La Coyuntura newsletter originated in 2018 as an initiative and contribution of Dr. Gabriela Montes, who at that time served as Chief Fellow of the University of Puerto Rico (UPR) Rheumatology Training Program. The main purpose of La Coyuntura, as its name suggests, is to connect the medical community and anyone interested in staying up to date on rheumatology topics including diseases and treatments, recent research, and academic activities of the UPR Rheumatology Section. This platform aims to be a way of link between medical students, residents, faculty and staff of the UPR School of Medicine, rheumatologists from the community, and graduates of our program. The idea is inspired by the mission of our Section to promote excellence in medical service, education, and scientific research.