Familiarize yourself with diagnosing and treating the core rheumatic diseases through direct patient contact in the rheumatology attendings’ offices.

You will conduct all new patient evaluations — obtaining complete histories, conducting examinations, reviewing relevant medical records and developing appropriate differential diagnoses and treatment plans.

Where appropriate, you will also see patients for follow-up appointments. The attending rheumatologist will review the clinic’s long-term patients daily, selecting individual additional cases to give you the broadest experience possible.

The general internist needs to have competency in the initial diagnosis and management as well as the long-term care of a variety of rheumatologic disorders.

You should become well-versed with up-to-date management options of rheumatic conditions commonly encountered in both the outpatient and inpatient settings.

Skills Learned

During this rotation, you will:

  • become proficient at the musculoskeletal exam
  • learn to obtain a relevant rheumatic history and review of systems
  • understand appropriate medication and non-drug therapies for rheumatic disease
  • use diagnostic laboratory and X-ray testing appropriately
  • learn to distinguish inflammatory from degenerative or metabolic musculoskeletal diseases
  • develop reasonable differential diagnoses for common rheumatic symptoms
  • gain experience in joint and bursa/tendon injection

Expand Your Knowledge Base

This rotation serves to introduce you to a basic core of knowledge of clinical manifestations, clinical presentations, pathophysiology and management of rheumatologic diseases or systemic diseases with rheumatic manifestations.

This knowledge base, relative to the practice of rheumatology, should include an appropriate content of:

  • anatomy
  • genetics
  • biochemistry
  • immunology
  • physiology
  • pharmacology
  • epidemiology
  • statistics
  • ethics
  • human behavior

In your clinical experience, you will also be exposed to uncommon diseases found in the practice of rheumatology and will also learn to recognize the need for appropriate consultation and the reasonable expectations from a consultant.

Years Taken

  • PGY-2, PGY-3 or PGY-4

Length of Rotation

4 weeks

Clinical Sites