- Smriti Mohan, M.D.
- Meredith Riebschleger, M.D.
Mission and Overview
The Pediatric Rheumatology Fellowship Program at the University of Michigan is an ACGME accredited program that offers excellent clinical and research training opportunities. The clinical component of the program provides broadly based experiences in diagnosis and treatment of a variety of rheumatic and musculoskeletal diseases.
The program is three years in duration and is under the direction of Barbara S.Adams, M. D.
The Pediatric Rheumatology Clinic of the University of Michigan Health System is the focal point of the clinical component of the Pediatric Rheumatology Fellowship. This outpatient clinic receives approximately 2,700 patient visits annually, of which approximately one-fifth are new patients referred for evaluation and management. Using a team approach, a nurse specialist, and medical social worker join the physicians in developing a diagnostic and therapeutic plan that will ensure rigorous disease control, preserve musculoskeletal function and maturation, and promote health psychosocial development for each child or young adult with rheumatic disease.
Collaborative care for patients with complex needs is also a high priority for our service, exemplified by the combined Pediatric Rheumatology/Pediatric Nephrology Clinic for children and young adults with renal manifestations of rheumatic disease and with primary renal disease and musculoskeletal complaints.
Although the outpatient Pediatric Rheumatology Clinic furnishes the largest volume of clinical training, Pediatric Rheumatology Fellows also gain very important experience in the inpatient environment with admissions to the Pediatric Rheumatology Inpatient Service and consultations requested by pediatric medical and surgical services totaling approximately 70-100/year.
The clinical component of the Pediatric Rheumatology Fellowship also includes a structured program of complementary clinical opportunities in related disciplines: Pediatric Orthopedic Surgery, Pediatric Ophthalmology, Pediatric Radiology (including MRI, ultrasound, angiography, and nuclear imaging), Pediatric Physical medicine and Rehabilitation, and arthroscopy.
In addition, Pediatric Rheumatology fellows attend relevant conferences in the Division of Rheumatology of the Department of Internal Medicine, including regularly scheduled clinical conferences, selected Rheumatology Grand Rounds and special symposia, and monthly pathology conferences and Rheumatology Journal Club.
The Pediatric Rheumatology Training Program ensures a meaningful supervised research experience for fellows by means of its partnership with the Rheumatology Training Program of the Division of Rheumatology in the Department of Internal Medicine for research training.
Research mentors in the Rheumatology Training Program include selected faculty in the Departments of Internal Medicine, Pediatrics, Biological Chemistry, Physiology, Chemistry, Epidemiology and Geriatrics. Fellows choose a research mentor early in the first year after mentors present a summary of research activities in their laboratories, and trainees have an opportunity to explore the research opportunities in greater detail.
Pediatric Rheumatology trainees will have one month of minimal clinical duties early in their first year, so that they can launch the application process for extramural funding under the supervision of their research mentor. Weekly didactic conferences in the (adult) Rheumatology Training Program (also called the Rackham Arthritis Research Unit seminar) introduce concepts of research design, laboratory techniques, and data analysis in the context of structured teaching in basic science. Topics in immunology, inflammation, cell biology, biochemistry, molecular genetics, and epidemiology/health services research are taught as organized blocks throughout the year by faculty with expertise in these areas.
Subspeciality residents who wish to obtain training in clinical research most often choose faculty mentors with specific expertise in epidemiology and clinical investigation. In addition, the On Job/On Campus (OJOC) Master of Science Program in Clinical Research Design and Statistical Analysis offered in the School of Public Health provides a means for trainees to develop expertise in research design, statistical analysis, and ethical issues in clinical research, scheduled as 18 monthly four-day sessions.
A combined fellowship in Pediatric and Adult Rheumatology is also available to qualified applicants.
University of Michigan Graduate Medical Education (GME) Scholars Program
The GME Scholars Program consists of 2 tracks, a Medical Education Track and a Healthcare Administration Track. Interested house officers may choose to participate in one of the scholar program tracks during their training. This innovative program will provide participants with a longitudinal training (a 20-month mini-fellowship) experience in one of the above two areas of concentration. This training will be incorporated into their current GME training program, and is open to all University of Michigan house officers (residents and fellows). The primary goal of the GME Scholars Program is to better prepare graduates to assume and succeed in academic positions with a focus in either medical education or healthcare administration at leading academic medical centers. Additionally, the program will allow participants to establish strong mentoring relationships in their chosen area of study, a network for future collaboration, and might serve as a stepping stone to pursue further graduate study if desired. Program participants will begin to develop the knowledge base and skill set required for them to be successful as the next generation of physician leaders. For additional details, please visit the Web site:
The Pediatric Rheumatology Fellowship Program adheres to the Graduate Medical Education policy on trainee selection. To view the policy, please click here.
Thank you for your interest in the University of Michigan's Pediatric Rheumatology Fellowship Program. Applications are accepted through the ERAS website:
The Pediatric Rheumatology Fellowship Program follows the Graduate Medical Education policy on trainee supervision. To view the policy, please click here