Division of Rheumatology
1959 NE Pacific St
Health Science Bldg BB561
Campus Box 356428
Seattle, WA 98195
Thank you for your interest in our rheumatology training program. We are seeking fellows that are primarily interested in becoming Rheumatologists with academic appointments in teaching hospitals. While expert training in clinical care remains a major objective of the program, candidates wishing to go directly into private practice following fellowship training may be better served by other training programs around the country. We encourage applications from candidates in the WWAMI region (Washington, Wyoming, Alaska, Montana, Idaho) who may be interested in becoming rheumatologists in their home state.
The Division of Rheumatology at the University of Washington has been engaged in postdoctoral training of rheumatologists for over 40 years. The training program in rheumatology is accredited by the Accreditation Council for Graduate Medical Education (ACGME) and has been supported by the National Institutes of Health (NIH). The Adult and Pediatric Divisions of Rheumatology are the recipients of a research training grant from NIH, providing six training stipends per year. These stipends can be awarded only to citizens or permanent residents of the United States of America. The training program is conducted by nine full-time and thirty-five clinical faculty members of the Division of Rheumatology and generally lasts 2 to 3 years. The number of trainees in the program during recent years has varied from four to six per year, including postdoctoral fellows in the first, second or third year. We generally accept 3 fellows per year.
The UW Rheumatology Fellowship Program has three possible pathways. Though each pathway has distinct outcomes, all focus heavily on scholarly activity. Currently, fellows enter the fellowship via the National Residency Matching program and will declare their pathway during the Match process.
The Physician-Scientist (P/S) Pathway is designed for graduates of Internal Medicine residency programs who desire a career in academic rheumatology with a focus on research. This three year pathway is designed to prepare fellows for productive careers as independent investigators in basic, translational or clinical research. Prior experience in research is helpful but not required for this pathway. The first year is devoted to developing clinical skills, an independent research plan, and a mentorship structure. The second year is devoted largely to the fellow’s research project and scholarly production, such as submission of abstracts and manuscripts and the securing of funding for the third year. The third year focuses on continued research activity, continued scholarly production in the form of first-author publications and mentored training grant awards, and the pursuit of faculty appointment.
The Clinician-Teacher (C/T) Pathway is designed for graduates of Internal Medicine residency programs who desire a career in academic medicine with a focus on patient care, medical education and education administration. The pathway focuses on the development of teaching skills, clinical excellence and a scholarly focus that will prepare graduates for a faculty position at a university-based academic medical center. The C/T pathway is two years with an optional third year.
The Clinical Practice or Clinician-Clinician (C/C) Pathway is designed for graduates of Internal Medicine residency programs who desire a career in community rheumatology. While scholarly activity and productivity are required in the pathway, training emphasis is placed on clinical experience and acquiring skills to become a leader in practice and in the community. The C/C pathway is two years.
The majority of instruction in clinical rheumatology and in investigation takes place during one-on-one interaction with faculty members. A written curriculum for the trainees serves as a guide to assure that the training program in rheumatology covers all areas. Specific course work is recommended prior to and during research training (see below). The trainees gain instructional skills by teaching students and residents. Upon completion of two years of study the trainees are eligible for the subspecialty examination in Rheumatology by the American Board of Internal Medicine. A large percentage of the past trainees occupy full-time academic positions.
Our objectives for the fellowship training program are:
To ensure that fellows acquire the clinical skills necessary to become proficient rheumatologists.
The trainees acquire clinical skills in rheumatology by direct patient care in outpatient clinics and by providing consultations to hospitalized patients with rheumatic diseases. They receive intensive clinical training in the first year and continue to attend outpatient clinics in the second and third years.
These activities are conducted at the three major teaching hospitals of the University of Washington. A substantial number of patients with varied rheumatic diseases are seen at these facilities. Fellows also participate in the care of children with rheumatic diseases at the Children's Hospital Medical Center and gain experience in sports medicine and in rehabilitation medicine.
To keep fellows abreast of the latest advances in Rheumatology and to enhance presentation and grant writing skills.
Regularly scheduled teaching activities in Rheumatology include clinic and radiology conferences, a journal club, Rheumatology Grand Rounds, research in progress presentations and a visiting seminar series. Fellows participate actively in these programs and are encouraged to take advantage of additional learning opportunities (Medicine Grand Rounds, Immunology Seminars, Medical Genetics, etc.).
To ensure that fellows acquire research skills to equip them to be leaders in rheumatic disease research.
This is achieved by:
Formal educational programs in the sciences that are applicable to rheumatology e.g. Immunology, Genetics and Epidemiology.
Intensive research in the 2nd and 3rd years under the guidance of a Faculty Sponsor. Our major investigative efforts focus on autoimmune diseases such as systemic lupus erythematosus (SLE), rheumatoid arthritis (RA) and Scleroderma (SSc). Active projects range from basic studies in the genetic susceptibility to, and mechanisms responsible for, rheumatic diseases to the epidemiology of these disorders. Translational research (bench to patient) is encouraged. A list of selected, recent publications from this Division reflects the research interests of the faculty and former fellows.
Additional course work in epidemiology and clinical research is available through the K-30 program at the University of Washington. A year-long program in medical education is also available for interested fellows.
Fellows may select a research mentor from one of the sciences as part of the training program. The School of Medicine of the University of Washington has extensive research activities in many different areas that impact Rheumatology. This rich environment provides broad opportunities for interaction with scientists possessing differing perspectives.
Our major investigative efforts focus on the immunological approaches to rheumatic diseases, primarily rheumatoid arthritis, systemic lupus erythematosus, and scleroderma. Active projects range from basic studies in molecular biology and disease models in experimental animals to clinical investigations. At the present time we have five faculty members with research interests in various aspects of immunology in rheumatic diseases.
Other faculty members are interested in joint physiology, uric acid biology, epidemiology and therapeutics in rheumatic diseases. The attached list of selected, recent publications from this Division reflects the research interests of the faculty and former fellows. Please also see our faculty’s individual web pages for more information on their research interests. In addition, trainees can select a mentor from another Division of Medicine or from one of the basic sciences (please see our list of mentors).
The University of Washington reaffirms its policy of equal opportunity regardless of race, color, creed, religion, national origin, sex, sexual orientation, age, marital status, disability, or status as a disabled veteran or Vietnam era veteran. We encourage applications from members of minorities underrepresented in academic rheumatology.
The Division of Rheumatology participates in the ERAS® - Electronic Residency Application Service through the Association of American Medical Colleges. We will begin to accept applications for the 2016-2017 Academic year on July 1st 2015. Applications are only accepted via the ERAS® website online application system. Information regarding the ERAS® program and application process can be accessed by clicking on the following link:
After reviewing applicatiosn the Division will invite top candidates to interview in Seattle. During interviews candidates will meet the faculty, talk with fellows currently in training, discuss possible areas of investigative work, and become familiar with the many environmental and cultural strengths of the Seattle area. Interview dates are forthcoming and will be posted once available.