|
Rhematologic
Disease |
| Goal & Educational Purpose |
To become
familiar with the diagnosis and management of patients with rheumatologic
disease. General internists should be familiar with the diagnosis and
management of the common rheumatologic diseases i.e., rheumatoid
arthritis, osteoarthritis, crystal induced arthritis, spondyloarthropathy,
polymyalgia rheumatic, and metabolic bone disease, etc. They should also
have a feel for the less common but more serious collagen vascular
diseases such as systemic lupus erythematosus, myositis, scleroderma,
vasculities, so that initial diagnostic steps and appropriate referral can
be done. |
| Objectives |
- Be able to perform
an adequate history and physician examination on patients with
rheumatologic complaints
- Provide care for
common and uncomplicated rheumatologic diseases
- Recognize early
signs, symptoms and laboratory features of more severe collagen vascular
disease, so that appropriate referral can be made
- Become familiar with
the interpretation of rheumatologic laboratory data
- Be able to perform
arthrocentesis, at least of the knee joint, and become familiar with the
indication for, and interpretation of synovial fluid analysis
- Develop expertise in
performing simple therapeutic joint and soft tissue injections
- Develop basic skills
in interpretation of radiographs of bones and joints
- Understanding of the
pharmacology, usage, and monitoring of commonly used drugs in the
treatment of rheumatic diseases
|
| Educational Content |
- Outpatient
rheumatology clinic/office practice
- Inpatient
rheumatology consults
- Residents will
evaluate new patients first and present the case to the attending. The
plan for diagnostic studies and therapeutic measures will be discussed.
- Residents will
review x-rays and laboratory studies on patients that they have
evaluated with the attending
- Residents will have
the opportunity to perform arthrocentesis, therapeutic injections, and
learn basic principles of synovial fluid analysis
- Residents will
attend the CAMC Arthritis Clinic once a week. An orthopedic faculty
member will see potential surgical candidates once a month; this will
provide the residents with exposure to the indications for surgical
management of rheumatic disease.
|
| Conferences |
- Attend Rheumatology
conference and Journal Club
- Weekly brief
didactic sessions with teaching slides to address general rheumatologic
principles and diagnosis of management of common disease entities.
|
| Evaluation |
- One on one
evaluation of the resident by the faculty attending throughout the
rotation. Written evaluation is submitted to the Department of Medicine
at the end of the month.
- The resident submits
an evaluation form of the rheumatology rotation to the Department of
Medicine. Input from these evaluations will be used to evaluate and
improve the rotation in the future.
|
| Reading List |
- Primer on
rheumatologic diseases
- Rheumatology section
of MKSAP
- Kelly’s textbook of
rheumatology
-
UpToDate®
|
