Department of Medicine
Division of Rheumatology Fellowship Program
Nancy Y.N. Liu, M.D., Fellowship Program Director
The goal of our fellowship is to provide our trainees with a broad foundation in clinical rheumatology and the appropriate skills required to practice independently as an adult rheumatologist in an academic or private clinical setting. The training over a two- year period has the following objectives: 1) acquisition of clinical competencies needed to evaluate and care for patients with rheumatic diseases; 2) development of skills to communicate and function as a consultant, member of a multi-disciplinary team, or primary provider; 3) establishment of lifelong, self directed learning skills to acquire new knowledge and the ability to incorporate them effectively into practice and health care systems; 4) promoting professionalism in interactions with patients, colleagues, administrators and health care organizations; 5) acquisition of the skills necessary for critical evaluation of research results through understanding of the steps in research methodology through individual project and journal review.
Each fellow has three continuity clinics based at UMMMC for the two years, and a VA outpatient clinic in the second year that substitutes for one UMMMC based clinic. Fellows have direct responsibility for their patients, providing ongoing care under the supervision of an attending preceptor at each clinic. Inpatient consults are shared amongst the first- and second-year fellows on a rotating monthly basis. During the inpatient consult months, the fellow is responsible for the supervision of residents and medical students rotating on the rheumatology service. The fellowship curriculum also includes rotations in 1) rehabilitation medicine; 2) sports medicine; 3) pediatric rheumatology; 4) hand service clinic; and 5) musculoskeletal imaging. In addition, the fellow is expected to develop a focused clinical research project over the two years that culminates in a presentation. Our division is also initiating training in the application of MSK ultrasound. Evaluation of the trainee is multi-dimensional and includes verbal feedback from supervising attendings; E*value; chart review; mini- CEX; annual inservice exam; ROSCE (under development) and annual evaluation committee summary.
Currently, our division has funding for four positions in the two year clinical fellowship. Thus two fellowship positions are offered each years. Our graduating fellows have continued in academia as clinical faculty or established private practices throughout the country.
Schedule for recruitment activities:
1. Our fellowship participates in ERAS and the national “Match” that occurs in December
2. ERAS applications are reviewed starting September 15
3. Deadline to submit ERAS application is September 15
4. Interviews start in September and continue through November
5. Candidates are chosen based on their academic achievement, letters of recommendation, and standardized test scores. Research and publications are not required but highly encouraged.