Rheumatology Fellowship

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The UHealth Jackson Urgent Care at Cutler Bay is now open
The UHealth Jackson Urgent Care center at Keystone Point is now open
The UHealth Jackson Urgent Care center at Country Walk, as well as the Jefferson Reaves, Sr. Health Center and Prevention, Education & Treatment (PET) Center, remain closed due to power outages.

To reschedule an appointment, please call 305-585-6000. Updated information for UHealth Jackson Urgent Care centers is available at JacksonUrgentCare.com.

Overview

The Jackson Health System / Jackson Memorial Hospital Rheumatology Fellowship program is a two year training program fulfilling ACGME requirements for clinical subspecialty training in Rheumatology. A key component is a dedicated research rotation experience for six months out of the two year program. Training sites are varied and complementary, and include a supra-tertiary county hospital (Jackson Memorial Hospital), the Miami Veterans Affairs Medical Center, and the University of Miami.

ACGME Accredited: Yes
Residents or Fellows per year: 2
Duration: 2 Years
Postgraduate Training Required: Yes
U.S. Citizenship Required: No

Teaching Hospitals

  • Jackson
  • UMHC
  • UMH
  • VA

Residents/Fellows who have graduated our program in the last 10 years obtained faculty positions at:

  • University of Miami Miller School of Medicine

Requirements
Completion of ACGME accredited Internal Medicine Residency

Application Deadline
October 1

Inpatient Rheumatology rotations
The program is structured around four rotations: Jackson Memorial Hospital (JMH) rotation, University of Miami Hospital (UMH) rotation, Miami Veterans Administration Medical Center (VAMC) rotation, and a dedicated research experience. During the three hospital rotations, the fellows are responsible, along with their assigned attending physician, for the inpatient consultation service at that institution. Fellows rotate from one rotation assignment to another at monthly intervals.
 
Outpatient Rheumatology experience
All fellows attend two half-day continuity clinics, starting with Jackson Memorial Hospital and then one at Miami Veterans Administration Medical Center. This experience continues through the fellowship with progressive responsibility. The JMH clinics are supervised by two full-time faculty members. The goal of this experience is for the fellows to gain expertise in the outpatient evaluation and management of rheumatic problems. The experience provides an opportunity to develop an understanding of the natural history of these conditions and their response to therapy over an extended period of time. The fellows follow their own panel of patients for the two years of the fellowship training.

In addition, fellows in clinical rotations spend two half days per week in new patient consultation clinics. These afford exposure to a “private” patient population seeking initial evaluation.

Interdisciplinary interactions
The fellows are provided an experience with other disciplines whose expertise is required in the care of patients with rheumatic diseases. These disciplines include: dermatology, orthopaedic medicine, rehabilitative medicine, and pediatric rheumatology. The goal of these experiences is for the fellow to appreciate the approach to the specific conditions that relate to rheumatic disorders within these subspecialties. This interdisciplinary interaction can occur in the form of a clinical rotation, interdisciplinary conference, etc. The monthly Rheumatology Interdisciplinary Conference provides such an opportunity as well. Clinical experiences are under the direction of attending physicians in the respective subspecialty who participate fully in educational goals of the rotation. These rotations are elective and are arranged individually by the fellows.  

Didactic conferences
Conferences are held on a regularly scheduled basis with attendance required of all fellows.  These include a bi-monthly Journal Club, a weekly Fellows Conference (basic science and clinical subject presentations) a monthly Rheumatology Case Presentation Conference, a monthly Interdisciplinary Conference, a monthly Rheumatology Clinicopathologic/ACR Slide Review conference, a monthly Rheumatology Grand Rounds type conference, a monthly basic science and monthly research conference.

Research experience / Research rotation
The fellows are expected to be involved in the formulation and design of at least one original research protocol and presented to design at least one original research protocol and present it formally for peer review.  Fellows are also encouraged to submit original or review of the literature manuscripts to relevant journals. Time for these endeavors is available through our research rotation. This experience is provided in two month blocks and constitutes roughly a third of the fellowship experience. The fellows’ clinical load during research time is reduced to two half-day clinics, one at JMH and one at VAMC. They are exposed to ongoing clinical research through our clinical research office and interact with its research staff. They are assigned a faculty physician mentor. The mentor will meet with the fellow on a regular basis (at least weekly) and fill out an evaluation at the end of each two month research rotation. Main areas of research interest in our division include the immunology of connective tissue diseases, autoantibodies, and clinical aspects of SLE & RA. Faculty members are available as mentors for research projects. The goal of the research experience is for the fellow to learn sound methodology in designing and performing research studies and the correct interpretation and synthesis of research data.

Continuing medical education and society memberships
In addition to participating in the organized didactic conferences established within our program, it is also strongly encouraged that all fellows become members of the American College of Rheumatology, as well as participate in the local Arthritis Foundation chapter. Participation in the continuing medical education activities of these organizations will help foster the standards of professionalism and augment the process of lifelong learning. It will also encourage a sense of responsibility toward, and participation in, the community at large.

Experience in developing teaching skills
The program provides an environment for the fellow that fosters and highly regards the activities of teaching. This includes the education of not only medical students, physicians and other allied health personnel but also the education of the patients. The types of hospitals used in the training program (public, private, VA hospital) and our patient populations are diverse, and the fellows are exposed daily to experiences that make them aware of a variety of cultural, social, behavioral and economic issues such as confidentiality of information and indications for life-support systems.

Board Exam Requirements
ABIM examination in internal medicine.

Educational & Other Experience
Inpatient consult services and outpatient clinics are provided at University of Miami Hospital, Jackson Memorial Hospital and the VA Medical Center.

Research
The fellows are expected to be involved in the formulation and design of at least one original research protocol and presented to design at least one original research protocol and present it formally for peer review. Fellows are also encouraged to submit original or review of the literature manuscripts to relevant journals. Time for these endeavors is available through our research rotation. This experience is provided in two month blocks and constitutes roughly a third of the fellowship experience. The fellows’ clinical load during research time is reduced to two half-day clinics, one at JMH, one at the VAMC. They are exposed to ongoing clinical research through our clinical research office and interact with its research staff. They are assigned a faculty physician mentor. The mentor will meet with the fellow on a regular basis (at least weekly) and fill out an evaluation at the end of each two month research rotation.

Main areas of research interest in our division include the immunology of connective tissue diseases, autoantibodies, and clinical aspects of SLE & RA. Faculty members are available as mentors for research projects.

The goal of the research experience is for the fellow to learn sound methodology in designing and performing research studies and the correct interpretation and synthesis of research data.
 
Call
Fellows are on-call for inpatient consultation approximately one in four.

Carlos Lozada, MD
Program Director
Phone: 305-243-6884
Fax: 305-243-7546

Larry Young, MD
Associate Program Director

Elaine Tozman, MD
Clerkship Director

Cristina Flores
Program Coordinator

Prospective Residents

Physicians Services / Housestaff Office
Jackson Memorial Hospital
East Tower Room 1004
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-355-1122
Fax: 305-355-1123

Graduate Medical Education Office
Jackson Memorial Hospital
Institute 118B
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-585-4310
Fax: 305-585-4309

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