About the program

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The Rheumatology Fellowship is a two-year training program with the option of a third year for additional research experience. Fellows participate in two years of longitudinal clinical experience at the Davis Medical Research Center and two years of inpatient consultative experience at The Ohio State University Wexner Medical Center.

Comprehensive clinical practice in rheumatology offers fellows ample opportunities to become proficient in the procedures of tendon sheath and bursae aspiration and injection, musculoskeletal ultrasound and arthrocentesis and joint injection. Fellows receive adequate training experience to function as a consultant in clinical, research and academic rheumatology. At the completion of the training program fellows will be board eligible in the subspecialty of rheumatology.


Curriculum summary


The core curriculum combines didactic teaching, basic and clinical research projects and supervised patient care in the outpatient clinic and on the consultative inpatient service.

Fellows see patients with a diverse spectrum of clinical disorders, from osteoporosis, vasculitis, rheumatoid arthritis, systemic lupus and immunodeficiency to bursitis, osteoarthritis and fibromyalgia. The rheumatology fellows also attend ambulatory clinic at Nationwide Children’s Hospital for experience in pediatric rheumatology. Elective rotations include orthopedics, musculoskeletal radiology, physical medicine and rehabilitation, physical and occupational therapy and private practice rheumatology.

Weekly didactic conferences include divisional case presentation conferences, journal club, immunology research conferences and interdepartmental conferences such as musculoskeletal radiology conference. All fellows are required to take a course in biomedical statistics, experimental design, biomedical ethics and risk management.

The rheumatology training program is located at The Ohio State University Wexner Medical Center, which includes the 923-bed, the 172-bed Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Ohio State University East, Harding Hospital, the 72-bed Dodd Hall Rehabilitation Hospital, the Davis Medical Research CenterStoneridge Internal Medicine Clinic, CarePoint East, OSU Hilliard IM & Pediatrics, Rheumatology Scleroderma Clinic at Martha Morehouse Pavilion, Psoriatic Arthritis Clinic Gahanna and Outpatient Care Upper Arlington. Pediatric rheumatology training is provided at Nationwide Children's Hospital, a 313-bed pediatric hospitals located three miles from OSU. Approximately 1,500 clinic visits are conducted each year at the Davis Medical Research Center.

Research opportunities are offered in both clinical and basic science settings. Active graduate and postdoctoral programs complement the rheumatology training research experience. Faculty members supervise these basic science laboratories and the clinical pharmaceutical studies in the outpatient clinic.

Application to our Rheumatology Fellowship program is done via ERAS.

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Introductory lecture series

Introductory lecture series

First Year

  • Laboratory tests
  • Synovial fluid analysis
  • Physical examination of the musculoskeletal system
  • Musculoskeletal radiology
  • Pediatric rheumatology
  • Rheumatoid arthritis
  • Gout, pseudogout and hydroxyapatite crystal diseases
  • Fibromyalgia
  • Soft tissue rheumatism
  • Vasculitis

Second Year

  • Systemic lupus
  • Metabolic bone disease
  • Osteoporosis
  • Monoarticular arthritis
  • Arthrocentesis and tendon and bursae injection procedures
  • Spondyloarthropathies
  • Low back pain
  • Neuromuscular disease
  • Clinical pharmacology
Curricular topics

Curricular topics

Basic Science

  • Immunology
  • Musculoskeletal anatomy
  • Pathology of connective tissue
  • Molecular genetics
  • Purine metabolism

Clinical Sciences

  • Diffuse connective tissue diseases
  • Rheumatoid arthritis
  • Systemic lupus erythematosus
  • Scleroderma
  • Polymyositis
  • Spondyloarthropathies
  • Vasculitis
  • Crystal-induced synovitis
  • Osteoarthritis
  • Nonarticular rheumatic disease – inducing fibromyalgia
  • Sports medicine
  • Systemic disease with rheumatic manifestations
  • Metabolic disease of bone and osteoporosis
  • Septic joints
  • Joint surgery
  • Rheumatic problems requiring rehabilitation therapy
  • Pediatric rheumatology

Procedures

  • Use of the polarizing and light microscope to analyze synovial fluid
  • Diagnostic aspiration of diarthrodial joints, bursae and tenosynovial structures
  • Therapeutic injection of diarthrodial joints, bursae, tenosynovial structures and entheses
  • Musculoskeletal ultrasound training

Professional Skills

  • Teaching skills
    • Formal presentation critique
    • Use of graphics software for slide presentation
  • Writing skills
    • Manuscript or abstract presentation
    • Research protocol preparation
Rotations

Rotations

Research Rotation

The goal of the research rotation is to develop the fellow’s confidence and skills in understanding the processes required to perform clinical and basic science research including:

  • Development of specific hypothesis
  • Design of a protocol to test the hypothesis
  • Experience in obtaining approval from the Institutional Review Board
  • Experience in writing a consent form for the average patient
  • Experience in writing a grant proposal
This rotation allows the fellow to pursue research interests in basic science or clinical settings. Faculty members will supervise the fellow in the laboratory along with graduate students and postdoctoral students. The fellow will be encouraged to publish their results or present their findings at a regional or national rheumatology meeting. The fellow may also participate in clinical studies evaluating new pharmaceutical agents used in rheumatologic diseases under faculty guidance.

Hospital Consultative Rotation

The goal of the hospital consultative rotation is to develop the fellow’s confidence and skills in performing consultations on the hospitalized patient including:
  • Diagnosis and management of a patient with acute arthritis in the emergency room
  • Diagnosis and management of acute crystal-induced synovitis in an hospitalized patient
  • Diagnosis and management of patients with rheumatic disease during pregnancy and labor and delivery
  • Diagnosis and management of patients with rheumatic disease in the intensive care unit
  • Management of an acutely ill immunosuppressed patient
  • Development of a cost-effective approach to ordering inpatient immunology laboratory tests
  • Management of patients with septic bursitis and septic arthritis
  • Administration of IV alkylating agents exacerbations of lupus, renal or CNS disease
  • Direction of pain control management in the hospitalized patient with compression fractures
  • Selection of the hospitalized patient who may benefit from inpatient rehabilitation
  • Diagnosis and management of patients with vasculitis
  • Development of a concise, efficient, informative consultation report
The fellow is notified each day of consults requested on the inpatient services from any of the University Hospitals or emergency rooms. The rheumatology fellow will perform a history and physical on the patient and may have medical residents and medical students in attendance. The fellow will review any pertinent laboratory data and radiographs, review the medical literature in textbooks or online to prepare for attending consult rounds.

The rheumatology attending supervises pertinent points of the patient's history, physical and the decision making process involved in the impression and plan of action for each rheumatology inpatient consultation.

Ambulatory Clinic Rotation

The goal of the ambulatory clinic rotation is to develop the fellow’s confidence and skills in the initial evaluation and longitudinal follow-up of patients with rheumatic complaints in the outpatient setting including:
  • Development of techniques to evaluate individual patients response to therapy over time
  • Maintenance of an internal medicine knowledge base while emphasizing the evaluation of rheumatic complaints
  • Experience in reviewing outside records and incorporating them into the rheumatologic evaluation
  • Development of methods to relate to patients with chronic illness
  • Development of skills to rapidly and efficiently evaluate both new and follow-up patients
  • Experience in communication of evaluation to patients primary care physician
The rheumatology fellow is provided with a minimum of four half-day ambulatory clinics during the first two year's of clinical training. During each clinic, one to three new patients and four to eight returning patients are seen by each trainee. All new and returning patient evaluations are supervised by an attending rheumatology faculty member which includes review of pertinent history, physical examination and the decision making process involved in arriving at the clinical impression and plan.

Grand rounds assignments

Fellows will be asked to present specific topics in a division grand rounds presentation format. They will be assigned specific topics to ensure that they are familiar with a broad base of educational topics in the discipline of rheumatology including anatomy, genetics, biochemistry and physiology of connective tissue disease and pathologic aspects of rheumatic diseases.

Fellows will conduct an in-depth review from among the selected topics, complete with visual aids, etc., direct discussion of the topic with attendees and a detailed list of references:
  • Rheumatic problems in patients with renal diseases (post-transplant gout, dialysis arthropathy, amyloid, osteomalacia, etc.) 
  • Pregnancy related issues in rheumatic disease
  • Rheumatic problems in patient with endocrinologic diseases (hyperparathyroidism, diabetic cheiroarthropathy, metabolic bone disease, etc.) 
  • Rheumatic problems in patients with hematologic diseases (hemophilia, leukemia, lymphoma, sickle cell disease, etc.)
  • Secondary causes of osteoarthritis (genetic, hemachromatosis, etc.)
Each quarter rheumatology fellows meet individually with the rheumatology fellowship training program director to review their progress and evaluate the training program.
Rheumatology Fellows

Rheumatology Fellows

Paul Jensen, MD

MD: Geisel School of Medicine at Dartmouth
Residency program: The Ohio State University Wexner Medical Center

Donald Whisler, MD

MD: University of Toledo College of Medicine
Residency program: Allegheny General Hospital - Western Pennsylvania Hospital

Kai Quin, MD

MD: The Ohio State University College of Medicine

Elaine Alexander, MD

MD: University of Kentucky College of Medicine
Residency program: The Ohio State University Wexner Medical Center

Bryan Coniglio, MD

MD: Wayne State University
Residency program: Henry Ford Hospital/Wayne State

John Fleming, DO

DO: Michigan State University/Osteopathic
Residency program: Western Michigan University/Homer Stryker

Veronica Mruk, MD

MD: Jagiellonian University Poland
Residency program: East Carolina University
Past Fellows

Past Fellows

2014 - 2016

2016

Ruth Chan, DO
Daniel Kim, MD

2015

Alexa Meara, MD
Brian LaMoreaux, MD

2014

Hareth Madhoun, DO
Irving Rosenberg, MD

2011 - 2013

2013

Shalene Badhan, MD
Sheryl Mascarenhas, MD

2012

Linda Burns, DO

2011

Caner Sakin, MD

2008 - 2010

2010

Yingxue Zhang, MD

2009

Heather Lake, DO
William Lai, MD

2008

April Marquardt, MD
James McNeilis, MD

More +

2005 - 2007

2007

Anu Chauhan, MD
Stephanie Ott, MD

2006

Surahbi Arjunan, MD

2005

Zhanna Mikulik, MD

Contact

Kevin Hackshaw, MD
Program Director, Rheumatology Fellowship
Kevin.Hackshaw@osumc.edu

Erica Johnson
Coordinator, Fellowship Program
Erica.Johnson@osumc.edu
Phone: 614-293-6869
Fax: 614-366-0980

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