Curriculum

The MetroHealth Medical Center Rheumatology Fellowship is a 2-year, ACGME-accredited training program affiliated with Case Western Reserve University. Board eligibility in internal medicine, following successful completion of an IM residency is a prerequisite.

The overall goals of the Rheumatology training program are:

  • To provide the trainee with an appropriate background to establish a successful career in clinical rheumatology or research;
  • To provide the educational opportunities and clinical experience sufficient to enable the trainee to successfully obtain board certification in the subspecialty of rheumatology;
  • To expose the trainee to training in basic science and clinical research, enabling him or her to establish a career in research.

These goals are achieved by incorporating the following program objectives:

  • Provision of a broad, comprehensive experience in ambulatory and inpatient rheumatology practice, including both consultation and continuity care; 
  • A concentrated exposure to ancillary disciplines of importance to the clinical rheumatologist, including orthopedics, rehabilitation medicine, pediatric rheumatology and geriatric medicine; 
  • Direct involvement in a mentored research experience; 
  • Participation, organization, and presentation by the fellow in a broad range of regularly scheduled didactic and clinical conferences.

A key educational aspect throughout this training program involves fostering and promoting the fellow’s ability to achieve success in six general competency areas:

  • Patient care skills
  • Medical knowledge
  • Interpersonal and communication skills
  • Professionalism
  • Practice based learning and improvement
  • Systems based practice

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Example of our didactic half day


8:00 am – West Side Conference

(fellow presented interesting cases with literature review; includes attendings, residents and often rheumatologists from outside metrohealth)

9:00 am – Musculoskeletal lecture on knee

(attending presentation of the anatomy, physical exam and common pathology)

10:00 am – Ultrasound-guided musculoskeletal workshop of the knee

(hands-on with ultrasound machine in clinic with fellows and attending)

11:00 am – Immunology course

(attending lead discussion based on monthly chapter from assigned immunology book)

*Didactic schedules vary week to week and may include: Rheumatology Grand rounds, Combined Rheumatology-Radiology Conference, Combined Pathology-rheumatology conference, Faculty-led case discussion, Journal club, Research presentations, basic science lectures etc

 


 

Typical Fellowship Schedule


Month Fellow PGY5
July CRSP- statistics course
July Clinics Monday, Friday- afternoon continuity clinic
August Consult- hospital service
August Clinics Tuesday, Wednesday, Thursday- morning continuity clinic
September Research
September Clinics Monday, Friday- afternoon continuity clinic
October Teaching service
October Clinics Monday, Friday- afternoon continuity clinic
November Research
November Clinics Tuesday, Wednesday, Thursday- morning continuity clinic
December Physical Medicine and Rehab elective
December Clinics Monday, Friday- afternoon continuity clinic