Educators & Students

Fellows Project: Demystifying Lupus

About the Fellows Project:

The Teaching Fellows in Lupus Project enlists fellows in rheumatology to deliver seminars to frontline providers so they can better recognize lupus and refer to rheumatologists for diagnosis and treatment. In 2015, the ACR, in collaboration with the Lupus Research Institute, piloted the project in Atlanta, Chicago, New York and San Francisco. Over 600 non-rheumatologist providers attended seminars led by rheumatology fellows.

Project Findings:

Data presented at the 2015 ACR/ARHP Annual Meeting indicated rheumatology fellows are highly effective educators in improving the recognition of lupus by frontline healthcare providers.

Project Reach
– Broad reach (4 key cities)
– 660 healthcare providers attended a seminar
– 31 seminars were held
– 24 rheumatology fellows participated

Significant Knowledge Gained by Participating Providers
– Average knowledge assessment score increased from 6.1 to 7.6 (out of 10) measured by a voluntary assessment taken before and after the seminar

Increased Confidence in Lupus Competencies Gained by Participating Providers
– 92% gained confidence in recognizing the signs and symptoms of lupus
– 89% gained confidence in appropriately referring patients to the right specialist

Success of Rheumatology Fellows as Lupus Educators
– 96% of participating providers were satisfied with the seminar content
– 88% of participating providers are likely to attend future seminars led by fellows
– 100% of participating fellows had a positive experience

In addition, participating fellows gained required competencies under the Accreditation Council for Graduate Medical Education, and local providers that attended a seminar were able to build stronger linkages to specialty care.

How You Can Implement the Project:

Step 1: Get oriented with the project. This webinar covers the background, logistics, goals, and reviews a bit of the presentation.

 Fellows Orientation

Step 2: View the presentation. Dr. Amanda Sammut, Chief of Rheumatology at Harlem Hospital in New York delivers the presentation in this video.

 Demystifying Lupus

Download the PowerPoint slides. The presentation includes patient testimony in a video format.

Step 3: Review the assessment tools. The project uses a pre/post seminar assessment to measure changes in knowledge and confidence. These questions can be adapted to the needs of your community or can be used to take an initial knowledge assessment before implementing the project.

Step 4: Communicate with the ACR. Please let us know if you intend to implement the project. We would like to support your efforts and to gather data at the end. Contact us here.

Step 5: Recruit your educators. Project participation can help your fellows develop core competencies required by the Accreditation Council for Graduate Medical Education (ACGME). Not a program director? Junior faculty, attendings, and general internists can also serve as lupus educators.

Step 6: Give an orientation. Once you’ve selected your educators, get them oriented to the project, logistics, and the goals by having them review the orientation, presentation, and assessment tools.

Step 7: Promote and schedule seminars. Contact department heads, community health centers in your area, or local medical societies to schedule the seminar. Reach out to providers that currently refer to your clinic or those in your catchment area. If you work in a hospital, contact your provider relations office to help.

Step 8: Deliver seminars and collect assessments. Create attendee packets with the assessments. The pilot project used a unique identifier to make sure the pre and post assessments were matched for data entry, but if you see fit, you can ask for participant names and other contact information.

Step 9: Enter and analyze data. See how knowledge and confidence changed from the pre to post test.

Important considerations:

  • Local foundations or other organizations may offer relevant grant opportunities to implement the projects.
  • If collecting data, you may need to contact your local Institutional Review Board to review the project early in the process.
  • If your organization is a Continuing Medical Education provider, contact them early to get CME accreditation to boost participation.
  • If you plan on sending the online version of the assessment 4-6 weeks later to assess knowledge retention, consider how you can continue to engage with participants during that period — consider sending an email with quick lupus facts.

Ready to implement?

This is a low cost, low effort project to help improve lupus knowledge and confidence among frontline providers in your community. It is an opportunity to improve the speed and accuracy of referrals to rheumatology for lupus assessment. This can help improve patient care while improving communication between providers.

Contact the Lupus Initiative for more information.