Our Mission Statement:
Our mission is to support the growth of our fellows so that they can be transformative agents of change who advance well-being and equity within their communities.
At all steps of their growth, we channel and reciprocate their motivation for clinical excellence, scholarly inquiry, and quality improvement.
This Mission Statement defines who we are, and its ethos instructs each and every initiative within our fellowship program.
Fast Facts:
Mission Statement:
Our mission is to support the growth of our fellows so that they can be transformative agents of change who advance well-being and equity within their communities.
At all steps of their growth, we channel and reciprocate their motivation for clinical excellence, scholarly inquiry, and quality improvement.
We support this mission by establishing the following specific goals and objectives.
1. Clinical competence. We define clinical competence as:
2. The ability to work in a variety of settings. Fellows are expected to attain clinical competence in the following settings:
3. Lifelong learning and growth. Fellows demonstrate lifelong learning skills by:
4. Scholarly activity and research. Fellows are encouraged to participate in research that appeals to their interests and career aspirations.
5. Diversity, Equity, Inclusion, and Belonging. We recognize the pivotal role that rheumatologists play in addressing healthcare disparities and inequities. Fellows learn how to:
We provide a variety of unique and innovate methods to empower rheumatology trainees to become outstanding rheumatologists.
Fellows develop strong leadership skills during their one-week rotations on the consultation service.
Fellows also cover inpatient consultations at the Iowa City Veterans Affairs Health Care System. For each month, there is a designated on-call VA fellow who works with the on-call faculty physician. VA consultations range from 0 to 4 requests per month.
Each fellow is assigned two Continuity of Care (CoC) clinics, one at the University of Iowa and the other at the Veterans Affairs Health Care System.
First-year fellows also attend the General Rheumatology Clinic at the VA once per week.
The Division of Immunology actively fosters interactions and collaborations with clinicians in other specialties. This culture of cooperation has enabled us to create dedicated rotations in pediatric rheumatology and musculoskeletal radiology.
Pediatric rheumatology:
First-year fellows attend pediatric rheumatology clinics approximately every other week. These clinics provide excellent opportunities to learn about autoinflammatory disorders, juvenile idiopathic arthritis, and other pediatric autoimmune diseases. Additionally, there is a monthly Pediatric/Adult Rheumatology Case Conference to discuss challenging and interesting cases of rheumatologic disorders from infancy to old age.
Musculoskeletal radiology:
First-year fellows also have reserved time (typically 2 to 4 weeks) to learn about musculoskeletal radiology with dedicated MSK radiologists. Fellows develop fluency in reading X-rays of joints commonly involved in rheumatologic diseases, as well as familiarity with the interpretation of MRIs and CT scans. In addition, fellows coordinate with MSK radiology fellows to run the monthly Rheumatology-Radiology Conference, in which images from challenging or illustrative cases are discussed at length.
Electives:
A major strength of our fellowship curriculum is its flexibility. Electives from other disciplines are available to interested fellows. These include outpatient experiences in allergy/immunology, orthopedic medicine, rehabilitative medicine (physical and occupational therapy), dermatology, ophthalmology, endocrinology, and pulmonology, among others.
Wednesday afternoons are reserved for didactic activities, including Grand Rounds and Small Group Fellow Conferences.
Immunology Grand Rounds:
Small Group Sessions:
Board Review Sessions:
Summer Hands-On Workshop Sessions:
Other Didactic Sessions:
Rheumatology fellows also regularly share conferences with other Internal Medicine fellows. These include:
Our fellowship program also provides a robust array of asynchronous virtual learning opportunities for fellows. This allows rheumatology fellows to engage with the material on their own terms and pace.
To prompt completion of these asynchronous exercises, fellows are typically assigned one of each of the following per week.
The Hawkeyes Rheumatology Question Bank:
The Hawkeyes Core Casebook:
The Clinical Reasoning in Immune System Pathogenesis (CRISP)
In addition to participating in the organized didactic conferences established within the fellowship program, all fellows are strongly encouraged to become members of and volunteer with the American College of Rheumatology (ACR).
The division pays for Fellows-in-Training membership in the ACR and encourages annual attendance to at least one ACR national meeting (Convergence, ACR Education Exchange)
Funds are available for travel to conferences where fellows are presenting original research
Fellows also play a pivotal role in organizing the Iowa Rheumatology Symposium, an annual meeting of rheumatologists in the state of Iowa. This includes preparing case presentations and didactic lectures, in conjunction with faculty, regarding a selected theme for the year.
The Division of Immunology also encourages fellows who apply to the Ultrasound School for North American Rheumatologists (USSONAR) to obtain advanced training in musculoskeletal ultrasound.
All fellows participate in scholarly activities throughout the course of their fellowship. Fellows are strongly encouraged to identify topics that interest them, and to develop their research plans with mentors either within the division or outside of it. All fellows are exposed to divisional research early in their fellowship to allow adequate insight into areas of active research at the institution.
Once a project is selected, the division helps to facilitate regular meetings with the research mentor. Research conferences during Small Group Sessions and Research-in-Progress talks provide opportunities for other faculty members and fellows to give feedback and to disseminate preliminary results in a friendly and collegial atmosphere.
Previous fellows have performed basic science, patient-centered, translational, medical education, and outcomes-based research, and have published their findings in peer-reviewed journals as well as presented them at national meetings. Fellows have written case reports, case series, commentaries, observational studies, clinical trials, narrative reviews, and systematic reviews.
The Division of Immunology is dedicated to rigorously assessing and evaluating the progress of fellows throughout the 24 months of fellowship. A strong focus is placed on providing timely and valuable formative evaluations as well as comprehensive summative evaluations adhering to ACGME standards.
Just as important, fellows evaluate the program and its faculty members regularly, which drive continuous improvements in order to cater to fellow needs and desires
Feedback is at the heart of the Rheumatology Fellowship, and all the attending physicians take their responsibility to provide timely and valuable feedback to fellows seriously. During consultation weeks, the fellow and attending physician meet at the beginning of the rotation to discuss expectations, values, and priorities for the week. This is the basis for feedback throughout the rest of the week, and the formative evaluation session that occurs at the end of the week. We utilize a customized feedback form in order to promote (1) collaboration between learners and teachers, (2) objective feedback on performance, and (3) suggestions for further improvement.
During Continuity-of-Care experiences, periodic feedback between attending physicians and fellows occurs in order to improve performance of clinical and procedural skills. Fellows control the frequency and style of feedback. Standardized forms are used to document and catalogue what type of formative evaluation has been provided.
Research mentors and fellows also meet for formative evaluation, typically occurring about once every three months. A review of the effort and progress is documented, as well as opportunities for further advancement.
The Clinical Competency Committee (CCC) meets at least every six months to review how fellows are meeting their ACGME Internal Medicine subspecialty milestones. The CCC reviews formative and summative evaluations obtained from a variety of inputs, including faculty members, peers (other fellows), administrative staff, other healthcare team members, and patients in order to provide a balanced and holistic view of fellow performance. This is the basis for the semi-annual meeting with the Program Director, at which time the fellow and the program director collectively look at the evaluations and determine a plan for further improvement over the coming six months.
Evaluation of the faculty and the program is considered just as important as evaluation of fellows. All fellows are required to complete an online evaluation form on the faculty and the program at least every three months. These evaluations are essential for improving the quality of the division and its educational programs. Additionally, fellows are highly encouraged to provide feedback informally to the program leadership in order to ensure that the quality of fellowship experience is maintained at a high level.
First-year fellows typically attend four clinics per week:
Second-year fellows may occasionally cover Pediatric Rheumatology Clinic
Below is an example of the Department of Internal Medicine Common Curriculum Schedule. It is shared between Fellows from all divisions of the Department.
The Fellows as Clinician Educators (FACE) Program is designed to introduce future clinician-educators to a set of skills that may be of use in their careers. The program presents concepts of educational design and research, lecture development, evaluation, observation, and feedback. At the conclusion of the program, FACE participants are required to develop a teaching portfolio.
We offer a rigorous three-year program that incorporates rheumatology and allergy/immunology fellowship training to highly qualified candidates. This dual-certification pathway confers eligibility for fellowship graduates to become certified in Adult Rheumatology through the American Board of Internal Medicine and Allergy/Immunology through the American Board of Allergy/Immunology.
The division has two faculty members with training in both subspecialties. The dual-certification pathway enables graduates to specialize in the growing number of conditions that overlap these two fields.
Applicants for this three-year program should:
Applicants selected for interview will meet with faculty members and fellow physicians from both the rheumatology and allergy/immunology sections of the Division of Immunology.
Musculoskeletal ultrasound training is infused within the fellowship training program. Even for those who do not go on to become accredited in MSKUS, we strongly believe that knowledge of musculoskeletal ultrasonography can enable rheumatologists to be more insightful about joint pathologies.
Hands-On Regional Musculoskeletal Ultrasound Workshop Sessions:
During the summer, as part of our 10-week hands-on workshop series, we cover the basics of musculoskeletal ultrasonography.
Ultrasound Teaching in Clinic:
At both UIHC and the VA Rheumatology clinics, fellows have access to a dedicated ultrasound machine. They are encouraged to use ultrasonography during their clinic sessions.
We also support fellows who are interested in pursuing the USSONAR (Ultrasound School of North American Rheumatologists) course. The availability of ultrasound for practice sessions and enthusiasm of faculty to provide feedback on images helps to improve the chances of selection into this increasingly selective program.
All interviews will be virtual in 2023 due to the COVID-19 pandemic
Applications are only accepted through the Electronic Residency Application System (ERAS).
Residents with questions can find out more about ERAS Fellowship through the AAMC web site: http://www.aamc.org/audienceeras.htm and can begin working on their applications now.
US residents should contact their Dean's Office or ERAS at https://students-residents.aamc.org/training-residency-fellowship/applying-fellowships-eras/.
International medical graduates should contact the Educational Commission for Foreign Medical Graduates (ECFMG) at http://www.ecfmg.org/eras/index.html.
A complete ERAS application includes:
All applicants must also register with the National Resident Matching Program (NRMP). Our NRMP program number is 120315FO.
If you have any questions, please contact Patty Bruffey-Thoene.
The deadline for applications is October 15.
Selected candidates will be invited to interview.
Medical specialty certification in the United States is a voluntary process that serves multiple purposes for the trainee and the public.
Certification by the American Board of Internal Medicine (ABIM)
For more information, please visit the American Board of Internal Medicine website.
Qualifications for candidates include (1) an MD degree (or equivalent), (2) completion or expected completion of three years of residency training in Internal Medicine, with Board Eligibility or Certification by the American Board of Internal Medicine, by the initiation of Rheumatology Fellowship training. We welcome applicants from combined residency programs such as Internal Medicine/Pediatrics and Internal Medicine/Psychiatry.
At the interview, prospective candidates will receive an overview of the program and tour of the facilities.
Applicants for the dual-certification pathway will meet faculty and fellow physicians from both Allergy/Immunology and Rheumatology sections of the Division of Immunology over the course of one or two days.
Bharat Kumar, MD, MME
Director, Rheumatology Fellowship Program
Clinical Associate Professor of Internal Medicine
Phone: 319-356-2863
Email: bharat-kumar@uiowa.edu
Rebecca Tuetken, MD, PhD
Associate Director, Rheumatology Fellowship Program
Clinical Professor of Internal Medicine
Phone: 319-353-7089
Email: rebecca-tuetken@uiowa.edu
Benjamin Davis, MD, PhD
Interim Director, Division of Immunology
Clinical Professor of Internal Medicine
Patty Bruffey Thoene
Rheumatology Fellowship Coordinator
Department of Internal Medicine - C42-B GH
The University of Iowa Carver College of Medicine
200 Hawkins Drive
Iowa City, IA; 52242-1009
Denise Floerchinger
Internal Medicine Fellowship Program Administrator
Phone: 319.356.2732
Email: denise-floerchinger@uiowa.edu
The Department of Internal Medicine has a faculty of nearly 300 professionals whose clinical, teaching, and research expertise spans the entire discipline of medicine.
Immunology Division Faculty (Allergy/Immunology and Rheumatology)
Department Faculty (alphabetical listing)
Mani Maheshwari, MD (F1)
Medical School: Saba University School of Medicine
Residency: Leonard J. Chabert Medical Center
Lindsay Moy, DO (F2)
Medical School: Arizona College of Osteopathic Medicine of Midwestern University
Residency: Advocate Lutheran General Hospital
Ibiyemi Oke, MBChB (F2)
Medical School: Obafemi Awolowo University
Residency: Reading Hospital - Tower Health
Madalyn Walsh, MD (F1)
Medical School: University of Iowa
Residency: University of Iowa
Amir Abidov, MD (F2)
Medical School: University of Arizona
Residency: Lankenau Medical Center
Upinder Singh, MD
Chair and DEO, Department of Internal Medicine
Professor of Medicine–Infectious Diseases