Rheumatology Fellowship

Program Overview

The Pediatric Rheumatology Fellowship Training Program at Nemours Children’s Hospital, Delaware, in affiliation with Sidney Kimmel Medical College at Thomas Jefferson University (TJU), trains residents in all aspects of diagnosing and treating children with JIA, SLE and other rheumatic conditions.

Our 3-year program, accredited by the Accreditation Council for Graduate Medical Education (ACGME), includes robust research-related and clinical experiences and is available to physicians who have completed a 3-year pediatric residency.


Our Fellowship Program 

You’ll be guided by our faculty of physicians specializing in pediatric rheumatology, as well as our multidisciplinary clinical care team.

Training Overview

Your 1st year focuses on clinical training, with a series of didactic lectures and numerous opportunities to see patients, under supervision, in our outpatient clinic, emergency department, and inpatient and intensive care units. You’ll have exposure to pediatric patients with a wide range of rheumatic conditions, including JIA, SLE, Lyme disease, and many others.

There are three active attending physicians, one professor emeritus, one clinical nurse and two administrative assistants. With mentoring assistance from our professor emeritus, you'll work primarily with our pediatric rheumatologists and other members of our multidisciplinary team — including specialists in infectious diseases, orthopedics, nephrology, hematology/oncology, and other fields. You'll also receive a thorough grounding in research processes, which you'll apply in years 2 and 3.

Research Opportunities

Your 2nd and 3rd years will be primarily research-oriented, with 80% protected research time and 20% clinical time (consisting of care for new patients, as well as those you saw during your first year). Using knowledge you gained during your first year, you’ll have encouragement and support to develop your own studies in basic science or clinical research, along with the use of our on-site laboratories, equipment and resources.

We also have agreements with the National Institutes of Health (NIH) and our affiliate, Thomas Jefferson University, to provide research opportunities to our trainees for the second and third years. Several members of our division have active NIH and privately funded research programs, including studies in Blau Syndrome and Biomakers in Juvenile Idiopathic Arthritis.

Learn More About Research at Nemours

Salary & Benefits


  • PGY 1: $61,341
  • PGY 2: $63,261
  • PGY 3: $65,840
  • PGY 4: $68,655
  • PGY 5: $71,430
  • PGY 6: $74,419
  • PGY 7: $77,078
  • PGY 8: $78,267


  • Medical
  • Prescription drug
  • Bridge to a Healthy Future
  • Vision
  • Dental
  • Basic Life and Accidental Death and Dismemberment
  • Supplemental Term Life
  • Voluntary Universal Life
  • Voluntary Critical Illness
  • Supplemental Accidental Death and Dismemberment
  • Disability (STD and LTD)
  • Voluntary Long Term Care
  • Flexible Spending Account (FSA)
  • Tuition reimbursement
  • Retirement
  • Dental
  • Malpractice insurance
  • Prescription drug coverage

Paid Leave

  • Basic leave
  • Extended leave

Other Benefits

  • Health Risk Assessment: Provided to all FT and PT Associates at no cost. Program consists of an online health risk assessment and access to a health coach (care counselor).
  • Nurse Help Line: Provided to all FT and PT Associates and their families at no cost. Program provides toll-free access to a registered nurse, 24/7, for health care questions and advice.
  • Employee Assistance Program: Program provides confidential, short-term counseling to Associates and their dependents experiencing problems that may be affecting their work or other important areas of their life.
  • Health/Fitness Center: In the Delaware Valley, for a small fee, associates have access to full fitness center, massage, and gym at the Nemours Children's Hospital, Delaware. Off-site clinics, offerings vary by location.
  • Child Care Center: Onsite child care at Nemours Children's Hospital, Delaware is available at discounted rates. Limited availability and subject to a waiting list.

About Our Hospital in Delaware

The Nemours Children’s Hospital, Delaware is a multispecialty, tertiary care teaching institution located on a 300-acre estate in the scenic Brandywine Valley in Wilmington, Del.

Among the hospital’s amenities for all staff are:

  • Free parking
  • Park-like setting
  • Gym/fitness center
  • On-site child care center for children of staff

Living in Delaware Valley

Because of our location in the tri-state area of Delaware, New Jersey and Pennsylvania, we offer unique living/working opportunities. For example, you can choose to live in the downtown Philadelphia area and easily commute to our park-like hospital campus in Wilmington.

Explore Wilmington

Nemours Children’s Hospital, Delaware is located in Wilmington, Del., about 30 minutes from center city Philadelphia, and an easy drive to Baltimore, Lancaster County, Pa. (“Amish Country”), and the beaches in Atlantic City and Delaware. There is much to do in and around the city, including mansion and garden tours, museums, breweries, wineries, fine restaurants and numerous state parks.

Learn More About Delaware:

Greater Wilmington Convention and Visitors Bureau

Delaware Tourism

Delaware’s Beaches

Explore Philadelphia

Philadelphia is the sixth largest metropolitan area in the United States and offers a wealth of historical, cultural and recreational opportunities. From world-class museums to its professional sports teams to the colorful, bustling districts of South Street, Chinatown and the Italian Market, Philadelphia has something for everyone.

Learn More About the Philadelphia Area:

New Jersey Beaches

Pennsylvania Mountains

Train With Recognized Leaders

If you’re looking for a rewarding program built on academic excellence and family-centered care, Nemours Children's offers outstanding medical, surgical, pharmacy, nursing, therapy and psychology programs. Train with faculty who are respected leaders in their fields, a patient care model that stands apart and access to groundbreaking research. 

Meet Our Clinical Leadership

Annemarie Brescia, MD

Rheumatology Fellowship Program

Division of Pediatric Rheumatology, Department of Pediatrics,
Nemours Children’s Hospital, Delaware

Learn More About Dr. Brescia


Meet Our Program Faculty

  • No information available at this time

Meet Our Participants

Current Participants 

  • Lina Al-Jaberi


  • 2001-2004: AnneMarie Brescia, MD
  • 2003-2006: Mara Becker, MD
  • 2006-2009: Sivia Lapidus, MD
  • 2008-2011: Maureen Leffler, DO
  • 2009-2012: Hemalatha Srinivasalu, MD
  • 2011-2014: Daniel Horton, MD
  • 2012-2015: Hanna Kim, MD


Apply Today

Application Requirements

Deadline: September 1, 2023

Training Begins: July 1, 2024

1. Submit application electronically using ERAS and follow all instructions on the Association of American Medical Colleges website

2. Curriculum vitae

3. Personal statement

4. Medical school transcript

5. USMLE scores (all three levels)

6. Three letters of recommendation

Questions About Rotations or How to Apply?

April Aguilera
Fellowship Coordinator
(302) 651-5946

AnneMarie Brescia, MD 
Program Director
(302) 651-5970