Clinical training for the fellows occurs in the following venues:
Out-patient clinic: Trainees will gain experience in the evaluation, differential diagnosis, and management of children and adolescents with the full spectrum of rheumatic conditions. During the first year, fellows will develop their own patient panel while caring for patients in Fellows’ Clinic, general rheumatology clinic, and Lupus clinic (3 half-days per week). They will learn how to field phone calls regarding these patients, determine urgency by phone, perform appropriate physical examination, order and interpret studies, and initiate and manage treatments. In the second and third years of fellowship, fellows continue to care for their own patients during weekly Fellows’ Clinic.
In-patient service: Trainees will learn how to manage acutely ill patients with rheumatic conditions, including those with life-threatening complications.
Procedures: Trainees will become competent in aspiration and intra-articular steroid injection of the elbow, wrist, finger, knee and ankle.
Rehabilitation:Trainees will gain an understanding of the principles and techniques of rehabilitation.
Continuity: During their research years, fellows will continue to follow their cohort of patients in Fellows’ Clinic, developing competency in the management of chronic conditions.
The following are required rotations during the clinical year:
Site
|
Learning Objectives
|
Time
|
Stanford Pediatric Rheumatology
|
Outpatient and inpatient management of pediatric rheumatology patients
|
2 full days
|
BCH Oakland Pediatric Rheumatology
|
Outpatient and inpatient management of pediatric rheumatology patients
|
4 weeks
|
Pediatric Immunology Clinic
|
Outpatient evaluation & management of primary immunodeficiency
|
4 half days
|
Uveitis Clinic
|
Observe slit lamp exams, cataracts, uveitis, retinitis
|
2 half days
|
Dermatology
|
Diagnosis and management of cutaneous manifestations of rheumatologic disorders
|
4 half days
|
Immunology Lab
|
Observe common clinical lab immunology assays such as IFA, ELISA, ANA
|
2 hours
|