Within a health system, multiple center types, provider specialties, and education strategies are needed for best implementing genetics in nephrology. A three-tiered organization model includes 1) a basic, common level of knowledge in genetics among all nephrologists, 2) clinical connections between nephrologists and geneticists and genetic counselors, and 3) centers of expertise where nephrologists with genetic expertise collaborate with geneticists and genetic counselors. CME, continuing medical education.