Geriatric nephrology the median age of patients starting dialysis is 64.8 years old, yet the fastest growing segment of the dialysis population is 75 years and older. Geriatric nephrology emphasizes early identification and aggressive intervention, as well as the incorporation of geriatric and palliative care principles that emphasize independence and functionality. Geriatric nephrology Geriatric nephrology is the branch of internal medicine and geriatric medicine that deals with diseases of the kidney It is a growing subspecialty of geriatrics. Patients who are living longer may acquire diseases that accelerate chronic kidney disease, which often remains undetected until patients are confronted with the sudden
Nephrology "adult nephrology". The second pathway is through Pediatrics leading to a speciality in Pediatric Nephrology. In the United States, after medical school adult nephrologists complete a three-year residency in internal medicine followed by a two-year (or longer) fellowship in nephrology. Complementary to an adult nephrologist, a pediatric nephrologist will complete a three-year pediatric residency after medical school or a four-year Combined Internal Medicine and Pediatrics residency. This is followed by a three-year fellowship in Pediatic Nephrology. Once training is satisfactorily completed, the physician is eligible to take the American Board of Internal Medicine (ABIM) or American Osteopathic Board of Internal