Clinical Training

Pediatric Rheumatology Inpatient Consult Service

  • We serve as a consult-only service at Mott Children’s Hospital
  • The most senior fellow is responsible for the fellows’ on-call schedule, with support provided by the program director.
  • First-year fellows will be on call for 2 weeks each month for a total of 24 weeks.
  • Senior fellows will be on call for a total of 4-8 weeks per year. This can be tailored to each individual’s career plan.

Outpatient Pediatric Rheumatology Continuity Clinics

  • Fellows will follow their own panel of patients in the fellows' continuity clinic (1/2 day each week). This will be staffed by 1-2 rotating attendings to ensure exposure to all of the Pediatric Rheumatology Core Faculty over time.
  • Each first-year fellow is expected to attend 1-2 attending clinics each week to gain further outpatient exposure and for longitudinal exposure to 1-2 clinical mentors.

Arthrocentesis with Intra-Articular Injection of Steroids (joint taps)

    • Throughout training, fellows will perform joint taps on their own continuity patients, with direct supervision by the attending staffing on that particular date. These may occur in clinic without sedation, or in the procedure room with sedation.
    • First year fellows will be expected to participate in all joint taps that occur in the procedure room with sedation, as is possible within the limitations of other clinical and research/scholarly activity responsibilities.
    • Senior fellows who desire additional experience may participate in joint taps for patients with a different primary pediatric rheumatologist as desired and possible within the limitations of other clinical and research/scholarly activity responsibilities.

Supplemental Outpatient Clinics

  • First-year fellows will participate in the monthly Interdisciplinary Systemic Inflammation Clinic (ISIC) and the monthly Juvenile Myositis Clinic. First year fellows are also expected to participate in the Immuno-Hematology clinic throughout their first year.
  • Senior fellows will attend the Interdisciplinary Systemic Inflammation Clinic (ISIC) and the Juvenile Myositis Clinic as is possible to maintain continuity of care within the limitations of other clinical and research/scholarly activity responsibilities. Participation in the Immuno-Hematology clinic is optional.
  • Senior fellows will attend additional clinics of their choice to supplement their continuity clinic and work towards their career goals.

Patient care experiences are complemented by a variety of educational sessions.

  • Pediatric Rheumatology Sign Out Meeting (weekly consult sign out meeting and patient care conference)
  • Pediatric Rheumatology Fellowship Core Conference Series with integrated Journal Club (weekly)
  • Adult Rheumatology Fellowship Core Conference Series (weekly)
  • Adult Rheumatology Grand Rounds (weekly)
  • Adult Rheumatology Journal Club (monthly)
  • Department of Pediatrics Grand Rounds (weekly)
  • Department of Pediatrics Fellow Core Conference Series (quarterly)