The training program is designed to meet all mandates of the American Board of Pediatrics sub-board in Pediatric Rheumatology and the ACGME expectation. The first year is predominantly clinical, but the fellow has 2 months for electives and research. In the second and third years, the proportions switch, with 80% protected research time and ~20% clinical duties, including a weekly continuity clinic. The clinical months not only broaden the knowledge base of the trainee, they also provide ongoing responsibility and skill development as a teacher.
We have weekly didactic lectures, a weekly case conference, and monthly journal club. Quarterly we meet with the pediatric musculoskeletal radiologists for a combined teaching conference, and several times a year we meet with the renal pathologist to review cases. In the didactic lectures, we cover the material that will be examined on the boards exam, drawing from expertise across the many disciplines on campus. Each fellow must be involved in a quality assurance project as well, choosing a mentor from the faculty. Quarterly, the regional pediatric rheumatologists in PENTA meet and we share a half-day in CME activities together. The fellow is expected to attend the annual scientific meeting of the American College of Rheumatology, and will strive to present his/her research as a poster or podium presentation in years 2 and 3.