Education/Training

Rheumatology Fellowship Program

Medical Resident Curriculum

Rheumatology Calendar

Facilities and Resources

Curriculum Description
Internal Medicine Residency Program

Name of rotation:     Rheumatology Consults

Rotation Description: Inpatient rheumatology consults at UK, GSH, and VA. Urgent outpatient rheumatology consults in Kentucky Clinic (Friday morning or as otherwise scheduled by the inpatient consult attending).

Clinical Experiences during this rotation may include:

1. Evaluation of patients with inflammatory arthritis
2. Diagnostic strategies for patients with symptoms and signs of rheumatologic diseases
3. Care for the complications of systemic lupus erythematosus
4. Management of rheumatoid arthritis

Rotation Goals

Medical Knowledge:  Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care. 
MK1:  learn the scientific method of problem solving, evidence-based decision-making, a commitment to lifelong learning, and an attitude of caring that is derived from humanistic and professional values

• Demonstrates a basic understanding of the diagnosis and management of patients presenting with common subspecialty conditions
• Actively seek out clinical experiences to improve their medical knowledge and skills

Practice-Based Learning and Improvement:  Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and lifelong learning.
PBLI5:  incorporate formative evaluation feedback into daily practice

• Incorporate feedback from attending, staff and patient evaluations to improve their patient care skills

Interpersonal and Communication Skills:  Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates.
ICS1:  communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and cultural backgrounds

• Behave in a sympathetic and caring manner with patients/families

ICS2:  communicate effectively with physicians, other health professionals, and health related agencies

• Communicate with other health care professionals and staff in a manner that is both effective and respectful

Professionalism:  Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. 
P1:  compassion, integrity, and respect for others

• Behave in a sympathetic and caring manner with patients/families
• Communicate with other health care professionals and staff in a manner that is both effective and respectful

Resident and Faculty Expectations

Residents will attend all morning reports, and noon conferences (or appropriate subspecialty conferences as listed below).  Residents are to be excused from consult service responsibilities in order to comply with these program requirements.

Assessment Method

Residents will be evaluated by learning objective specific ratings completed by the attending physician with whom they are assigned. The faculty are expected to verbally discuss mid-rotation and end-of-rotation evaluations with the residents and provide specific feedback.  The rotation will be evaluated by residents at the end of the rotation and during the end-of-year program evaluation.

Level of Supervision

All residents will be supervised by the faculty attending physicians and fellows assigned to each subspecialty service.  Patients will be seen and evaluated by the attending physician on each day during inpatient experiences.

Educational Resources

• The current (13th) edition of the Primer on the Rheumatic Diseases will be provided to all residents free of charge (list price $90; lost copies will not be replaced. Residents who received copies in previous years will not receive another copy.). Residents are expected to read as a minimum all chapters related to the diseases of the patients they see. In addition, they must read as a minimum Chapters 2, 3, 6, 8, 9, 11, 12, 13, 14, 15, 16, 17, 18, 20, 21, 27, 35, 41, and 42.
• Residents are expected to access the Rheumatology Image Bank to view images related to the patients they see and the assigned Primer chapters: http://images.rheumatology.org/

Conferences/lectures within the rotation: 

• Rheumatology Grand Rounds:  4:30 pm, Wednesdays
• Radiology Conference 4:30 pm, 4th Wednesday of the month
• Special conferences as listed on the Monthly Rheumatology Calendar

Consult Elective General Competency-Objective Chart

 By the end of the rotation, residents should:

You should check with the individual offices to make sure that clinics are held on each of your assigned days, as the individual attendings may arrange vacations which result in the specific clinic cancellations during the month you are on Rheumatology.

Relevant information for contacting the Rheumatology office, and picking up your learning materials are listed below. Mihoko Kojima will be your primary contact:

Rheumatology secretaries:
Gwen Parks
J-543 KY Clinic
gwen.parks@uky.edu
859-323-5419

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