Department of Medicine



Introduction to Clinical Medicine II

We hope that you find this course helpful and that you enjoy learning about the rheumatic illnesses. There are 12 lectures which will cover the main diseases we treat in Rheumatology. Your corebook has a handout for each lecture. The ANGEL site has the PowerPoint handouts for each lecture, as well as a short quiz about each topic so you can have a chance to practice taking a test.

Although you will not be tested on the therapy of these illnesses, most of the lecturers have included either slides at the end of their ANGEL presentations or additional information at the end of their handout that address therapy. During a week in September each of you will spend an afternoon with us. During those afternoons you will learn about the musculoskeletal exam and have a chance to examine a patient with inflammatory arthritis. You will also meet with Dr. Jacobs, the course director, and review 15 case vignettes which will allow you to review the lecture material using a case study. The case vignettes are in the back of the corebook so you should bring the corebook to these sessions. Each student is assigned to one afternoon and you should come professionally dressed and in a white coat. We have arranged for a number of different patients to meet with you and discuss their illnesses. Medical students feel this is a very helpful way to remember these illnesses and their manifestations.

If at any time you have questions or concerns about the course please contact us as below:

Course Director:
Mary Jacobs, M.D.

Course Coordinator:
Deborah Jenkins
☎ : (317) 274-7724

Fellowship Program

The Fellowship program in Rheumatology provides intensive clinical and research training for physicians who are board-certified or board-eligible in Internal Medicine. Fellows acquire the skills required to deliver expert medical care to patients with rheumatic diseases and, if desired, they can receive training which will enable them to embark upon a career emphasizing original independent research.

The Fellowship consists of two years of training, of which 18-21 months are devoted to clinical training and 3-6 months to research activities. The clinical experience is very broad, and includes extensive training in the diagnosis and management of patients with systemic inflammatory connective tissue disorders (such as rheumatoid arthritis, systemic lupus erythematosus, progressive systemic sclerosis and gout), osteoarthritis and soft tissue rheumatism. Experience in Pediatric Rheumatology is also provided. Patient care activities are complemented by a radiology correlation conference, journal club, difficult case presentations by the Fellows and a Department-wide web based tutorial seminar series covering biostatistics, clinical epidemiology and academic development. Fellows are provided funds to attend a national or local rheumatology meeting annually. The Fellowship fulfills requirements for certification in Rheumatology by the American Board of Internal Medicine.

Research activities of the Rheumatology Division encompass clinical research, basic research and health services research, and range from studies in molecular biology, cell biology and biochemistry to epidemiology and health care delivery. Research areas in which the members of the Division have particular expertise include articular cartilage biology, a health resource utilization, osteoarthritis and radiographic assessment of osteoarthritis. Some faculty members of the Division hold a substantial level of extramural research funding. Several members of the Division are recipients of research grants from NIH, and/or the pharmaceutical industry. The latter includes studies of new treatments for rheumatoid arthritis and osteoarthritis.

The program is based at the Indiana University Medical Center, which is located on the campus of Indiana University-Purdue University Indianapolis near downtown Indianapolis. Training is carried out in four teaching hospitals on campus: University Hospital and the Riley Children's Hospital (tertiary and quaternary referral centers), Wishard Memorial Hospital (a modern city-county hospital) and the Richard Roudebush VA Hospital, all of which are within walking distance of each other. Fellow outpatient experience includes continuity clinics at the VA Hospital, Wishard Hospital and participation in faculty clinics at University Hospital, and the Riley Hospital for Children.

The Fellowship Program only accepts applications through ERAS and selects fellows via the match (NRMP).

For further information, or to apply for Fellowship training, please contact:
Steven T. Hugenberg, M.D.
Director, Fellowship Program
Rheumatology Division, Department of Medicine
Indiana University School of Medicine.
1120 W. Michigan Street, Rm 370
Indianapolis, Indiana 46202-5111
Office: (317) 278-5095
Fax: (317) 274-7792