to provide outstanding clinical training in a diverse and supportive learning environment. You will have a balance between inpatient and outpatient duties exposing you to the breadth of Nephrology. For Nephrology/Critical Care applicants, we offer a three-year ACGME accredited fellowship. Your first two years will be focused on Nephrology under the Division of Nephrology and Hypertension while your last year will be focused on Critical Care under the Division of Pulmonary and Critical Care.
We have two inpatient consult services that you will rotate through: AKI and ESKD/Transplant. Our ESKD service will also manage any kidney transplant patients that are admitted to the hospital. The inpatient Nephrology service does not admit patients; we are solely a consult service.
Our outpatient experience is quite extensive with participation in various clinics (e.g., Fellow's Clinic, Pre-Transplant Clinic, Post-Transplant Clinic, Onconephrology Clinic, CKD5 Clinic, and Faculty Clinic). You will also be involved with outpatient dialysis management through Comprehensive In-Center Hemodialysis Rounds, Quality Assessment and Performance Improvement Medical Director Meetings, and Home Dialysis Clinics.
To provide a full and enriching transplant experience, all second year fellows will be sent to the University of Texas Southwestern for one month to gain an additional experience in inpatient and outpatient transplant.
Nephrology Rotations:
PGY4: Nephrology and Nephrology/Critical Care Applicants
| 4 months | Consult: AKI |
| 4 months | Consult: ESKD/Transplant |
| 3 months | Outpatient |
| 1 month | Research |
PGY5: Nephrology Applicants
| 3 months | Consult: AKI |
| 2 months | Consult: ESKD/Transplant |
| 4 months | Outpatient |
| 1 month | Research |
| 1 month | University of Texas Southwestern Transplant |
| 1 month | Outpatient or Elective |
PGY5: Nephrology/Critical Care Applicants
| 3 months | Consult: AKI |
| 2 months | Consult: ESKD/Transplant |
| 4 months | Outpatient |
| 1 month | Research |
| 1 month | University of Texas Southwestern Transplant |
| 1 month | MICU Elective |
Critical Care PGY6
For additional detailed information regarding the Critical Care Program, please click here.
Nephrology/Critical Care Applicants:
| 6 months | MICU |
| 1 month | Anesthesia |
| 1 month | Neuro ICU |
| 1 month | Research |
| 2 months | Elective |
| 1 month | Cardiac ICU |
Didactics will be broadly broken down into two categories: medical knowledge and career development.
Medical Knowledge: This series will provide foundational concepts to prepare you for the Boards and clinical
practice as a competent nephrologist. Each month will be broken into specific learning
competencies identified by the ABIM Nephrology Blueprint to provide a focused and
deliberate education. For example, one month will be focused on Chronic Kidney Disease
topics while the next month will cover Glomerulonephritis topics. We will deliver
this series through a variety of lectures:
- Professor Lectures
- Biopsy Conferences
- Journal Club
- Nephrology Grand Rounds
- Book Club
- M&M Conferences
- Research Presentations
Career Development: This series will focus on the business of nephrology. Our goal at Texas Tech is to provide you with a holistic education, which includes the foundational knowledge to navigate your career successfully and achieve your professional goals.
- Faculty Development Academic Series: Through a partnership with the Office of Faculty Development, we will explore topics to become a successful academic nephrologist.
- Private Practice Series: Through a partnership with Fresenius, we will explore concepts like market analysis, medical directorship, and investment opportunities as a nephrologist.
- Miscellaneous: We will invite other experts in their fields to discuss general financial literacy, billing, and insurance topics.
Additionally, we will support second year fellows attendance at ASN Conference to further develop their exposure to the growing field of Nephrology.
Our program is dedicated to training compassionate nephrologists who combine scientific curiosity with clinical excellence. Fellows engage in a broad range of experiences serving a diverse patient population across West Texas and Eastern New Mexico.
Through hands-on clinical exposure our fellows graduate fully prepared to advance kidney health and lead with integrity in academic and clinical medicine.

Mareena Zachariah, MD
Professor
Program Director
Teaching Sites
Texas Tech University Health Sciences Center (TTUHSC)
TTUHSC educates students, provides patient care and conducts biomedical and clinical research. We graduate the most health care professionals in the state of Texas. Nationally recognized for innovative programs, academic achievement, and our cutting-edge research, we are training the next generation of highly qualified health professionals. To date we have trained more than 42,000 health care professionals who are serving patients and driving medical discovery in tangible, life-changing ways – both for the 10 million people in our immediate service area and around the world.
University Medical Center (UMC)
University Medical Center (UMC) is a 500-bed hospital. It is a public, non- profit facility that serves as the primary teaching hospital for the Texas Tech University Health Sciences Center. UMC also includes a children's hospital with Level IV NICU, a family-centered birth center, a regional burn center, and the region's only Level 1 Trauma Center. Wile at UMC, TTUHSC Family Medicine residents take care of hospitalized adults & children, work in the critical care units, and provide family-centered maternity care in labor & delivery.
Fresenius Kidney Care Center
You will gain experience working with the world's largest kidney dialysis company. We have multiple Fresenius Kidney Care Centers we service in the greater Lubbock area, which you will rotate at and gain the knowledge and experience to become an expert in dialysis. You will also be part of our monthly Quality Assessment and Performance Improvement meetings to gain insight into being a Medical Director.
University of Texas Southwestern Medical Center
We have partnered with the University of Texas Southwestern Medical Center in Dallas, Texas, to send our second-year Nephrology Fellows on a four-week away rotation to experience the full spectrum of kidney transplant. Fellows will gain valuable insight into the peri-operative kidney transplant period, complications of kidney transplant management, and exposure to kidney complications of other organ transplantations.
Quality Improvement & Research Opportunities
All fellows will be required to participate and expected to complete a Quality Improvement Project during their Nephrology training.
Additional research endeavors (e.g., retrospective studies, case reports, Journal Review articles, etc.) are highly encouraged at TTUHSC to develop your clinical expertise and CV. If a fellow is interested with bench research, there are additional opportunities to get involved with Dr. Prabhakar's lab or other labs pending your specific interests. We will help build a customized experience for you!
See what Lubbock has to offer!
Lubbock, home to over 252,500 residents and Texas Tech University’s 36,550 students, blends the energy of a thriving city with the charm of a cozy college town. Known worldwide as the birthplace of rock pioneer Buddy Holly, the city offers world-class arts, museums, entertainment, and a vibrant cultural scene. Outdoor enthusiasts enjoy abundant sunshine, recreational lakes, top-ranked golf courses, and easy access to hiking, fishing, and camping in nearby New Mexico. With a strong economy, low housing costs, excellent schools, and the High Plains wine region nearby, Lubbock is a dynamic hub for culture, education, and adventure.
Explore life in Lubbock and see why it’s a great place to live, work, and play here.
Faculty
Meet our accomplished, ABIM-certified faculty, whose diverse specialties and talents advance education and serve the Lubbock community and beyond here.
Fellows
View our current fellows and alumni of the Texas Tech Cardiology Fellowship here.
Staff
Learn more about the Internal Medicine Education staff here.
Got Questions?
We're here to help. Contact us if you have questions.

Mareena Zachariah, MD
Professor
Program Director

Leo Yamaguchi, MD
Assistant Professor
Associate Program Director

Tracy Treviño
Program Coordinator, Gastroenterology & Nephrology Fellowships
Phone: 806.743.9886
Fax: 806.743.3143
3601 4th St. MS 9410
Lubbock, TX 79430