HMC Rheumatology

3 West Clinic
Clinic contacts:
Tracy Boyd (206) 744-8033
Stephanie Irons (206) 744-9204
Grant Hughes (clinic director)
Gordon Starkebaum
Alison Bays
For planned absences (vacation, conference leave, etc.) contact:

Grant Hughes

For emergency absences (sick leave, family emergency, etc.) contact:

Grant Hughes
Josh Mangum,, (206) 744-8207

Monday afternoons 1:00p-5:00p
Wednesday mornings 8:30a-12:30p


The HMC Rheumatology Clinic provides rheumatology care primarily for the hospital’s mission populations with a strong focus on inflammatory and autoimmune rheumatic diseases such as rheumatoid arthritis, SLE and related diseases, spondyloarthritis, systemic vasculitis and gout, as well as for patients with focal musculoskeletal conditions such as osteoarthritis. We also provide consultative care for a number of patients with inflammatory eye disease and inflammatory/autoimmune diseases of the brain.

Learning Goals

  • Differentiate inflammatory from non-inflammatory joint pain based on history and physical examination.
  • Recognize and differentiate the three most common forms of arthritis: osteoarthritis, gout and rheumatoid arthritis.
  • Recognize systemic lupus erythematosus and systemic vasculitis.
  • Learn indications and interpretation of core rheumatologic lab tests: ANA, RF, ACPA, ESR, and CRP.
  • Learn indications, dosing and important side effects of glucocorticoids and NSAIDs in patients with rheumatic disease.
  • Learn indications, dosing, side effects and monitoring for the following commonly prescribed disease-modifying anti-rheumatic drugs: methotrexate, sulfasalazine, and hydroxychloroquine.
  • Understand principles of treatment in patients with gout.
  • Appreciate the indications and side-effect profiles of commonly prescribed biologic response modifiers, especially the TNF-a inhibitors.
  • Learn how to perform common rheumatology procedures such as knee tap/injection, subacromial injection, trigger finger injection.
  • Introduction to diagnostic and procedural MSK ultrasound.

Helpful Resources