To provide the best possible Pediatric Rheumatology care to children in Washington, Alaska, and Montana as a center of excellence and as a resource for North America, to conduct high quality research, and to educate health care providers about childhood rheumatic diseases.
Seattle Children’s Pediatric Rheumatology Fellowship Program is a 3-year, ACGME-accredited training. The fellowship is distinguished by the broad exposure fellows receive in their clinical experience. Therefore, our trainees must be highly competent in the following areas:
- Diagnosis and care of children with complex rheumatic diseases.
- Managing a pediatric rheumatology team and service.
- Conducting successful research, whether basic, translational, epidemiological or clinical.
- Developing successful research proposals for funding and publishing original manuscripts.
- Education of medical students, residents, other fellows, and community general practitioners.
The First Year of Fellowship
Fellows evaluate and follow a variety of new patients while developing a patient panel they will follow during the second and third years. For each patient the fellow has ample time (60 minutes for new patients and 30 minutes for return patients) to evaluate the history, physical exam, laboratory studies and develop an assessment and plan. An additional 30 minutes is scheduled for each patient to discuss the case, re-evaluate the patient, and formulate a plan with the attending physician and the family. Teaching is a priority and feedback immediate. Outpatient rotations are arranged in Dermatology, Ophthalmology, Nephrology, Skeletal Dysplasia, Immunology, Orthopedics, Pain and Adult Rheumatology Clinics.
During the first year, 6-8 months are spent in inpatient service, with the fellow conducting inpatient rounds and consultations, teaching residents, and ensuring all patient care plans are carried out. Telephone consultations are performed for primary care physicians from all over the Northwest and Alaska.
Fellows perform between 2 and 10 joint injections per month in clinic and in the operating room while the patients are under general anesthesia. Most sedated joint injections are performed with the aid of an ultrasound provider to teach trainees to do ultrasound-guided joint injections.
Education and Research
Two mornings each week are dedicated to education. Fellows attend Rheumatology Grand Rounds, Journal Club, and Fellows Lectures at the University of Washington as well as multi-disciplinary didactic sessions at Seattle Children’s Hospital. Weekly Rheumatology Team Meetings and Morbidity/Mortality conferences are held during which the fellows present patient histories for discussion. Chapter Review lectures occur twice a month. Extra time is spent reading and meeting with potential research mentors. Fellows attend the annual meeting of the American College of Rheumatology each fall. Fellows also attend the Childhood Arthritis and Rheumatology Research Alliance Conference (CARRA) meeting each spring.
Senior Fellows – Second and Third Years
Fellows solidify clinical and team leadership skills. Fellows develop research skills through conducting a project in either basic/translational laboratory investigation or clinical investigation. Each fellow develops a hypothesis-driven research project culminating in publication of a manuscript or grant proposal, which is required by the American Board of Pediatrics.
More time during the first year is devoted to developing clinical skills. In subsequent years, there is a one-half day clinic each month to maintain clinical skills while focusing on research. During the one-half day continuity clinic each week the fellow monitors a patient panel collected during year one. Senior fellows also have an outreach experience at St. Luke’s Children’s Hospital in Boise, ID.
Four – six weeks are spent “pretending” each year, in which fellows take major responsibility for patient care; with supervision and teaching of the residents and first year fellow, in consultation with the attending physician.
Core Training Sites
Seattle Children's Hospital
Seattle Children's Hospital is both a community hospital for greater Seattle and the pediatric referral center for the Northwest of the United States, providing specialty care to patients in the WWAMI region (Washington, Wyoming, Alaska, Montana, Idaho). Serving as the main clinical training site for pediatric residents, this 420-bed hospital is conveniently located one and one-half miles from the University of Washington campus in a residential neighborhood of Seattle. The staff consists of University faculty and Seattle Children's full-time physicians, as well as private practicing physicians from the Seattle area.
UWMC was ranked among the nation's top ten best general hospitals in recent U.S. News & World Report survey. Patients referred from UW Medicine sites and practitioners from WWAMI regional medical education program, a partnership between the UW School of Medicine and states of Washington, Wyoming, Alaska, Montana and Idaho that provides medical education for the five-state region.
Every day, more than 5,500 dedicated and compassionate UW Medical Center - Montlake team members bring passion and commitment to the care of our patients and their families.
As the No. 1 hospital in Seattle and Washington State since 2012 (U.S. News & World Report), UW Medical Center - Montlake is one of the world's foremost academic health centers, delivering exceptional, multidisciplinary care to a vast array of patients who come to us from across the globe.
From first of their kind, life-saving surgical procedures to routine adult, maternal and newborn medicine, we're training the next generation of medical professionals. By using the latest advances in medical technology and patient- and family-centered care, we're building a better future for our community.
At UW Medical Center - Montlake, our care is powered by research and informed by education.
At St. Luke’s Children’s Hospital, the only children’s hospital in Idaho, more than 150 skilled pediatricians and pediatric specialists work with referring physicians from around the region to provide high quality care. St. Luke’s has a staff of over 400 nurses, therapists, and other dedicated pediatric caregivers.
Fred Hutchinson Cancer Research Center is one of the world's premiere research institutions, home to three Nobel Laureates (including Dr. Donnall Thomas, who was awarded the Nobel Prize in 1990 for his contributions to the field of bone marrow transplantation) and many other global leaders in life sciences research. The Center receives more research funding from the National Institutes of Health than any other public or private research institution in the world. The Hutchinson Center, together with its clinical and research partners, the University of Washington, Seattle Children's and the Seattle Cancer Care Alliance (SCCA), comprise the Fred Hutchinson/University of Washington Cancer Consortium. The Consortium is among 40 National Cancer Institute-designated comprehensive cancer centers nationwide. More than 2,760 people work for the Hutchinson Center, including nearly 200 scientific faculty and more than 550 pre-doctoral and post-doctoral researchers and other scientific staff.
Fellows and Alumni
|Susan Canny, MD, PhD (2018 - 2021)|
|Erin Balay, MD (2020 - 2023)|
Julie Campbell, MD (2020-2023)
Roger Hollister, MD (1974)
Helen Emery, MD (1977)
Carol Wallace, MD (1979)
Betsy Mellins, MD (1982)
Norm Ilowite, MD (1984)
Richard Vehe, MD (1993)
Stuart Kahn, MD (1993)
Chihiro Morishima, MD (1994)
Lisa Rider, MD (1993)
Randall Cron, MD, PhD (1997)
Anne Stevens, MD, PhD (2000)
Troy Torgerson, MD, PhD (2004)
Andrew Zeft, MD (2005)
Victoria Cartwright, MD (2003)
Jennifer Turner, MD (2007)
Sarah Ringold, MD, MS (2008)
Christi Inman, MD, MS (2009)
Kristen Hayward, MD (2009)
Elizabeth Shaw, DO (2010)
Susan Shenoi, MB BS, MS (2011)
Shaun Jackson, MB, ChB, PhD (2012)
Nanci Rascoff, MD, MPH (2013)
Matthew Hollander, MD, MHA (2013)
Clayton Sontheimer, MD (2014)
Alexandra Aminoff, MD (2014)
Katharine Moore, MD (2015)
Eric Allenspach, MD, PhD (2016)
Sriharsha Grevich, MD, MAS (2017)
Albert Chow, MD (2019)
Sarah K. Baxter, MD, PhD (2020)
How to Apply
The Pediatric Rheumatology Fellowship Program participates both in ERAS and in the National Resident Matching Program. For fellowship training beginning July 2021, applicants can download the ERAS Applicant User Guide beginning July 2020. The ERAS application service will open July 5, 2020. At that time, applicants may begin to work on their applications and upload their application materials.
For our fellowship, we will require the common application form, a one page personal statement discussing career plans and goals, USMLE Certified Transcript, and three letters of recommendation (including a letter of reference from your residency program director). Please consult the ERAS web site for further details.
We will begin to access applications in August. Completed applications will be screened and selected applicants will then be invited to a virtual interview to meet with our faculty and fellows and view a virtual tour of our facilities. Virtual interviews will be held from September to November 2020.
For the NRMP Pediatric Rheumatology match, applicants may register beginning in September 23rd, 2020. Rank order list submission commences October 28th, 2020 and closes December 2nd, 2020. Match day is December 16th, 2020. Please consult the NRMP web site for current information.