Adult & Pediatric Fellowship Program

2016 Fellows
Subspecialty Residents (Fellows)
Dr. Mian Rizwan
Dr. Melanie Wahl
Dr. Paul Tuttle
Dr. Austin Dalrymple

Katherine Temprano, M.D.
- Director - Adult Rheumatology Fellowship Program
Reema Syed, M.D.
- Director - Pediatric Rheumatology Fellowship Program

Martha Edwards - Program Coordinator
Phone :  314-977-6195

The mission of the Saint Louis University Rheumatology fellowship training program is to produce physicians that 1) are clinically competent in the field of rheumatology, 2) are capable of working in a variety of settings, and 3) possess habits of life-long learning to build upon their knowledge, skills and professionalism. The trainees who successfully complete this program will be fully trained and equipped to function as clinical rheumatologists, clinician educators, or clinician scientists, depending on the individual career goals of the individuals. Our Rheumatology Division at the Saint Louis University Medical Center is both research and clinically oriented. It has traditionally been rated as one of the top 25 Rheumatology Divisions by the American College of Rheumatology. Our research is centered on studies of Systemic Lupus Erythematosus on Regulatory T-cells,′Systemic Lupus Erythematosus on Interferon Signatures, Systemic Lupus Erythematosus on Syk and Immune Complexes, Juvenile Idiopathic Arthitis on Isotypes of Anti-CCP Antibodies, and Rheumatoid Factors and Glycosylation. We are active participants in the Corrona Registry and CARRA (Childhood Arthritis and Research Alliance) Network and have established an active clinical trial program. Our training program is one of the highest regarded nationally in both Adult and Pediatric Rheumatology by the American College of Rheumatology. Our Fellowship Program is accredited for both Pediatric and Adult Rheumatology training through the American College of Graduate Medical Education and our program is uniquely able to train fellows that have completed either an Internal Medicine residency, Medicine-Pediatric residency, or Pediatric residency.

All of our faculty, including Terry L. Moore, M.D., Peri Hickman Pepmueller, M.D., Rama Bandlamudi, M.D., Reema Syed, M.D., Katherine Temprano, M.D., and Kathryn Coulson, M.D. are teaching faculty and work with the fellows during clinics and during the consult rotations. The Rheumatology Division at Saint Louis University has a patient base of over 2,000 adults and over 1,200 children with rheumatic diseases. Our outpatient clinics are located at the Saint Louis University Doctor’s Office Building, SLUCare Des Peres, and Cardinal Glennon Children’s Hospital. We care for adult and pediatric patients with a broad range of rheumatic diseases including rheumatoid arthritis, systemic lupus erythematosus, scleroderma, Sjogren’s disease, myopathies, vasculitis, inflammatory arthritis, crystal induced arthritis, periodic fever syndromes, and metabolic bone disease. Our pediatric clinics are overseen by Peri Hickman Pepmueller, M.D., Reema Syed, M.D., and Terry L. Moore, M.D.

We have the largest children's arthritis center in St. Louis, the largest in the state of Missouri, and the eighth largest in the country. Our inpatient service is a consultation service performed at both the Saint Louis University Hospital and Cardinal Glennon Children's Hospital with about 200 consults per year.

We have a strong didactic curriculum and our faculty are enthusiastic teachers. We aim to improve and innovate our educational curriculum each year. The Arthritis and Immunology conference is held on a weekly basis throughout the year and focuses on the basic core knowledge of clinical manifestations, clinical presentations, pathophysiology and management of rheumatologic diseases or systemic diseases with rheumatic manifestations. Topics such as pharmacology, exercise and sports related injuries, physical medicine, and neurology are also included. Also, during this conference, each fellow will present an evidence based review on the topic of their choice twice yearly. The CARE question sessions are held bimonthly during the second semester. Each fellow will rotate and present review board-style questions with supporting medical literature during the discussion of the answers. A Musculoskeletal Radiology conference is held jointly with attending physicians, fellows, and residents from the Division of Radiology and Division of Rheumatology on a monthly basis. Rheumatology fellows and attendings select cases for presentation and review. Emphasis is placed on integrating clinical presentation and radiographic findings. Immunology Basic Science conference occurs on a monthly to every other month basis and includes didactics focusing on cellular elements of the immune system, inflammatory mechanisms, immune responses, immunomodulation, and immunoregulation. Clinical Case conferences are held weekly. Rheumatology fellows, rotating Rheumatology residents, and attendings rotate and present a complex clinical case with group discussion of the differential diagnoses followed by an evidence based review of the literature and question/answer. Incorporated in the clinical case conferences will be cases presented by each fellow with emphasis on Morbidity and Mortality as it pertains to rheumatic disease. Journal Club will occur on a monthly basis and will involve the attendings and fellows presenting a pertinent article of original research on a rotating basis. A subsequent discussion and critique of the methodology and results is included. Research conference is held on a monthly basis on average. Faculty in Rheumatology or faculty in other disciplines performing research relevant to Rheumatology will present and discuss their ongoing research. In addition, discussion of topics pertinent to clinical and bench research will occur. A separate board review didactic supervised by Dr. Katherine Temprano will occur at least bimonthly with all fellows that will include textbook chapter discussion (using Hochberg as the main educational text) in conjunction with the ACR Image Bank, and other board review material. Other educational endeavors include a yearly ROSCE (Rheumatology Objective Structured Clinical Exam) and a monthly Injection Clinic supervised by Dr. Katherine Temprano, where fellows will gain additional experience in both large and small joint aspiration and injection techniques, soft tissue injections, polarized microscopy and synovial fluid analysis.

2016 Graduation Dinner2016 Graduation Dinner

Candidates applying for our fellowship program should apply through ERAS. You may contact Martha Edwards, Program Coordinator (, Katherine Temprano, M.D. Adult Rheumatology Fellowship Program Director (, or Reema Syed, M.D. Pediatric Rheumatology Fellowship Program Director ( if you have any questions regarding our fellowship program.

Martha Edwards - Program Coordinator
Phone :  314-977-6195
Reema Syed, M.D. - Director - Pediatric Rheumatology Fellowship Program

Katherine Temprano, M.D. - Director - Adult Rheumatology Fellowship Program


Poster Symposium