PMR Rheumatology Rotation
PM&R Residency Program Manual
PM&R Resident Rotation Descriptions
PM&R Outpatient Clinic: PM&R Program Rheumatology Clinic Rotation – Wael Jarjour, MD; Department of Internal Medicine, Division of Rheumatology and Immunology; 1st Floor, Musculoskeletal Center, Fontaine Research Park
During this rotation PM&R residents learn to identify signs and symptoms of rheumatologic diseases, including inflammatory, degenerative and non-Inflammatory rheumatologic conditions. They learn to treat and assess rehabilitative potential and/or refer patients to therapy appropriately for splinting, range of motion and energy conservation techniques. Residents learn about the availability of orthotics, assistive devices and adaptive equipment for patients with hand/foot involvement. They learn to use computerized and non-computerized systems to facilitate patient care and to facilitate the development of techniques for life long learning. Residents learn to identify and access support health care services and mechanisms that improve patient care and patient quality of life. A knowledge base of common rheumatologic conditions, diagnostic tests and referral patterns will be attained.
Goals and Objectives:
- Understand the anatomy, histologic, physiologic, and biomechanical features of joints.
- Understand the clinical, laboratory and x-ray features that distinguish inflammatory from non-inflammatory arthritis.
- Assist and learn how to assess patients with monarticular arthritis and polyarticular arthritis.
- Assess, diagnose, and treat patients with rheumatoid arthritis, systemic rheumatic diseases and mixed connective tissue disease.
- Assess, diagnose, and treat patients with progressive systemic sclerosis, systemic vasculitis, and Sjogren’s syndrome.
- Assess, diagnose, and treat patients with non-inflammatory arthropathies as well as inflammatory arthropathies.
- Understand, observe, and learn the techniques for the specific joint injections and aspirations as an important adjunct in therapeutic management when properly indicated. Also, understand the risks of these procedures as well.
- Understand and implement rheumatologic rehabilitation and its importance, with the goal of returning the patient to as high a functioning level as possible.
- Understand and implement proper medication and other treatment modalities in the context of rheumatologic rehabilitation.