Rheumatology Fellowship at SMH - 2004/2005

Revised June 2004

Listed below are the expectations for participants in the Rheumatology fellow at SMH as applied to clinics, education and call schedules. It should be seen as guideline for your activities while at SMH, recognizing that you have additional educational activities that require you presence of off site.

1. To attend ambulatory clinics as per schedule below. There are two additional specialty clinics (*) that will require special arrangement- Dr. Shupak’s monthly Hemophilia clinic (1st Tues am of each month) and the Myositis clinic (1st Wednesday pm of each month)

2. You are expected to follow up specific patients you have seen in clinic as per your discussion with the attending staff – eg lab data, X rays. Patients can be booked to follow up with you in the specific clinic where indicated and agreed with the staff.

3. To attend at least one in patient consult round per week. This will give you an opportunity to participate in the discussion of complex in-patient cases. You are expected to provide input, and follow up (eg literature search) specific topics if raised. These can be reviewed at the next round, or briefly in other forums such as the Tues seminar or with staff on an individual basis. While not responsible for the in patient consults, the breadth of case material and complexity is an excellent opportunity to add to you knowledge base and educate trainees and staff alike

4. To present at least three seminars/rounds at SMH during the three month rotation period. At the beginning of the rotation, a schedule will be determined.

5. To attend the Infusion Centre patients each Friday am as described below.

6. To complete a case or short report during the rotation suitable for publication, presentation at a regional or local meeting.

7. To attend all SMH Rheum specific rounds unless a conflict with teaching exists.

8. One weekend call (Friday 5 pm until Monday 9 am) per month (out of hospital).

A) Clinical

1. Fellow Ambulatory Clinic Schedule (Final TBA on arrival)

Complete schedule attached separately; *specialty clinics held monthly

2. In Patient Consultation only when PGYs not available

3. On-Call : one weekend per month with staff  (to be arranged at the beginning of your rotation)

4. Remicade Rds (Fri am) - to familiarize with protocol on chart - included responsibility to follow up any adverse events, ordering appropriate lab, Xray as needed, and determining the interval for the next visit (in consultation with staff).  A short note should be dictated on every patient to the attention of the referring rheumatologist and cc to Family MD.

5. The fellow is to schedule at least two sessions per month with Dr. Dawn Pearce, Radiology. Ortho clinics can be arranged with Dr. Tim Daniels (Foot and Ankle), Shoulder with Michael McKee, Knee/Hip with Drs. Emil Schemitsch or J. Wadell, Arthritic with Dr. Earl Bogoch. The staff are aware that you will be contacting them, but we are happy to introduce you directly

6. Clinical Assessment (PDF, Word) form should be used for patient assessments.

B) Education at SMH

1. Rheumatology rounds – every Tues 12-1pm (lunch provided) in the MFC except the 2nd Tues each month 12-1 combined Rheum-Radiology rounds (location TBA)

2. Combined MSK Rds monthly 7:45 am in the Small Shuter Auditorium

3. Journal Club TWH 8-9 Thurs as per schedule

4. Intercity rds HSC every other Tues as per schedule

5. Weekly inpatient rounds- tues pm and Friday am-attendance at least one round per week

6. Medical Grand Rounds (as per schedule)-12-1 pm Weds

7. Metabolic Bone Clinic rounds - Mon noon weekly 61 Queen Street after MB Clinic (lunch provided)

C) Fellow Educational rounds - Core

In addition to the above SMH educational activities, there are core requirements for every rheum fellow. These are off site, (you will be provided with a schedule) which means that clinic bookings will require adjustment in some cases.

D) Research

1.      Clinical - case reports and literature reviews, small projects

2.      Basic - RR, LAR

3.      Web site development?- list of papers, physical exam points, presentations etc

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