Emory University School of Medicine Program

The Emory University Rheumatology Fellowship Program is positioned as one of the most prominent training programs in the field of rheumatology. Designed for individuals seeking to excel in the management of rheumatic and autoimmune diseases, the program provides a multifaceted exposure through clinical practices, research opportunities, and an extensive educational curriculum.

Program Structure and Curriculum

The fellowship is a two-year, ACGME-accredited program that accepts three fellows annually, totaling six fellows at any time. The curriculum spans various critical areas in rheumatology with a focus on comprehensive clinical training. The fellows participate in a wide array of rotations across multiple tertiary care hospitals, exposing them to diverse and complex patient demographics. This rigorous training helps fellows handle rare and intricate rheumatologic cases, ensuring they are equipped for a variety of clinical challenges 1.

Key components of the training curriculum include:

• Comprehensive didactic sessions encompassing journal clubs, radiology conferences, and board review sessions.
• Hands-on experiences at dedicated rheumatology clinics focused on specific conditions like systemic lupus erythematosus (SLE), vasculitis, myositis, and more.
• A unique musculoskeletal ultrasound clinic and an educational framework that reinforces clinical skills and knowledge.
• A continuity clinic at Grady Memorial Hospital, where fellows manage long-term follow-up of complex rheumatologic diseases 1.

Research Opportunities

Research is a pivotal element of the fellowship, with extensive opportunities for fellows to engage in clinical trials and other investigative endeavors. Emory University's Division of Rheumatology has a robust funding history, securing over $19 million in grants dedicated to autoimmune research in recent years. Fellow projects may focus on clinical research, translational studies, or quality improvement initiatives, with designated time allotted for these activities during each rotation 8.

Mentorship is an integral component of the research training. Each fellow may select a research mentor during the annual “research meet-and-greet” and is encouraged to pursue a research project during their fellowship. Additionally, an optional third year of supported training is available for fellows wishing to develop their research skills further 8.

Clinical Rotations

The fellowship offers rotations in several specialized clinics, exposing fellows to a comprehensive array of rheumatologic disorders:

• IgG4-Related Diseases: Managed by specialists who diagnose and treat this fibro-inflammatory condition affecting various organ systems.
• Immunotherapy: Focused on managing side effects of immunotherapy in cancer treatment, providing unique insights into inter-disciplinary patient care.
• Myositis: Fellows participate in an integrated clinic approach addressing the complexities of inflammatory myopathies.
• Sarcoidosis: The clinic offers cutting-edge diagnostics and interdisciplinary care for this complex condition.
• Scleroderma: Providing comprehensive evaluations and treatments through a coordinated patient care model.
• Sjogren’s Syndrome: Specializing in the multifaceted management of this autoimmune disease with integrated services from various specialties.
• Systemic Lupus Erythematosus (SLE) and Vasculitis: Addresses a vast range of cases with dedicated clinics providing state-of-the-art care 4.

Special Programs and Faculty

Emory's Division of Rheumatology is equipped with a highly experienced faculty well-regarded in the field. The fellowship encourages collaboration with specialists across disciplines fostering an enriching educational atmosphere. Renowned faculty lead the training in various domains, promoting a rich learning environment focused on service, research, and innovation 1.

Competitiveness and Application Requirements

The Rheumatology Fellowship at Emory University is highly competitive. Candidates are required to have completed an ACGME-accredited three-year internal medicine residency program prior to the start of the fellowship. In connection with application requirements, candidates must possess USMLE Steps 1, 2, and 3 score reports, a personal statement detailing their interest in the program, research experience, and three reference letters, including one from the residency program director 7.

Visa Sponsorship

The program accepts both J-1 and H-1B visa types, making it accessible for International Medical Graduates (IMGs) interested in pursuing this fellowship. This policy enhances diversity within the program, reflecting a commitment to inclusive educational practices 6.

Training Sites

Fellows rotate through several prestigious training sites, gaining a breadth of experience:

• Emory University Hospital/The Emory Clinic
• Emory University Midtown Hospital
• Grady Memorial Hospital
• Atlanta VA Medical Center

Each rotation provides exposure to diverse populations and clinical scenarios, enhancing the fellow's learning experience and clinical acumen 1.