Rotations
| PGY4 | Monday | Tuesday | Wednesday | Thursday | Friday |
|---|---|---|---|---|---|
| AM | LBJ New Patient Clinic | LBJ Established Clinic | UTPB Continuity Clinic | LBJ Established Clinic | UTPB Continuity Clinic |
| PM | MHH Consults / LBJ Consults / Ambulatory | MHH Consults / LBJ Consults / Ambulatory | MHH Consults / LBJ Consults / Thomas Street Clinic | MHH Consults / LBJ Consults / Ambulatory | MHH Consults / LBJ Consults / Ambulatory |
| PM: Rotate monthly between MHH consults, LBJ consults, and ambulatory throughout the year. | |||||
| PGY5 | Monday | Tuesday | Wednesday | Thursday | Friday |
|---|---|---|---|---|---|
| AM | UTPB Continuity Clinic | LBJ Established Clinic | Dermatology Clinic / Pediatric Clinic / Research | LBJ Established Clinic | UTPB Ultrasound Clinic |
| PM | UTPB Continuity Clinic | Scleroderma Clinic / Ankylosing Spondylitis Clinic / Research | Thomas Street Clinic / Research | Scleroderma Clinic / Research | UTPB Ultrasound Clinic |
| PM: Rotate monthly between Scleroderma clinic, AS clinic, and ambulatory throughout the year. | |||||
Call Structure
All six fellows split weekend call evenly throughout the year, meaning each fellow is on call roughly once every six weeks. Call includes hospital coverage of Memorial Hermann Hospital, LBJ Hospital, and the UT Physicians call center. PGY4s split the major holidays (Thanksgiving, New Years, Christmas) while the PGY5s split the minor holidays (July 4th, Labor Day, Memorial Day).
Inpatient Consult Service (PGY4 only)
The fellow is the team leader for this monthly rotation at the major tertiary care teaching hospital of UT Health. The rheumatology service provides consultative and procedural services for all inpatients admitted to the various medical, surgical, and obstetrical services at Memorial Hermann-TMC. The volume of consults can vary, but averages 2-4 new consult requests per weekday. Consult/bedside teaching rounds take place in the afternoon with the attending rheumatologist, along with the residents and medical students assigned to the consult service.
The fellow is the team leader for this monthly rotation at one of the major hospitals of the Harris Health System. The hospital is in the same building complex that houses the LBJ Rheumatology Clinic. The rheumatology service provides consultative and procedural services for all inpatients admitted to the various medical, surgical, and obstetrical services at LBJ. The volume of consults can vary, but averages 1-2 new consult requests per weekday. Consult/bedside teaching rounds take place in the afternoon with the attending rheumatologist.
Outpatient Clinics (PGY4 and PGY5)
Provide outpatient rheumatology services for the UT Physicians practice which has over 10,000 rheumatology patient visits per year. Within the Texas Medical Center (TMC), the Frank C. Arnett Center for Immunobiology and Autoimmunity serves as the main hub of the UT Rheumatology practice. It is the major teaching clinic of the fellowship program and houses several rheumatology subspecialty clinics. The fellows’ clinic runs continuously for the duration of training. The PGY4 fellows have their continuity clinic on Wednesday and Friday mornings and the PGY5 fellows have their continuity clinic all-day on Mondays.
Provides rheumatology care to the residents of Harris County and has over 2,500 patient visits per year. The clinic takes place on Monday morning (PGY4 only) and Tuesday/Thursday mornings (PGY4 and PGY5).
Thomas Street HIV Rheumatology Clinic:
The Thomas Street Rheumatology Clinic was established in the 1990’s and provides rheumatology services to HIV-infected patients, with over 600 patient visits per year. The clinic takes place on Wednesday afternoons (PGY4 and PGY5).
Subspecialty Clinics (PGY5)
This is one of the largest AS clinics in the US with about 500 AS-related visits per year. The clinic takes place one afternoon a week with Dr. John Reveille, a world-renowned expert in the field of spondylarthritis and SLE. Many of the patients in this clinic participate in longitudinal cohort studies of ankylosing spondylitis and are involved in clinical trials.
Scleroderma Clinic: 4 months
This is one of the largest scleroderma clinics in the US with over 600 scleroderma-related visits per year. The clinic takes place two afternoons a week with Dr. Maureen Mayes and Dr. Shervin Assassi, both experts and pioneers in scleroderma research and practice. Through this clinic and the department’s scleroderma research, we have one of the largest scleroderma skin, DNA, and serum repositories in the world.
This clinic takes place one morning a week with Dr. Ankur Kamdar, a pediatric rheumatologist.
Dermatology: 1 month
This clinic takes place one morning a week with two of our UT Dermatologists who have a special interest in dermatology-rheumatology patients.
Musculoskeletal Ultrasound Clinic: 12 months:
This clinic takes place one full day a week at UT Physicians with Dr. Filemon Tan. The clinic provides diagnostic and procedural services for the UT Rheumatology practice as well as other UT Physicians and community clinics. Fellows learn how to perform and interpret protocol-based diagnostic scans and perform US-guided procedures, supervised by attending rheumatologists certified in MSK ultrasound by ARDMS and the ACR. Fellows can become USSONAR or APCA certified during their second year.
