The Division of Pediatric Nephrology is a group of five Pediatric Nephrologists working with a dedicated team of specialist nephrology nurses, a dietician, a social worker, a psychologist, and administrative professionals to provide care to children with a wide range of kidney diseases. The conditions we treat include urinary tract infections, congenital anomalies of the kidneys and urinary tract, glomerulonephritis, nephrotic syndrome, hypertension, genetic renal diseases, and electrolyte disorders, among others. We have active hemodialysis, peritoneal dialysis and kidney transplantation programs. We also provide continuous renal replacement therapy, plasmapheresis, red blood cell exchange, and white blood cell depletion therapies. We have expertise in a wide range of immunosuppressive and immunomodulating therapies, including new biologic agents.
Our team provides both inpatient and outpatient care to children from across Quebec. The Nephrology team cares for inpatients admitted under the Nephrology service and provides consultation services hospital-wide (Montreal Children's Hospital). Nephrology clinics, including general nephrology, kidney transplantation, dialysis, chronic kidney disease, and multidisciplinary clinics focusing on transition from pediatric to adult care run four mornings per week in the A2 South clinic area. We also maintain Outreach clinics in Chicoutimi and in Gatineau, and provide care to Indigenous and other communities in remote Northern Quebec in collaboration with general pediatricians serving the communities and using Teleheath facilities.
The Montreal Children’s Hospital (MCH) is one of the ‘cradles’ of pediatric nephrology. Dr. Keith Drummond, the first pediatric nephrologist in Canada and one of the founding fathers of the speciality, practiced at the Montreal Children’s Hospital from 1964 to 2001. Dr. Drummond made many important contributions to the specialty including pioneering the use of the diagnostic renal biopsy. He was also among the first to use immunosuppressive agents to treat glomerular disease.
The MCH Division of Pediatric Nephrology also initiated the first Renal Genetics program in 1980. This program remains strong today, with the expertise of Dr. Paul Goodyer and Dr. Indra Gupta.
The Pediatric Nephrology Subspecialty Residency Program was started by Dr. Drummond in 1964 and remains active today. Graduates of our training program are practicing in almost all Canadian pediatric nephrology programs, as well as in the USA, Switzerland, Australia, Jamaica, Kuwait, Saudi Arabia, and the UAE.
The Division of Pediatric Nephorlogy has an exceptionally strong group of researchers, with three of the five Nephrologists (Drs. Foster, Goodyer and Gupta) having active and successful research programs. All three Clinician-Scientist Nephrologists have a strong track-record of peer reviewed external funding (CIHR, KFOC and NIH) and supervise graduate students and residents in research projects. Two are Basic Scientists (Drs. Goodyer and Gupta) and one is an Epidemiologist (Dr. Foster) with experience running clinical trials.
The Division has also led the way in the care of young people transitioning to adult care. Dr. Lorraine Bell leads transition care at the MUHC and runs both a specialized nephrology transition clinic and a young adult transplant clinic.
Dr. Gaudreault-Tremblay has expertise in patient safety and quality improvement.
The Division has a very successful residency training program that is consistently positively reviewed by trainees. Under the leadership of Dr. Gupta, the training program is tailored to the needs of each trainees. Trainees are assigned an Academic Advisory Committee to help guide them in seeking the appropriate training to support their academic and career goals. Trainees meet at least twice per year with the advisory committee to review progress and plan the next stages of their training to ensure that gaps are filled. Trainees are provided mentorship and career counselling as well.
Dr. Lorraine Bell, Director of Kidney Transplantation
Dr. Bethany Foster, Chair of the Department of Pediatrics
Dr. Marie-Michele Gaudreault-Tremblay, Subspecialty Residency Program Director
Dr. Paul Goodyer, Director of Dialysis
Dr. Indra Gupta, Division Director