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Our two-year fellowship program prepares you to be a competent, caring specialist in rheumatology. You will learn how to use a science-based approach to patient care while also addressing a patient’s emotional and spiritual needs.
The program incorporates the mission of Loma Linda University Health, which serves the medical needs of people around the world and is committed to health promotion and education for our neighboring communities.
Following guidelines from the Accreditation Council on Graduate Medical Education (ACGME) and American College of Rheumatology (ACR), our program has a milestones-based curriculum. With disease-focused faculty assignments, we provide trainees the education they need through various approaches both online and in-person, including:
Our fellows also learn by teaching. They participate in various educational sessions with fellows, residents, and students at Loma Linda University Health and Riverside University Health System in addition to students rotating from external institutions. Some forms of teaching coming from the fellows include:
Our fellows receive a breadth of clinical experience through specialty care in the following settings:
In training at these different sites, past graduates have never reported that the rheumatology pathology was lacking. From rheumatoid arthritis to the rarer conditions of rheumatology, our trainees have seen and treated it all. In addition to clinical exposures, the LLU campus includes a simulation center and other state-of-the-art conference facilities where the Division of Rheumatology often hosts educational sessions for fellows and the rheumatology community.
With an ultrasound at each clinical site, our program offers in-clinic hands-on teaching of musculoskeletal, vascular, and salivary glands. Three portable ultrasounds are also available for inpatient use at each of the three inpatient sites our trainees rotate through. Faculty further enhance fellowship education through their involvement with various ultrasound focus groups, providing fellows with resources and access to additional ultrasound education. Fellows and faculty are also involved in teaching medical students and residents in clinical practice as well as during core medical school ultrasound modules.
Our fellowship program adheres to the Loma Linda University Health approach to patient care: treat the whole person, including physical, emotional, and spiritual needs. As a rheumatology fellow, you receive training that provides unique insights into health and healthcare disparities in medically underserved areas. You'll also participate in ‘Compassion Rounds,’ an informal group session discussing various insights into social determinants of health and integrating personal experiences with compassionate clinical care.
Our fellows participate in quality improvement on a daily basis in their continuity clinics. They are empowered to seek solutions to the challenges they encounter during clinics. In doing so, they have been able to work with clinic leadership to effect change for improved clinic workflows.
In addition to this learning-by-doing approach to QI, rheumatology fellows participate in at least one quality improvement project during fellowship. Some examples include:
Fellows participate in QI-related journal clubs, case conferences, and formal teaching sessions analyzing the practice of medicine. The fellows and faculty also participate in conferences held by the quality improvement officers at the Medical Center.
Fellows in our program have two continuity clinics per week and one county clinic every Friday. The remaining days are dependent on your rotation, split between inpatient rheumatology at three sites, sub-specialty, research, pediatric rheumatology, orthopaedics, and physical medicine and rehabilitation.
The first year of fellowship is inpatient-heavy, focusing on maximizing trainee exposure to rheumatology in all its forms. You will have some research and sub-specialty clinics in your first year, but the emphasis will be to strengthen history and physical examination and procedural skills as well as assessment and management of routine rheumatologic diseases.
The second year of fellowship focuses more on sub-specialty and research in addition to your clinics and inpatient rotations. Here, we focus on ensuring our fellows are equipped for outpatient rheumatology practice. You’ll learn to identify and manage more complex rheumatologic disease, develop procedural skills to the level of independence, and optimize billing practices. It is in your second year that you also have the option of pursuing formal ultrasound training (external) with the support and guidance of on-site faculty.
Below is a break-down of the schedule at a glance:
Your gift supports patients on their path to health and healing.