Pediatric Rheumatology Fellowship

About the program

The Fellowship Program in Pediatric Rheumatology is a three-year program designed for physicians trained in pediatrics and selected on the basis of excellence in their credentials and training programs.

Our program combines a one-year clinical experience followed by at least two years of scholarly work, which can include advanced training in basic, translational or clinical research, while continuing a longitudinal patient care experience. The program is led by a broadly experienced faculty who will train physicians to be pediatric rheumatologists and leaders in pediatric rheumatology.

Fellowship training program director

Jay Mehta, MD, MSEd
Children's Hospital of Philadelphia
Leonard and Madlyn Abramson Pediatric Research Center
Division of Rheumatology
3615 Civic Center Boulevard - Room #1102
Philadelphia, PA 19104-4399
215-590-2547
mehtaj@chop.edu

The history, expertise and compassion that make Children’s Hospital of Philadelphia unique are also what makes it the best place for medical trainees.

Fellowship goals

The key goals of the fellowship program are to:

Develop collaborative clinical care expertise

To lead the comprehensive care of children with rheumatic diseases.
To incorporate the role of medical and allied healthcare professionals in patient care.
To understand the role of community resources in the care of children with rheumatic diseases.
To work within interdisciplinary teams.

Foster independent basic science, translational and clinical investigation

To offer formal post-doctoral course work in basic science, translational and clinical research.
To provide mentoring to develop and complete innovative and feasible research projects.
To ensure academic achievement by rigorously supervising academic progress.

Invest in the future of pediatric rheumatology

To promote management skills for independent direction of a rheumatology team, including formal participation in divisional quality and patient safety initiatives.
To solidify research skills to further independent research careers.
To foster mentoring skills to educate subsequent trainees.
To cultivate leadership skills to advance the field of pediatric rheumatology.

Unique information about the program

An independent Division of Rheumatology was established in 1999 within the Department of Pediatrics. In 2000, the American College of Graduate Medical Education (ACGME) accredited the Rheumatology Fellowship Program. We have eleven pediatric rheumatology faculty members and two fellowship slots available each year. Our faculty are actively engaged in both basic and clinical investigation, and have a longstanding commitment to Children’s Arthritis and Rheumatology Research Alliance's (CARRA) efforts. Additionally, CHOP Rheumatology has a long-term involvement in participation and leadership within the ”Pediatric Rheumatology Care & Outcomes Improvement Network (PR-COIN) Network.

Fellows and nurses celebrating National Nurses Week

Clinical training occurs in our busy outpatient clinic, as well as on the inpatient side with both our primary rheumatology service and a robust consult service. CHOP not only serves as the main pediatric care site for much of Philadelphia, but also welcomes patients from throughout the mid-Atlantic region, the United States, and the world. We conduct three multi-disciplinary clinics which fellows actively participate in, the Uveitis Coordinated Care Clinic, the Lupus Integrated Nephritis Clinic and the Immune Dysregulation Clinic. In addition to these, we have an Amplified Musculoskeletal Pain Multidisciplinary Clinic which is available for interested fellows. Rheumatology clinicians are supported by 5 nurses and 2 social workers, including a dedicated lupus social worker. 

Fellows practicing their ultrasound skills

Musculoskeletal ultrasound, arthrocentesis, and intraarticular corticosteroid joint injections are commonly performed. In addition to clinic-based training, fellows enroll in ultrasound educational offerings at the ACR Annual Scientific Conference or at the CARRA Annual Conference. We currently have two Sonosite M-MSK system devices for use in our clinic, which has enhanced our diagnostic and therapeutic capabilities.

Pediatric rheumatology has a strong clinical and research relationship with the Penn Division of Adult Rheumatology. We have shared conferences, and pediatric fellows attend adult clinics periodically. Importantly, we have a shared NIH fellowship training grant (T32) and have recently developed a Medicine-Pediatrics Rheumatology Fellowship.

Specific information by years and/or rotation

First year

Fellows become proficient in the history, physical exam, differential diagnosis, diagnostic evaluation, and treatment of pediatric rheumatic diseases. Sensitivity to psychosocial aspects of chronic illness is emphasized.

First year fellows spend five months each on inpatient and outpatient services, and spend four weeks on elective or research rotations. Elective rotations will be set up from a variety of outpatient clinics, depending on the fellow's interests (such as sports medicine, immunology, or our multidisciplinary uveitis clinic). First year fellows have a once-weekly continuity clinic in which they follow patients for whom they are the primary rheumatologist.

The fellows share night and weekend care with the pediatric rheumatology attending. Additionally, the fellows prepare multidisciplinary conferences and take a major role in teaching residents and students rotating through the service.

During the first six months, under the mentorship of the faculty, the fellows consider available research training opportunities. In the second half of the first year, the fellows develop an appropriate research training plan and identify a research mentor.

Second and third year

Clinical responsibilities during the second and third years consist of a longitudinal patient care experience in continuity clinic and 4-6 weeks of inpatient service. Fellows are encouraged to take advantage of a number of opportunities to further their teaching skills with CHOP residents, Penn medical students, and other hospitals within the region. They participate in an adult rheumatology elective through the University of Pennsylvania Department of Rheumatology as well as an amplified musculoskeletal pain elective.

The majority of time in the second and third years is devoted to research training — a critical component of the fellowship program. Fellows interested in basic/translational science may enroll in courses offered through the UPENN Graduate Program in Immunology and work as a post-doctoral fellow in their mentor’s laboratory. Fellows planning on a career in clinical research can enroll in the two-year Master of Science in Clinical Epidemiology (MSCE) Program at the UPENN Center for Clinical Epidemiology and Biostatistics (CCEB).

Those seeking formal training in translational research may enroll in the two-year Masters in Translational Research (MTR) Program.

If you have other scholarly interests, please let us know so we can connect you with opportunities across the extensive CHOP and Penn campuses.

Didactic program

Division chair holding an impromptu teaching session in the fellow workroom

Each week, faculty and fellows participate in a 60-minute didactic session, and a 30-minute inpatient and challenging outpatient discussion. Our didactic curriculum is designed on a three-year cycle to ensure that fellows have exposure to outstanding CHOP and UPenn faculty with diverse expertise. Dr. Mehta reviews the Petty Textbook of Pediatric Rheumatology chapters each week with the first-year fellows. 
Every month, fellows lead a journal club with guidance from faculty.  Major current or recent manuscripts in basic or clinical investigation relevant to rheumatic diseases as well as seminal articles are prioritized.  Fellows receive feedback on their knowledge of the content in the manuscript and their analysis of study methods.
Fellows participate in all divisional QI activities. Fellows learn improvement methodology and tools to systematically shepherd projects through define, diagnose, test/implement, and sustain phases. We actively participate in the Pediatric Rheumatology Care & Outcomes Improvement Network (PR-COIN), which focuses on QI training and improvement activities.  One fellow has the opportunity to attend each biannual PR-COIN conference.  Fellows have access to the Institute for Healthcare Improvement (IHI) curriculum, and a resident/fellow QI lecture series.
We augment didactic sessions with interdisciplinary conferences with Radiology, Nephrology, Dermatology, Neurology, and UPenn Rheumatology.  With guidance from attendings, fellows organize case presentations during these interdisciplinary conferences.  Additionally, fellows are encouraged to attend the weekly Immune Dysregulation and monthly Interstitial Lung Disease interdisciplinary conferences.
CHOP and, specifically, our division have a strong interest in helping fellows and faculty identify and address health disparities. We have a four-part didactic series, including 1) The role of implicit bias in patient care; 2) rheumatology health disparities and social determinants of health; 3) Using QI methodology to address healthcare disparities; 4) Communication skills for a diverse patient population.
At the start of fellowship, we conduct a three-day didactic Introduction to Fellowship, focusing on major pediatric rheumatic diseases, therapeutics, laboratory testing and imaging, and how to be an effective consultant pediatrician.  In addition, from September through December of each year, fellows attend the Immunology Lecture Series. Led by Dr. Behrens and Dr. Canna, and taught by leading basic investigators, this 10-lecture curriculum covers innate and adaptive immunity and prepares fellows to understand the pathophysiology of rheumatic diseases and rational choice of disease modifying and biologic therapies.
Fellows are encouraged to participate in the Department of Pediatrics Fellowship Core Curriculum with a variety of fellows from across the institution. 
Fellows are encouraged to integrate opportunities for patients and families to participate in clinical research (trials, national registries, ongoing interventional and non-interventional studies) in the everyday clinical care setting.

Department of Pediatrics Fellows’ core curriculum

The Department of Pediatrics organizes a common core curriculum for all fellows at CHOP. Fellow Core Curriculum will cover multiple topics relevant to all pediatric subspecialty fellows, including professional development. Core Curriculum begins with sessions during the Departmental New Fellow Orientation and continues with multiple offerings throughout the year. Topics included include:

Quality Improvement Methodology
Half day retreats by year of training
Orientation First Year: Time management, Fatigue mitigation, Introduction to CHOP and Penn, Wellbeing, Tips and Tricks to Success as a Fellow; Diversity, Equity, and Inclusion
Spring First Year: Grant funding, Mentee-Mentor Relationship, Research Design, Advanced library skills
Second Year: Leadership, Communication skills, Presentation, Health Care Disparities, Teaching skills
Fall Third Year – Success in the Job Search: Job search overview, interview skills, CV and Cover letter workshop,
Spring Third Year – Transition to Attending: Leadership skills, Work-life integration, Time management, Billing, Life-long learning, Personal Finance

These sessions occur multiple times per year and offer the added benefit of allowing fellows from different subspecialities an opportunity to engage and network over the course of their training at CHOP. Additional educational and community building events are offered by the Fellows Association (FA). The FA is a volunteer organization that is comprised of multi-disciplinary senior fellows and a faculty advisor. The FA’s mission is dedicated to representing the interests of subspecialty fellows at CHOP and to promoting the continuous improvement of their training experience.

More information about the Department of Pediatrics Graduate Medical Education office, Fellow Core Curriculum and the Fellows Association can be found at the following website.

General information on outcomes of fellows

Faculty and fellows honoring Dr. David Sherry in his classic attire

The CHOP Pediatric Rheumatology Fellowship is designed to allow graduates the flexibility to seek the career of their choice. Most graduates seek academic positions at tertiary care centers.

In addition to the ten graduates who currently hold faculty positions at CHOP, recent graduates have positions at Toronto Hospital for Sick Children, Riley Children’s Hospital, Children’s Hospital of Atlanta, Dell Children’s Hospital, University of Utah, Boston Children’s, Vanderbilt University Medical Center, Lurie Children’s Hospital at Northwestern, Children’s Hospital of Alabama at UAB, Nationwide Children’s Hospital, Seattle Children’s Hospital, Mayo Clinic, University of California San Francisco Benioff Children’s Hospital, University of Texas Southwestern Medical Center, Golisano Children’s Hospital at the University of Rochester, Children’s Mercy Kansas City, the University of Iowa Children’s Hospital, University of Michigan, and the University of Kentucky. 

About the faculty

Edward Behrens, MD (Division Chief): Ed first discovered his passion for Pediatric Rheumatology during his medical school rotation in the Division at CHOP in 2000. It was so awesome that he never left. Now as chief, he aspires to lead the Division to provide the same incredible training experience he was fortunate to receive.  His research interests include Toll-like Receptor and cytokine biology, particularly as they relate to cytokine storm syndromes. Dr. Behrens started the CHOP Immune Dysregulation Program. When not at work he enjoys duplicate contract bridge, playing the trombone, and watching The Office with his daughter.

Jay Mehta, MD (Fellowship Program Director): Jay came back to CHOP after 5 years away after fellowship. He was drawn back to CHOP by the incredible fellows, faculty, and resources (both clinical and research) that are here. Nationally, he serves as the Treasurer for CARRA. Jay's fun fact: he won a car on an episode of Wheel of Fortune in high school, but sadly lost the evidence when he left the VHS tape on top of a toaster oven in college. When not at CHOP, Jay loves exploring Philly restaurants with his wife, throwing spontaneous dance parties with his 11-year old daughter, and riding the 40 bus for hours with his 6-year old son.

Melissa Lerman, MD PhD MSCE (Associate Fellowship Director): Melissa moved to Philadelphia for medical/graduate school, completed her pediatrics residency and fellowship in rheumatology at CHOP, and has been on the faculty since 2011. Dr. Lerman is a full time clinician at CHOP and is the assistant Fellowship Director for the division.  Her particular clinical and research focus is in uveitis. Along with an ophthalmology colleague, Dr. Stefanie Davidson, she co-founded and co-directs the Uveitis Coordinated Care Clinic.  She is also actively involved in the Uveitis Study Group of the Childhood Arthritis & Rheumatology Research Alliance. She is particularly interested in using, and helping others to perform, MSK ultrasound. Dr. Lerman, her husband and two children are committed city dwellers who love the ability to walk or bike almost anywhere.  She looks forward to introducing new fellows both to rheumatology and to Greater Philadelphia.

Jon (Sandy) Burnham, MD MSCE (Clinical Director): Sandy has lived in Philly since coming to medical school at Penn in 1993. After completing his training at CHOP, he joined the Rheumatology faculty in 2004, served as Fellowship Director from 2013-2019, and is now the Rheumatology Clinical Director. He is currently involved in numerous quality improvement activities within CHOP focusing on treat-to-target approaches in juvenile idiopathic arthritis and developed the Lupus Integrated Nephritis Clinic (LINC). LINC is a multidisciplinary clinic that launched in 2018 and includes rheumatology, nephrology, social work, and psychology providers.  Nationally, he is a member of the Pediatric Rheumatology Care and Outcomes Improvement Network (PR-COIN) Executive and Steering Committees, and co-leads its Outcomes Committee.  He is co-leading PR-COIN’s efforts to deploy a treat-to-target approach across its centers in the United States and Canada.  He enjoys spending time with his wife and two daughters, and in his free time can be found playing squash or tennis, taking photographs, cheering for the Phillies, barbecuing, and fly fishing.

Lehn Weaver, MD PhD: Lehn is a former graduate of the CHOP Rheumatology Fellowship with a particular interest in the basic immunologic mechanisms driving systemic inflammation in autoimmune and autoinflammatory diseases. He enjoys spending time with his wife and 2 children, coaching and playing sports with Carter (10) and Annabelle (8), mountain biking, and planning the next family adventure.

Pam Weiss, MD MSCE (Director of Clinical Research): Pam joined the rheumatology faculty in 2008 after completing her training at CHOP. She directs the Rheumatology Research Core which facilitates the recruitment and conduct of patient-oriented studies leveraging the clinic population. Her own research focus is on the epidemiology and clinical trials of children with juvenile arthritis and spondyloarthritis. Pam leads the Clinical Trials Research Affinity Group at CHOPand serves as the Clinical Futures’ Associate Co-Director for Clinical Trials,. Pam enjoys serving as a taxi cab for her 2 daughters as well as cooking (especially spicy foods), gardening, skiing, and walking her dogs.

Sabrina Gmuca, MD MSCE: Sabrina joined the faculty in 2017 after completing her fellowship training at CHOP and an MSCE degree at Penn. She cares for patients in both our rheumatology and AMPS clinic. Sabrina is a core faculty member in Clinical Futures and PolicyLab at CHOP.  Her research interests are neurocognitive impairment in adolescents with juvenile fibromyalgia syndrome and the role of resilience among youth with chronic musculoskeletal pain syndromes. Her current work, conducting a randomized controlled trial of a resilience coaching program for youth with chronic musculoskeletal pain, is supported by a K23 from NIAMS. She and her husband enjoy taking their dog and daughter on long walks and hikes out in the burbs.

Emily Liebling, MD: Emily completed her fellowship at CHOP in June 2020. She currently cares for patients at the CHOP Specialty Care Center in Princeton-Plainsboro, NJ. Her clinical interests lie in uveitis, particularly JIA-associated uveitis. She is a born and bred New Yorker and completed residency training at the Children’s Hospital at Montefiore, but now calls Philadelphia home. In her spare time, she enjoys spending time with family (at home and at work), being the brunt of divisional jokes, reading, exploring Philadelphia museums, and being a champion board gamer.

Beth Rutstein, MD, MSCE: Beth completed medical school, residency, and fellowship in Philadelphia at UPENN/CHOP. She has a particular interest in the infectious complications within the immunosuppressed population and completed her MSCE during fellowship, with her thesis investigating the increased risk of Herpes Zoster in the pediatric rheumatologic community. She is a 100% clinician and thinks that clinic is the best! As a new mom and native Philadelphian, she spends her free time swooning over her son and preparing her niece and nephew for babysitting duty.  She is happy to field any questions you may have about fellowship or Philly – but don’t ask her for spelling advice or directions unless you want to be led astray. She sees patients at the Brandywine Valley CHOP Specialty Care Center.

Scott Canna, MD: Scott was born in the Philly suburbs but trained in Baltimore, DC, Denver, Philly (as a CHOP rheum fellow), Bethesda, and Pittsburgh before returning home as faculty in 2021. He is clinically focused on providing exemplary care to immunologically complex patients as part of the CHOP Immune Dysregulation Program. Dr. Canna has been studying mechanisms of autoinflammation and hyperinflammation since 2005 and has led a translational research program since 2016. He also enjoys geeking out about immunology with fellows, embarrassing his two daughters, and testing his mettle in the outdoors. He is an insufferable advocate of bike commuting and thinks you should be too. 

Malki Peskin, MD: After completing medical school, residency, and fellowship at Albert Einstein College of Medicine and the Children's Hospital at Montefiore in Bronx, NY, Malki recently made the big move down to Philly to begin as an academic clinician here at CHOP. As the newest member of the CHOP Rheum fam, she is very excited to join the team. Her clinical interests include lupus, particularly patients with lupus nephritis. Her research interests include quality improvement work, specifically focused on improving medication adherence among adolescents with rheumatologic disease. When not at work, she enjoys spending time with her husband and 3 children, running, spinning, and finding the best coffee shops. Malki sees patients on the main hospital campus as well as at the CHOP specialty care center in Princeton-Plainsboro, NJ.

About the fellows

Julia Rood, MD, PhD: Julia is a fourth-year fellow in the Accelerated Research Pathway. She grew up in Maryland but returned to her family's midwestern homeland for her undergrad years, studying biology and math at St. Olaf College in Minnesota. She found her love for translational research while working at the NIH, prompting her to pursue an MD/PhD at Penn. She has a fondness for viral immunology but discovered her interest in pediatric rheumatology while completing her graduate studies in Dr. Behrens' lab and pediatrics residency at CHOP. Her research interests include dysregulated antiviral immune responses and antigen presentation. When not at work, she can be found in the pool, biking through Fairmount Park and Wissahickon, or exploring Philly's many parks with her husband and 20 month-old daughter.

Sarah Bayefsky, MD: Sarah is a fourth-year fellow and has the honor of being the first combined pediatric & adult rheumatology fellow at CHOP/Penn.  She attended college at Harvard, went to medical school at the Zucker School of Medicine at Hofstra/Northwell, and completed her Internal Medicine-Pediatrics (Med-Peds) residency at Vanderbilt. As an intern, she became fascinated by rheumatology after spending time with a pediatric patient with vasculitis and an adult patient with myositis. As she progressed through residency, she realized that the complexity of cases, longitudinal care, holistic approach, interdisciplinary nature, collegial environment, and lifelong learning that the field of rheumatology affords made for a perfect fit. She is interested in medical education and loves to teach residents and medical students. Outside of work, she can be spotted picnicking by the Schuylkill River, traveling to faraway lands (in the absence of a global pandemic), cheering for the Toronto Blue Jays baseball team, and trying to speak with you in foreign languages.

Dori Abel, MD: A third year fellow, Dori grew up outside of Philly, where she developed her Philly pride and knew she would always return (although she also loves NYC - you’re allowed to love both)! She earned her bachelor’s degree from Duke University, then gradually made her way back up the east coast, completing her medical education at Georgetown and her pediatric residency training at Columbia in NYC. She and her friends describe her as an enthusiastic and passionate person, especially when it comes to her love for rheumatology and The Parent Trap. The long-term relationships, diagnostic complexity, multisystem involvement, novel treatment advances, and close-knit pediatric rheumatology community drew her to the field, and she loves sharing her passion with trainees through mentoring and education. She is currently pursuing a Masters in Health Policy with a Concentration in Healthcare Quality and Safety. Her current research and quality improvement interests relate to health equity, medication adherence, and self-management support in rheumatology. Outside of work, she enjoys an active lifestyle including hiking beautiful mountains and biking, and she will happily whoop anyone into shape during her Yoga Sculpt fitness class! 

Adam Mayer, MD: Adam is a third-year Med/Peds rheumatology fellow. He hails from the distant land of Baltimore, MD.  For his undergraduate studies he attended the University of Maryland Baltimore County (UMBC) where he studied Biology and German.  Fun fact, UMBC has one of the top chess teams in the country, but not much in terms of other (actual) sports.  He then came to Philadelphia for medical school at Penn followed by Med/Peds residency at Penn/CHOP.  After 10 years, Philly is truly his new home!  Adam chose to stay at Penn/CHOP for rheumatology fellowship given the breadth of interesting pathology, high quality research and exceptional mentorship.  Adam is interested in adult and juvenile spondyloarthritis, with a specific interest in understanding optimal diagnostics and therapeutics for patients with IBD-associated arthritis.  When not in the hospital, Adam can be found telling dad jokes (to his wife's chagrin), going on hikes with his wife and baby boy Oliver, and watching every type of football (i.e. football and soccer).

Sarah Capponi, MD: Sarah is a third-year Med Peds Rheumatology fellow . She went to Johns Hopkins for college and majored in Writing Seminars, and then migrated back to her home state of Pennsylvania for medical school at Jefferson and Med Peds residency at Penn and CHOP. She is interested in transitions of care, medical education, and quality improvement for medically complex Rheumatology patients. She loves playing tennis, recreational bike riding, eating at all the amazing Philadelphia restaurants, watching reality TV, and hanging out with her husband, daughter Nora, and mini Australian pup Theo. 

Hallie Carol, MD: Hallie is a second-year fellow, who was born and raised in Massachusetts. Her love of the east coast and outdoor activities was solidified at Bowdoin College, where she studied Biochemistry. She completed her medical school training at Columbia University, followed by pediatric residency at Lurie Children's hospital in Chicago. Hallie was initially drawn to Rheumatology for its close tie with the immune system and diagnostic dilemmas. She knew CHOP was for her after she met the enthusiastic, welcoming faculty and heard about the immune dysregulation program. She is particularly interested in autoinflammatory diseases andis studying the innate immune system in the Canna Lab . Hallie considers herself a Trader Joe's enthusiast. She loves the outdoors, especially enjoying an afternoon along the Schuylkill river (which must involve picnicking and/or hammocking). When stuck inside, she is known to brew kombucha and watch F1.

Anna Costello, MD: A second-year fellow, Anna is from Connecticut originally and attended Brown University as part of the Program in Liberal Medical Education for undergraduate and medical school. She completed her Pediatrics Residency at CHOP and then survived a tumultuous chief year during the start of the COVID-19 pandemic. She then worked as a Pediatric Hospital Medicine Attending at CHOP for two years before applying for Rheumatology fellowship. She is so excited to continue training with the amazing group at CHOP. She wanted to stay because CHOP offers an amazing balance of being the local hospital for the city of Philadelphia and being a referral center for patients from all over the world. This lets you learn about everything from bread-and-butter cases to incredibly rare diseases and provides you with incredible clinical training. She is a student in the Master’s in Health Policy Research program at UPenn and is a Diagnostic Excellence fellow with the Society to Improve Diagnosis in Medicine. During her second and third year, she hopes to study diagnostic delay in JIA. Her husband is a Pediatric sports medicine attending at CHOP andthey also have adaughter named Zoe who was born a couple of months prior to the start of fellowship! They love taking family walks around all the beautiful trails and parks in the Philly area. 

Sarah McCuaig, MD, PhD: Sarah is a first-year fellow from Waterloo, Ontario, Canada. She has had a long-standing scientific passion for immunology and discovered her clinical love of pediatric rheumatology as a medical student. She completed her PhD (DPhil) at the University of Oxford with Fiona Powrie studying mucosal immunology. She then completed her medical degree at UPenn and her Pediatric Residency at CHOP. She is on the Accelerated Research Pathway and hopes to pursue a career as a physician-scientist. She is interested in tissue-specific drivers of inflammation in multi-organ system inflammatory disease. Most of all, she is excited to take care of our incredible patients and to have the privilege of being part of their journey! When not in the hospital or in the lab, she is an avid runner, enjoys all things outdoors (with a predilection for Nordic pursuits like cross country skiing), learning new skills (guitar, raised bed gardening), and spending time with friends and family. She is blissfully unaware of her Canadian accent and quintessentially loves maple syrup.

Brittney Newby, MD, PhD: Brittney is a first-year rheumatology fellow. Originally from Atlanta, she completed her undergrad studies at FAMU before pursuing her MD-PhD at the University of Florida. Her thesis focused on unraveling the diabetogenic potential of Type 1 Interferon in Type 1 Diabetes. Following medical school, she completed her residency and a chief year at CHOP, where she discovered her true clinical passion in Rheumatology. Brittney is particularly intrigued by the interplay between environmental factors and the shaping of the immunological landscape, leading to autoinflammation, autoimmunity and immune dysregulation. She aims to contribute valuable insights to this dynamic field to enhance the lives of her patients.

Outside of her professional pursuits, Brittney finds joy in spending quality time with her friends and family. Some of her favorite pastimes include softball, roller skating, reading, and traveling. Additionally, she indulges her passion for R&B and Soul music by attending concerts whenever her schedule allows, embracing the artistic and creative aspects of life.

Research opportunities

Four members of CHOP Rheumatology research team

Both clinical research and basic science research tracks are available to the fellow. The fellow is expected to lead a research project, of either a clinical or basic science nature, during the last two years of the fellowship program.

The program ensures a meaningful, supervised research experience based on early establishment of a mentor appropriate for the fellow's interests. The fellow is guided into appropriate training in order to successfully complete a research project over the course of the three-year program. The fellow may choose a clinically-based research project for which several mentors are available through the Divisions of Rheumatology at Penn or CHOP, or the fellow may choose a basic research laboratory-based project, for which there are dozens of mentors throughout the CHOP/Penn immunology community.

Related programs

Recent publications by fellows (last 5 years)

Basiaga ML, Burrows EK, Denburg MR, Meyers KE, Grossman AB, Mamula P, Grundmeier RW, Burnham JM. Variation in preventive care in children receiving chronic glucocorticoid therapy. J Pediatr, 179:226-232, December 2016. Epub September 2016.

Raslan A, Boneparth A, Leibowitz K, Bhise V, Basiaga ML, Burnham J, Moorthy N: Anti-MDA-5 associated arthritis and fasciitis in an 11-year-old Boy. Annals of Paediatric Rheumatology, January 2016 Notes: Online First.

Das R, Guan P, Sprague L, Verbist K, Tedrick P, An QA, Cheng C, Kurachi M, Levine R, Wherry EJ, Canna SW, Behrens EM, Nichols KE. Janus kinase inhibition lessens inflammation and ameliorates disease in murine models of hemophagocytic lymphohistiocytosis. Blood, 127(13):1666-75, March 31 2016. Epub Jan 29, 2016

Gmuca S, Boos MD, Treece A, Narula S, Billinghurst L, Bhatti T, Laje P, Perman MJ, Vossough A, Harding B, Burnham J, Banwell B. Degos disease mimicking primary vasculitis of the CNS. Neurol Neuroimmunol Neuroinflamm, 2;3(2):e206, February 2016.

Hoffart CM, Sherry DD: Fibromyalgia--toward a definition in children. J Pediatr, 169: 9-10, February 2016. Notes: epub December 9, 2015.

Weaver LK, Chu N, Behrens EM. TLR9-mediated inflammation drives a Ccr2-independent peripheral monocytosis through enhanced extramedullary monocytopoiesis. Proc Natl Acad Sci U S A, 27;113(39):10944-9, September 2016. Epub September 12, 2016.

Rood JE, Canna SW, Weaver LK, Tobias JW, Behrens EM. IL-10 distinguishes a unique population of activated, effector-like CD8+ T cells in murine acute liver inflammation. J Leukoc Biol, 101(4):1037-1044, April 2017. Epub December 29 2016.

Gmuca S, Lieberman SM, Mehta J. Pediatric neuromyelitis optica spectrum disorder and Sjögren Syndrome: More common than previously thought? J Rheumatol, 44(6):959-960, June 2017.

Manos CK, Xiao R, Brandon TG, Burnham JM, Zemel BS, Weiss PF. Obesity and pediatric psoriatic arthritis. Ann Paediatr Rheumatol, 6(2):34-40, 2017. Gmuca S, Xiao R, Brandon TG, Pagnini I, Wright TB, Beukelman T, Morgan EM, Weiss PF. Multicenter inception cohort of enthesitis-related arthritis: variation in disease characteristics and treatment approaches. Arthritis Res Ther, 19(1):84, May 2017.

Tiao J, Feng R, Berger EM, Brandsema JF, Coughlin CC, Khan N, Kichula EA, Lerman MA, Lvovich S, McMahon PJ, Rubin AI, Scalzi LV, Smith DM, Taxter AJ, Treat JR, Williams RP, Yum SW, Okawa J, Werth VP : Evaluation of the reliability of the cutaneous dermatomyositis disease area and severity index and the cutaneous assessment tool binary method in juvenile dermatomyositis among paediatric dermatologists, rheumatologists and neurologists. Br J Dermatol, 177(4):1086-1092, October 2017.

Chang JC, Knight AM, Xiao R, Mercer-Rosa LM, Weiss PF. Use of echocardiography at diagnosis and detection of acute cardiac disease in youth with systemic lupus erythematosus. Lupus, 27(8):1348-1357, July 2018. Epub 2018 Apr 2018.

Chang JC, Xiao R, Mercer-Rosa L, Knight AM, Weiss PF. Child-onset systemic lupus erythematosus is associated with a higher incidence of myopericardial manifestations compared to adult-onset disease. Lupus, 27(13):2146-2154, November 2018. Epub 2018 October 14, 2018.

Chang JC, Mandell DS, Knight AM. High Health Care Utilization Preceding Diagnosis of Systemic Lupus Erythematosus in Youth. Arthritis Care Res (Hoboken), 70(9):1303-1311, September 2018. Epub August 16, 2018.

Gmuca S, Xiao R, Weiss PF, Waldman AT, Gerber JS. Use of rituximab and risk of re-hospitalization for children with neuromyelitis optica spectrum disorder. Mult Scler Demyelinating Disord, 3:3. Epub April 17, 2018.

Gmuca S, Yu J, Weiss PF, Treat JR, Sherry DD: Erythema Ab Igne in an adolescent with chronic pain: An alarming cutaneous eruption from heat exposure. Pediatric Emerg Care, March 2018. Gmuca S, Sherry DD. Fibromyalgia: Treating Pain in the Juvenile Patient. Paediatr Drugs,19(4):325-338, August 2017.

James KE, Xiao R, Merkel PA, Weiss PF. Variation in the Treatment of Children Hospitalized With Antineutrophil Cytoplasmic Antibody-Associated Vasculitis in the US. Arthritis Care Res (Hoboken), 69(9):1377-1383, September 2017. Epub August 13, 2017. James KE, Xiao R, Merkel PA, Weiss PF. Clinical course and outcomes of childhood-onset granulomatosis with polyangiitis. Clin Exp Rheumatol, 35 Suppl 103(1):202-208, March/April 2016. Epub October 2016.

Brandon TG, Manos CK, Xiao R, Ogdie A, Weiss PF. Pediatric psoriatic arthritis: a population-based cohort study of risk factors for onset and subsequent risk of inflammatory comorbidities. J Psoriasis Psoriatic Arthritis, 3(4):131-136, October 2018. Epub 2018 Sep 18.

Le Coz C, Nolan BE, Trofa M, Kamsheh AM, Khokha MK, Lakhani SA, Novelli A, Zackai EH, Sullivan KE, Briuglia S, Bhatti TR, Romberg N. Cytotoxic T-lymphocyte-associated protein 4 haploinsufficiency-associated inflammation can occur independently of T-cell hyperproliferation. Front Immunol, 24;9:1715, July 2018.

Buckley L, Ware E, Kreher G, Wiater L, Mehta J, Burnham JM: Outcome monitoring and clinical decision support in polyarticular juvenile idiopathic arthritis. J Rheumatol, 47(2): 273-281, February 2020.

Chang JC, White BR, Elias MD, Xiao R, Knight AM, Weiss PF, Mercer-Rosa L: Echocardiographic assessment of diastolic function in children with incident systemic lupus erythematosus. Pediatric Cardiology, 40(5):1017-1025, June 2019.

Liebling EJ, Peterson R, Victoria T, Burnham JM: Aortic ulceration in a tocilizumab-treated patient with Takayasu arthritis. Ann rheum Dis, 78(10), October 2019.

Romberg N, Le Coz C, Glauzy S, Schickel JN, Trofa M, Nolan BE, Paessler M, Xu ML, Lambert MP, Lakhani SA, Khokha MK, Jyonouchi S, Heimall J, Takach P, Maglione PJ, Catanzaro J, Hsu FI, Sullivan KE, Cunningham-Rundles C, Meffre E. Patients with common variable immunodeficiency with autoimmune cytopenias exhibit hyperplastic yet inefficient germinal center responses. J Allergy Clin Immunol,143(1):258-265, January 2019. Epub June 2018.

Chang JC, Buckley LH, Goldberg T, Nolan BE, Peterson R, Liebling EJ, Waqar LN, Burnham JM. Enhancing communication and social engagement among clinicians and research teams to improve reliability of research recruitment. BMJ Open Qual, 8(4), November 2019.

Kushner CJ, Tarazi M, Gaffney RG, Feng R, Ardalan K, Brandling-Bennett H, Castello-Soccio L, Chang JC, Chiu YE, Gmuca S, Hunt RD, Kahn P, Knight AM, Mehta J, Pearson DR, Treat JR, Wan J, Yeguez A, Concha JS, Patel B, Okawa J, Arkin LM, Werth VP: Evaluation of the reliability and validity of the cutaneous lupus erythematosus disease area and severity index (CLASI) in pediatric cutaneous lupus among pediatric dermatologist and rheumatologists. British Journal of Dermatology, 180(1):165-171, January 2019.

Gmuca S, Xiao R, Weiss PF, Sherry DD, Knight AM, Gerber JS. Opioid prescribing and polypharmacy in children with chronic musculoskeletal pain. Pain Med, 20(3):495-503, March 2019.

Liebling EJ, Sze RW, Behrens EM. Vitamin C deficiency mimicking inflammatory bone disease of the hand. Pediatr Rheumatol Online J,18(1):45, June 2020.

Gordon SM, Nishiguchi MA, Chase JM, Mani S, Mainigi MA, Behrens EM. IFNs Drive Development of Novel IL-15-Responsive Macrophages. J Immunol. 2020 Aug 15;205(4):1113-1124. doi: 10.4049/jimmunol.2000184. Epub 2020 Jul 20.

Vella LA, Giles JR, Baxter AE, Oldridge DA, Diorio C, Kuri-Cervantes L, Alanio C, Pampena MB, Wu JE, Chen Z, Huang YJ, Anderson EM, Gouma S, McNerney KO, Chase J, Burudpakdee C, Lee JH, Apostolidis SA, Huang AC, Mathew D, Kuthuru O, Goodwin EC, Weirick ME, Bolton MJ, Arevalo CP, Ramos A, Jasen CJ, Conrey PE, Sayed S, Giannini HM, D'Andrea K; UPenn COVID Processing Unit, Meyer NJ, Behrens EM, Bassiri H, Hensley SE, Henrickson SE, Teachey DT, Betts MR, Wherry EJ. Deep immune profiling of MIS-C demonstrates marked but transient immune activation compared to adult and pediatric COVID-19. Sci Immunol. 2021 Mar 2;6(57):eabf7570.

Diorio C, McNerney KO, Lambert M, Paessler M, Anderson EM, Henrickson SE, Chase J, Liebling EJ, Burudpakdee C, Lee JH, Balamuth FB, Blatz AM, Chiotos K, Fitzgerald JC, Giglia TM, Gollomp K, Odom John AR, Jasen C, Leng T, Petrosa W, Vella LA, Witmer C, Sullivan KE, Laskin BL, Hensley SE, Bassiri H, Behrens EM, Teachey DT. Evidence of thrombotic microangiopathy in children with SARS-CoV-2 across the spectrum of clinical presentations. Blood Adv. 2020 Dec 8;4(23):6051-6063

Anderson EM, Diorio C, Goodwin EC, McNerney KO, Weirick ME, Gouma S, Bolton MJ, Arevalo CP, Chase J, Hicks P, Manzoni TB, Baxter AE, Andrea KP, Burudpakdee C, Lee JH, Vella LA, Henrickson SE, Harris RM, Wherry EJ, Bates P, Bassiri H, Behrens EM, Teachey DT, Hensley SE. Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) Antibody Responses in Children With Multisystem Inflammatory Syndrome in Children (MIS-C) and Mild and Severe Coronavirus Disease 2019 (COVID-19). J Pediatric Infect Dis Soc. 2021 May 28;10(5):669-673

Vella L, Giles JR, Baxter AE, Oldridge DA, Diorio C, Kuri-Cervantes L, Alanio C, Pampena MB, Wu JE, Chen Z, Huang YJ, Anderson EM, Gouma S, McNerney KO, Chase J, Burudpakdee C, Lee JH, Apostolidis SA, Huang AC, Mathew D, Kuthuru O, Goodwin EC, Weirick ME, Bolton MJ, Arevalo CP, Ramos A, Jasen C, Giannini HM, DAndrea K, Meyer NJ, Behrens EM, Bassiri H, Hensley SE, Henrickson SE, Teachey DT, Betts MR, Wherry EJ. Deep Immune Profiling of MIS-C demonstrates marked but transient immune activation compared to adult and pediatric COVID-19. medRxiv [Preprint]. 2020 Sep 27:2020.09.25.20201863. doi: 10.1101/2020.09.25.20201863. Update in: Sci Immunol. 2021 Mar 2;6(57)

Diorio C, Anderson EM, McNerney KO, Goodwin EC, Chase JC, Bolton MJ, Arevalo CP, Weirick ME, Gouma S, Vella LA, Henrickson SE, Chiotos K, Fitzgerald JC, Kilbaugh TJ, John ARO, Blatz AM, Lambert MP, Sullivan KE, Tartaglione MR, Zambrano D, Martin M, Lee JH, Young P, Friedman D, Sesok-Pizzini DA, Hensley SE, Behrens EM, Bassiri H, Teachey DT. Convalescent plasma for pediatric patients with SARS-CoV-2-associated acute respiratory distress syndrome. Pediatr Blood Cancer. 2020 Nov;67(11):e28693. doi: 10.1002/pbc.28693. Epub 2020 Sep 4.

Anderson EM, Diorio C, Goodwin EC, McNerney KO, Weirick ME, Gouma S, Bolton MJ, Arevalo CP, Chase J, Hicks P, Manzoni TB, Baxter AE, Andrea KP, Burudpakdee C, Lee JH, Vella LA, Henrickson SE, Harris RM, Wherry EJ, Bates P, Bassiri H, Behrens EM, Teachey DT, Hensley SE. SARS-CoV-2 antibody responses in children with MIS-C and mild and severe COVID-19. medRxiv [Preprint]. 2020 Aug 18

Diorio C, Henrickson SE, Vella LA, McNerney KO, Chase J, Burudpakdee C, Lee JH, Jasen C, Balamuth F, Barrett DM, Banwell BL, Bernt KM, Blatz AM, Chiotos K, Fisher BT, Fitzgerald JC, Gerber JS, Gollomp K, Gray C, Grupp SA, Harris RM, Kilbaugh TJ, John ARO, Lambert M, Liebling EJ, Paessler ME, Petrosa W, Phillips C, Reilly AF, Romberg ND, Seif A, Sesok-Pizzini DA, Sullivan KE, Vardaro J, Behrens EM, Teachey DT, Bassiri H. Multisystem inflammatory syndrome in children and COVID-19 are distinct presentations of SARS-CoV-2. J Clin Invest. 2020 Nov 2;130(11):5967-5975

Argraves M, Mehta JJ. Pediatric rheumatology: Not just a little adult workforce issue. Semin Arthritis Rheum. 2020 Dec 21:S0049-0172(20)30288-2.

Rutstein BH, Gmuca S, Gerber JS, Lim T, Argraves M, Ogdie A. Validation of coding algorithms for the identification of herpes zoster among children. Pharmacoepidemiol Drug Saf. 2021 May 7.

Peterson RG, Xiao R, James KE, Katcoff H, Fisher BT, Weiss PF. Variation in treatment of children hospitalized with new-onset systemic juvenile idiopathic arthritis in the United States. Arthritis Care Res (Hoboken). 2020 Aug 16

Liebling EJ, Faig W, Chang JC, Mendoza E, Moore N, Ledesma Vicioso N, Lerman MA. The temporal relationship between juvenile idiopathic arthritis disease activity and uveitis activity. Arthritis Care Res (Hoboken). 2020 Oct 12.

Bayefsky, S.D., DeQuattro K., & Sadun R.E. “Tips for Transitioning Patients from Pediatric to Adult Rheumatology Care.” The Rheumatologist (pgs. 27–29), Oct. 2021.

How to apply

Our three-year fellowship seeks physicians who will have completed two to three years of training in an accredited residency program in order to sit for the American Board of Pediatrics certifying examination. Our fellowship program participates in the ERAS universal application process. Please visit their Web site at www.aamc.org/eras for application information about this program.

The following information should be uploaded into this program:

Completed ERAS application
At least three letters of reference, including one from your residency program director
MSPE and medical school transcript
A personal statement describing career goals and reasons for continuing training in pediatric rheumatology
Parts 1, 2 and 3 of the USMLE taken within the seven year time frame as required by the Commonwealth of Pennsylvania or equivalent scores
If a graduate of a medical school outside the United States, Canada or Puerto Rico, valid ECFMG certificate or one that does not expire prior to the start of the fellowship
If not a citizen of the United States, copy of permanent resident card or copy of current, appropriate visa

National resident matching program (NRMP)

The Pediatric Rheumatology Fellowship program participates in the National Resident Matching Program (http://www.nrmp.org).

Other requirements

To carry out its mission, it is of critical importance for the Children’s Hospital of Philadelphia (CHOP) to keep our patients, families and workforce safe and healthy and to support the health of our global community. In keeping with this, CHOP has mandated all workforce members (including trainees) on site at any CHOP location for any portion of their time be vaccinated for COVID-19 as a condition of employment.

This mandate also applies to workforce members or trainees performing work for CHOP at non-CHOP locations. Additionally, all workforce members based in or regularly scheduled to work at any New Jersey location are mandated to be both vaccinated and boosted for COVID-19, with booster timing consistent with applicable guidelines. The CHOP COVID-19 vaccine mandate is in alignment with applicable local, state and federal mandates. CHOP also requires all workforce members and trainees who work in patient care buildings or who provide patient care to receive an annual influenza vaccine. Employees may request exemption consideration for CHOP vaccine requirements for valid religious and medical reasons. Please note start dates may be delayed until candidates are fully immunized or valid exemption requests are reviewed. In addition, candidates other than those in positions with regularly scheduled hours in New Jersey, must attest to not using tobacco products.

Children's Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability, protected veteran status or any other protected category. CHOP is a VEVRAA Federal Contractor seeking priority referrals for protected veterans.

CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children.

We strongly encourage all candidates of diverse backgrounds and lived experiences to apply.

Contact

Lisa Sudell
Fellowship Administrator
Children's Hospital of Philadelphia
Pediatric Rheumatology Fellowship
3615 Civic Center Blvd., 1102 ARC
Philadelphia PA 19104-4318
215-590-7180
sudell@chop.edu

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215-590-2547

Fax

215-590-4750

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