Rheumatology Fellowship Program

The University of Louisville Division of Rheumatology is a fully accredited, two-year training program that seeks to develop physicians to prepare them for a career in clinical rheumatology, first providing excellent clinical care for individual patients and then, in the second year focusing particularly upon management of panels of patients.

The focus upon panels of patients and reporting and improving their outcomes, is intended to facilitate full participation in the leadership of accountable care organizations. The rheumatology fellowship program trains rheumatologists to be successful in all fields, as academic clinician educators, in private practice, or as physician-scientists after additional training. We focus on Accreditation Council of Graduate Medical Education (ACGME) core competencies to provide excellent patient care as the sine qua non upon which the remainder of an individual fellow’s program is built.

FACULTYTRAINING FACILITIESRESOURCES


GOALS

Fellow teaching studentsThe two central goals of this program therefore are:

  1. To provide the opportunity for mastery of disciplines, basic and clinical, which play roles in the improvement in outcome for patients with rheumatoid arthritis and the other immune mediated inflammatory illnesses.
  2. To provide the broadest possible exposure to other aspects of rheumatology in preparation for both clinical practice and further research training.

In the curriculum an additional, third, instrumental goal serving the preceding two main goals for each fellow is that he or she will become the most sophisticated reader of clinical literature possible.

Achievement of this third goal is equally important and valuable for those destined for predominant roles as clinical teachers (40% of the program's graduates), scientists/clinical researchers (10%), or pure clinicians (50%).

Attainment of this third goal is highly dependent upon the conference curriculum of five (5) conferences per week, and upon a critical mass of peer relationships.


FACULTY

Dr. Moore in officeOur faculty provide individual mentoring for continued growth of internal medicine skills, development of cognitive/procedural skills including ultrasound guidance and diagnosis.

Clinical/bench research efforts of faculty collaborators currently focus upon the areas of EMR decision support software; lupus biomarkers and clinometrics; and modifiable risk factors and interventions to ameliorate dropout rates in adolescent transition to adult care.

There are three (3) core clinical adult rheumatology faculty, one (1) emeritus professor and former division chief with clinical and teaching responsibilities, two (2) additional pediatric rheumatology faculty, one (1) allergist/immunologist with teaching responsibility, and an MPH research advisor within the University of Louisville School of Public Health and Information Sciences.

The pediatric rheumatology division contributes 10% of the adult program content.


CURRICULUM

Dr. Ravenell with resident and patientOur program follows the current American College of Rheumatology fellowship curriculum as a competency check list with local adaptations (ZEBRA Cases) and updates (Advanced Curriculum). All fellowships are two-year, adult, clinical rheumatology fellowships.

Clinical rotations make up 16 of 24 months of fellowship.

For interested applicants, electives in Allergy/Immunology and Pediatric Rheumatology may be arranged.

Pediatricians make up one third of the University of Louisville rheumatology faculty and provide 10% of the conference curriculum for adult fellows.

Additional third years with clinical and laboratory research focus are possible for selected candidates via extramural funding.