- This rotation’s primary emphasis is on the outpatient experience, with exposure to the inpatient service as well.
- In the outpatient setting, residents will be assigned to 3 clinics per week:
- NMFF Arthritis Center in the Galter Pavilion (several options)
- RIC Arthritis Center (Tues AM)
- Jesse Brown VA Arthritis Clinic (Wed PM)
- Please contact Jan Barber-Harris, the rheumatology clinic/resident coordinator at 695-8641 to get your personal clinic schedule. Should any clinics be canceled, you are expected to contact Jan to direct you to another clinic for the day. Do not contact the rheumatology fellow, who may not have reliable information regarding the rheumatology rotation.
- For the inpatient service, scheduling and attendance of rounds will be determined on a daily basis with the faculty member and in accordance with your clinic schedule. Residents will be permitted to leave at 5:00 pm, in the event that rounds run later into the evening. Residents will not be required to work on weekends.
- Residents will be expected to attend all Rheumatology specific conferences scheduled below.
- NMH Rheumatology Consultation/Inpatient Service Fellow Pager: 312-695-4386
| Monday | Tuesday | Wednesday | Thursday | Friday | AM | 7:30 am Morning Report 9:00 am Rheumatology Curriculum Conf. Galter 14-160 | 7:30 am Medical Grand Rounds 8:30 am RIC Rheumatology Clinic, 9th floor | 7:30 am Morning Report | 7:30 am Morning Report 8:30 am NMFF Rheumatology Clinic, Galter 14-100 | 7:30 am Morning Report | PM | 12:00 pm Medicine Noon conference |
| 12:00 pm Medicine Noon conference 1:00pm VA Rheumatology clinic (Jesse Brown) | 12:00 pm Rheumatology Grand Rounds, Galter 14-160 | 12:00 pm Medicine Noon conference |
Click here Practice Based Learning and Improvement PGY1: Incorporate regular chart review and patient follow up to learn from your clinical care. Teach and mentor students. PGY2/3: Incorporate evidence based medicine into clinical decision making. Review the latest research pertaining to your your patients. Teach and mentor students and interns. Systems Based Practice PGY1: Work in a multi-disciplinary team to provide high quality coordinated care. Ensure accurate and timely documenation through the use of the electronic medical record. PGY2/3: Use knowledge and skills in quality improvement and patient safety to deliver safe and effective care. Apply team leadership skills in appropriate settings. Practice cost effective medicine with an awareness of health care economics and patient insurance status. Interpersonal Skills and Communication PGY1: Use effective listening skills with patients and health care providers. Elicit and provide information using effective nonverbal, explanatory, questioning, and writing skills. PGY2/3: Develop interpersonal and communication skills necessary to run an effective clincal team in the ambulatory. Role model and teach effective communication techniques. Professionalism PGY1: Carry out your professional responsibilities in a timely manner. Adhere to the ethical principles of a patient-centered practice. Be sensitive to a diverse patient population and health care staff. PGY2/3: Understand how biases influence clinical care, patient-physician interactions and health team interactions. Role model and provide feedback to students and interns the principles of humanism in medicine. Patient Care and Medical Knowledge
- Become familiar with the diagnosis and management of both common and unusual disorders affecting the joints, muscles, tendons, bones, and nerves.
- Learn the basic principles regarding the inflammatory response and the underlying immune and genetic associations of common diseases that lend to current modalities of treatment.
- Learn the indications and interpretation of common diagnostics including synovial fluid sampling, autoimmune antibodies, joint x-rays, and biopsy.
PGY1 - Perform a careful joint exam, identifying tenosynovitis.
- Recognize cardinal exam findings including associated rashes, joint deformities, and eye findings.
PGY2,3 - Formulate a differential diagnosis of common presenting symptoms, signs and laboratory findings, such as polyarthritis, pain, weakness, cough, dyspnea, hematuria, HA, paresthesias, Raynaud’s, rash, fever, joint effusion, cytopenias, and renal failure.
Understand Definition, Pathophysiology, Epidemiology, Clinical History, Physical Exam, Laboratory and Imaging findings, Diagnostic criteria and Management of the following: - Arthritides including osteoarthritis and rheumatoid arthritis
- Crystalline arthropathies including gout and pseudogout.
- Antiphospholipid Antibody Syndrome
- Spondylarthropathies including Reiter’s syndrome and ankylosing spondylitis.
- Inflammatory myopathies including polymyositis, dermatomyositis, and inclusion-body myositis.
- Vasculitides including SLE, PAN, Henoch-Schonlein Purpura, Churg Strauss syndrome, leukocytoclastic angiitis, and Wegener’s Granulomatosis.
- Fibromyalgia
- Polymyalgia rheumatica and temporal arteritis
- Other connective tissue diseases not already mentioned including Sjogren’s syndrome, scleroderma, MCTD, and drug-induced lupus.
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- Fox RI. Sjögren's syndrome. The Lancet - Vol. 366, Issue 9482, 23 July 2005, Pages 321-331
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Collection by Dr. Flavia Castelino Additional Text Reference: Primer on The Rheumatic Disease, 12th edition, Klippel JH, Weyand CM, Wortmann RL, editors. Arthritis Foundation, Atlanta 2001. |
