Curriculum Link

In order to achieve the goals and objectives for the fellowship program, the following experiences have been established for the purpose of teaching rheumatology fellows. These methods include: (1) the inpatient rheumatology experience, (2) the outpatient rheumatology experience, (3) interaction with other clinical specialties, (4) conferences, (5) research experience, and (6) continuing medical education and society participation.


    • Outpatient Clinic
      Fellows evaluate and follow a variety of new patients while developing a patient panel they will follow during the second and third years. For each patient the fellow has an hour to evaluate the new history, physical exam, laboratory studies and develop an assessment and plan. Teaching is a priority and feedback immediate. Outpatient rotations are arranged in Immunology Dermatology, Rehab Orthopedics, and Adult Rheumatology Nephrology Clinics.
    • Inpatient Service
      During 6-8 months the fellow conducts inpatient rounds and consultations, teaches residents, and ensures all patient care plans are carried out. Telephone consultations are performed for primary care physicians from all over the Northwest and Alaska.
    • Joint Injections
      Fellows perform between 2 and 10 joint injections per month in clinic and in the outpatient procedure center while the patients are under general anesthesia.
    • Education and Research
      Two mornings each week are dedicated to education. Fellows attend Rheumatology Grand Rounds, Journal Club, and Fellows Lectures. Weekly Rheumatology Team Meetings and Morbidity/Mortality conferences are held during which the fellows present patient histories for discussion. Extra time is spent reading and meeting with potential research mentors. Fellows attend the annual meeting of the American College of Rheumatology each Fall.

    Fellows solidify clinical and team leadership skills. Fellows develop research skills through conducting a project in either basic/translational laboratory investigation or clinical investigation. Each fellow develops a hypothesis-driven research project culminating in publication of a manuscript or grant proposal.
    • Outpatient Clinic
      During one-half day continuity clinic each week the fellow monitors patient panel collected during year one.
    • Inpatient Service
      Eight weeks “pretending”, in which fellows take major responsibility for patient care; with supervision and teaching of the residents and first year fellow, in consultation with the attending physician.
    • Education and Research
      Basic/Translational Research Track:
      The fellow identifies a mentor and laboratory, and works during the first year to develop a research plan to be implemented in the second and third years. Laboratory research may be conducted at ECC or CHOA.