Our fully accredited fellowship program in Rheumatology at UTMB consists of two years of training in the subspecialty. We take one fellow each year, however, with increased numbers of faculty members, it is anticipated that one extra position will be created in the near future. The list of faculty members is found under Faculty.
The fellowship program is presently structured in such a way that the first year is all clinical, and the second year is devoted more to research. However, both fellows actively participate in all weekly clinics, conferences, and teaching sessions during both years of training.
In addition to Dr. Silvia Pierangeli, a basic researcher in the area of the anti-phosholipid antibody syndrome, adjunct teaching and research faculty include doctors Sanjiv Sur, M.D. (Allergy-Immunology, research), J. Andrew Grant, M.D. (Allergy-Immunology, research and clinical), Roy Riascos-Castaneda, M.D. (Radiology), and James S. Goodwin, M.D. (Geriatrics, outcomes research). The division is also fortunate to have a full-time registered nurse (RN) and a clinical research coordinator (CRC); they all actively contribute and enhance the fellowship learning and training experience.
Applications to the fellowship program are submitted through the ERAS system. To learn more about the rheumatology fellowship program at UTMB, please call us at 409.772.1164.
Rheumatology Fellowship Program Conferences and Clinics
- Rheumatology Core Lecture Series
- Didactic conference series reviewing core concepts in rheumatology including clinically relevant concepts in immunology, pathophysiology, diagnosis and treatment of rheumatic diseases.
- Thursday from 12:00PM to 1:00PM
- Journal Club Meeting
- Presentation of noteworthy recent articles regarding pathophysiology, diagnosis and treatment of rheumatic disease
- Monday from 9:30AM to 10:30AM
- Radiology-Rheumatology Conference
- Joint conference with Musculoskeletal Radiology
- Review radiographs and advanced imaging studies of patients seen by the Rheumatology service with emphasis on identifying key radiographic features of rheumatic diseases.
- Friday from 1:00PM to 2:00PM
- Clinical Case Conference
- Presentation of interesting patients from clinic and consultation service in a "Morning Report" format with emphasis on diagnosis and management.
- Wednesday from 12:00PM to 1:00PM alternating with Rheumatology Board Review
- Rheumatology Board Review
- Review of Board-style questions with dissection of question stem and discussion of evidence favoring each answer choice
- Wednesday from 12:00PM to 1:00PM alternating with Clinical Conference
- Bone Club
- Joint Rheumatology-Endocrinology conference with presentation of a topic of interest to rheumatologists and endocrinologists including osteoporosis, Paget's disease and other metabolic bone diseases
- Thursday from 12:00PM to 1:00PM in place of Core Lecture Series every 3 months
- Internal Medicine Grand Rounds
- Thursday from 8:00AM to 9:00AM
- Continuity Clinic
- Fellows see patients with a variety of rheumatic diseases including rheumatoid arthritis, systemic lupus erythematosus, gout, scleroderma, spondyloarthritis, vasculitis, Sjøgren's syndrome, polymyalgia rheumatica, and osteoarthritis under the supervision of the faculty rheumatologists. Fellows maintain continuity with patients to learn long-term management of rheumatic disease.
- Clinics are held at both Mainland Medical Specialists in Texas City and University Hospital Clinics in Galveston. *Please check back for updates as we expand to additional sites.*
- Texas Department of Criminal Justice Rheumatology Clinic
- Fellows participate in the care of patients with rheumatic disease in the Texas prison system at the TDCJ Hospital, part of the UTMB medical complex.
- Clinical Electives
- Fellows are encouraged to participate in clinical electives during their second year of fellowship. Examples of electives include Dermatology, Musculoskeletal Radiology, and Sports Medicine with support for other electives in areas of interest to the fellow.
- Consultation Service
- Fellows provide consultation services to the inpatient services of John Sealy Hospital and the TDCJ Hospital at UTMB. In this setting, they care for patients with vasculitis, systemic lupus erythematosus, gout, and other rheumatic diseases and act as leader of a team including medical students and internal medicine residents under the supervision of a faculty rheumatologist.
For additional information, please contact:
Ms. Debbie Tabor
Emilio Gonzalez, M.D.
University of Texas Medical Branch
301 University Blvd.
Galveston, TX 77555-0565
The department of internal medicine is developing evidence based clinical protocols which will be available in EPIC (as order sets) for use when admitting patients with these diagnoses. Their AIM is to standardize care and decrease length of stay and readmission rates.Currently available protocols are:
- CAP - Community Acquired Pneumonia Orderset
- Congestive Heart Failure (CHF)
- Chronic Obstructive Pulmonary Disease (COPD)
- Diabetic Ketoacidosis Adult, ICU
- General Medicine Admission
- Immunodeficiency Flow Panel
- MICU/CCU Admission Order Set
- Oral Analgesic Medicaitons
- Parenteral Opioids
- Sepsis, Adult ICU
All protocols can be found in the EPIC order set section.
The department of Internal Medicine has a large role in the Meaningful Use Initiative. Our participation is key for the success of the initiative. Please visit the meaningful use website for important communication and updates from the Meaningful Use Initiative.