Rheumatology

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Fellowship Research Opportunities

During the first year, the subspecialty resident will identify a research project that broadly relates to pediatric rheumatology and identify a research advisor with the approval of the Pediatric Rheumatology Training Director and the subspecialty resident’s Mentorship Committee.  Subspecialty residents are only allowed to work with research advisors who have a proven research “track record”, ensuring advisors who understand and have successfully carried out research projects, grant applications, publication, etc.  Should the subspecialty resident be interested in pursuing a project which cannot be accomplished within the research programs in progress in the Division of Pediatric Rheumatology at Duke or UNC, the Pediatric Rheumatology Program Director and the Mentorship Committee will determine the feasibility of the proposed project and attempt to identify an advisor and laboratory in which to perform the research.  If the subspecialty resident wishes to pursue a clinical research project, they will be encouraged to get additional didactic training through the Duke Clinical Scholar’s program or the Masters in Public Health program at UNC.  In addition, the subspecialty resident is required to attend Basic Science Research conferences in the first year which exposes them to many of the researchers at Duke University Medical Center, both in and out of the departments of pediatrics and medicine. Through this conference which is organized by Dr. David Pisetsky, they begin to learn about experimental design, data management and analysis, and laboratory techniques used in rheumatology research. The participation of the subspecialty residents in journal club in the first year during which papers are critically reviewed adds to their initial exposure to principles of research.  First year subspecialty residents are also required to attend Immunology Teaching Rounds twice per month where topics in basic immunology and basic immunology research are discussed.
 
The second and third years are devoted to developing basic or clinical research skills to be a successful academic subspecialty pediatrician.  These years will be spent principally in an established laboratory or under the mentorship of an established clinical investigator. The pediatric rheumatology subspecialty resident will acquire skills in research design, methodology, data analysis, and oral and written presentation skills. The selection of an established research mentor will facilitate the accomplishment of these goals.  A program will be developed for each subspecialty resident including didactic training at the beginning of the second year in research design and data analysis.  Depending on the individual goals and interests of the subspecialty resident, this may include non degree courses offered in the department of pediatrics, the school of medicine at Duke or UNC, or degree offering classes at the Duke Clinic Research Institute (Clinical Scholars Program) or The School of Public Health at UNC. Should the subspecialty resident desire more in-depth coverage of experimental design, clinical trials, multivariate analysis and linear regression models, survival and risk analysis, graduate level courses are available through the Division of Biometry, Department of Family Medicine and clinical scholars program at Duke Clinical Research Institute.  These courses meet twice a week for 1½ hours for 8-16 weeks.  Second year subspecialty residents are also expected to complete a course in Medical Immunology offered by Duke University Medical School every spring.  For more in depth education in basic immunology, the subspecialty resident may elect coursework in the graduate school of immunology
 
Further instruction in these areas will continue throughout the second and third years on a one-to-one basis by the research mentor around specific research projects. In the third year the subspecialty resident will be expected to present an abstract to a regional or national scientific meeting.  Support and instruction for this activity will come from the research mentor and the Program Director.  By the end of the third year, the subspecialty resident will be expected to have at least one original research manuscript submitted or accepted for publication in a peer-reviewed journal or a pending or funded grant application in order to demonstrate meaningful accomplishment in research.   In addition, pediatric rheumatology subspecialty residents present their research, usually in the third year, at the monthly departmental research conference at Duke or UNC.  They also compete for a departmental research prize at an annual competition through poster and oral presentations (either Duke or UNC).