Job Description:

A nephrologist is a medical doctor who specialises in the diagnosis and treatment of kidney-related diseases and disorders.

Job Category:
Health Care & Social Assistance

What you will do:

Here are the key responsibilities and activities typically associated with the role of a nephrologist:

  • diagnosing and evaluating various kidney-related conditions, including chronic kidney disease (CKD), acute kidney injury (AKI), glomerular diseases, kidney stones, and electrolyte imbalances
  • take detailed medical histories
  • conduct thorough physical examinations to assess kidney function and identify potential underlying causes of kidney problems
  • order and interpret a variety of laboratory tests, including blood tests, urine tests, and imaging studies
  • develop individualised treatment plans
  • prescribe medications to control blood pressure, manage electrolyte imbalances, and treat underlying causes of kidney damage
  • manage of dialysis
  • work closely with transplant surgeons and coordinate the care of patients before and after kidney transplantation
  • assess potential transplant candidates, manage immunosuppressive medications, and monitor the health of transplant recipients
  • educate patients about their kidney conditions, treatment options, and the importance of lifestyle changes


You’ll need:

  • knowledge of medicine
  • science skills
  • to be able to use a computer and the main software packages competently
  • medical skills

As well as:

  • counselling skills including active listening and a non-judgemental approach
  • sensitivity and understanding
  • the ability to accept criticism and work well under pressure (adaptability skills)
  • the ability to use your judgement and make decisions (leadership skills)
  • thinking and reasoning skills
  • patience and the ability to remain calm in stressful situations
Illustration of employee looking at workspace

Entry Requirements:

To become a Nephrologist, you will typically follow a long educational path that includes undergraduate and medical school education, as well as specialised training in nephrology. While there are no specific GCSE (or equivalent) subject requirements for becoming a Nephrologist, excelling in certain subjects and developing specific skills during your education can be highly beneficial. Here are the subjects and skills to consider:

  1. Sciences: Biology, Chemistry, and Physics are valuable as they provide a strong foundation in the sciences. These subjects will be particularly relevant when you pursue higher education in medicine.
  2. Mathematics: Mathematics is important for various scientific calculations and data analysis, which you’ll encounter during your medical studies and practice.
  3. English: Strong written and verbal communication skills are essential for documenting patient histories, explaining medical conditions to patients, and collaborating with healthcare teams.

Post School

You will need to earn a bachelor’s degree in a related field, such as biology, chemistry, or biochemistry. However, many aspiring nephrologists choose to complete a bachelor’s degree in medicine (MBBS or MBChB) directly, which combines undergraduate and medical school education.

Medical School
Upon completing your bachelor’s degree, you will attend medical school. Medical school programs typically last for five to six years and include both classroom studies and clinical training.

Foundation Training
After medical school, you will undergo foundation training, which is a period of supervised medical practice that provides exposure to various medical specialties. This typically lasts for a few years.

Specialty Training in Nephrology
To become a nephrologist, you will need to apply for a nephrology training program, often referred to as a nephrology fellowship. This specialised training can take two to three years and focuses on nephrology-related topics.

Career Tips
Throughout your educational and training journey, it’s important to maintain a passion for medicine and a genuine interest in the field of nephrology.

Working Hours and Environment:

Typically you could work 42 to 48 hours a week, including evenings, nights, weekends, or holidays.

You could work in a public or private hospital.

Your working environment may be physically and emotionally demanding.

You may need to wear a uniform.

Career Path & Progression:

  • Nephrologists can pursue a variety of career paths, including working in private practice, academic medical centres, hospitals, or government healthcare agencies.
  • Some nephrologists choose to focus on clinical practice, while others combine clinical work with research and teaching responsibilities.
  • Some nephrologists choose to further specialize in areas such as pediatric nephrology, interventional nephrology, or transplant nephrology through additional fellowships or training.