
Renal care,
practised as a discipline.
Twenty-five years of nephrology, dialysis leadership and academic medicine across Jamaica — directed by Dr. Roger N. Smith, MBBS, DM, FACP, Head of Nephrology at Spanish Town Hospital and Lecturer at the University of the West Indies.

MBBS, DM, FACP · Consultant Nephrologist
Three clinical bases, one standard of care.
Localized, state-of-the-art renal treatment, hospital protocols and patient education across dedicated pathways in Kingston, Spanish Town and Mandeville.



For patients with particular needs.
Custom emergency intake procedures and an international vacation-dialysis reservation network, coordinated directly by Dr. Smith’s clinical office.
Emergency triage & intake
Rapid intake and emergency dialysis pathways are coordinated 24/7 through Kare KONEC Urgent Care Centre.
(876) 715-4593 · (876) 715-4591Urgent intake guidelinesInternational vacation dialysis
Reserve advanced dialysis treatment slots while you holiday in Jamaica — coordinated by Dr. Smith, informed by Harvard renal board reviews and Panama transplant rotations.
Book travel treatmentAcademic legacy & institutional affiliation.
Deeply integrated within Jamaica’s medical registry and continuing-education system, providing academic mentorship to undergraduates and residency scholars at the University of the West Indies.
Brigham Renal Board Review
Completed the Brigham Renal Board Review Course and “Nephrology: A Case-Based Approach” at the Harvard School of Continuing Medical Education.
Transplant rotations
Supervised postgraduate clinical rotation in Transplant Nephrology at Caja de Seguro Social — bringing international safety profiles home to UWI.
Research, translated for patients.
Understanding the new kidney treatment & the ACHIEVE Trial
How the landmark ACHIEVE Trial study of an aldosterone blocker is offering new hope for protecting residual kidney function.
Lupus NephritisThe outcomes & registries of lupus nephritis in Jamaica
Findings from the Jamaica Lupus Registry translated into readable insight on disease progression, symptoms and self-care.
Chronic Renal FailureUnderstanding chronic renal insufficiency & prevention
A clear clinical deep-dive on chronic renal failure in Jamaica — the diabetes/hypertension correlation and kidney-function checks.
Diabetes & GeneticsDiabetes, kidney disease and the genes behind them
How inherited risk shapes diabetic kidney disease — and what early surveillance can do to change the course.