Nephrology foundation year posts (FY1 and FY2) and core medical training (CMT) and passed the Membership of the Royal College of Physicians (MRCP) exam before competing for a National Training Number (NTN) in renal medicine. The typical subspecialty training is five years and leads to a Certificate of Completion of Training (CCT) in both renal medicine and general (internal) medicine. Subspecialty trainees often interrupt their clinical training to obtain research degrees (MD/PhD). Nephrology training can be accomplished through one of two routes. The first pathway is through an internal medicine pathway leading to an Internal Medicine/Nephrology specialty, and sometimes known as
Four Organs a combination of "loud cheers, loud boos, and whistles." A 1973 performance of "Four Organs" at Carnegie Hall in New York City nearly caused a riot, with "yells for the music to stop, mixed with applause to hasten the end of the piece." One of the performers, Michael Tilson Thomas, recalls: "One woman walked down the aisle and repeatedly banged her head on the front of the stage, wailing 'Stop, stop, I confess.'" References Four Organs Four Organs is a work for four electronic organs and maraca, composed by Steve Reich in January 1970. The four organs harmonically expound a