RHEUMATOLOGY-IMMUNOLOGY ELECTIVE (CONSULTS) Version June 2012 RHEUMATOLOGY-IMMUNOLOGY CONSULTS/ ELECTIVE GOALS-OBJECTIVES FOR INTERNS & RESIDENTS

Goals Objectives Teaching Methods Evaluation Methods/Tools Core Competencies Resources I. The interns and 1. Recognize common clinical Supervised patient encounters Attending observation Patient Care (PC) residents will develop the presentations and cardinal Attending rounds Attendinghousestaff evaluation Medical Knowledge (MK) Core curriculum lectures and skills to evaluate, manifestations of diseases Noon Conference Medical record review Practice-Based Learning (PBL) iTunes Library (didactic noon diagnose and manage encountered on the Rheumatology-immunology Noon conference attendance log Interpersonal & Communication conference curriculum) inpatients referred to the Rheumatology-immunology conferences Skills (ICS) Rheumatology- inpatient consult service or the Systems- Based Practice (SBP) Immunology consult Rheumatology-immunology Professionalism (P) service and outpatients outpatient clinics to formulate Self-directed learning database evaluated, followed and initial clinical impression and (for each specific Internal treated in the a prioritized patient care plan Medicine discipline) Rheumatology- Immunology clinics under 2. Demonstrate comprehensive Supervised patient encounters Attending observation PC the supervision of evaluation, presentation and, Attending rounds Attending housestaff evaluation MK teaching attending documentation skills including Noon Conference Medical record review PBL Common medical conditions for physicians history taking, physical Rheumatology-immunology Noon conference attendance log ICS each specific Internal Medicine examination, laboratory conferences SBP discipline evaluation and diagnosis of P patients referred to the Rheumatology-immunology consult or outpatient service Individualized learning plan

3. Effectively employ medical Supervised patient encounters Attending observation PC knowledge to formulate Attending rounds Attendinghousestaff evaluation MK evaluation and management Noon Conference Medical record review PBL plan for patients referred to the Rheumatology-immunology Noon conference attendance log ICS Rheumatology-immunology conferences SBP consult or outpatient service P under the supervision of fellow and attending physician

4. Learn to appropriately select, Supervised patient encounters Attending observation SBP recommend and interpret Attending rounds Attendinghousestaff evaluation PC laboratory tests and other Noon Conference Medical record review MK ancillary resources necessary Rheumatology-immunology Noon conference attendance log PBL for the evaluation and conferences management of inpatients referred to the Rheumatology- immunology consult service or the outpatient clinics under the supervision of fellow and attending physician

RHEUMATOLOGY-IMMUNOLOGY ELECTIVE (CONSULTS) Version June 2012

5. Learn to effectively and Supervised patient encounters Attending observation PC efficiently provide evaluation Attending rounds Attendinghousestaff evaluation MK and management Noon Conference Medical record review PBL recommendations to the Rheumatology-immunology ICS primary physician of patients conferences SBP referred to the Rheumatology- P immunology consult service under the supervision of the fellow and attending physician

6. Develop the skills to evaluate Supervised patient encounters Attending observation PC and manage patients as a Attending rounds Attendinghousestaff evaluation MK consulting physician and learn P to communicate in a professional manner with the primary referring physician under the supervision of the fellow and attending physician

II. The interns and Plan and perform in a safe Observation of procedures Attending observation PC residents will observe the manner the appropriate Perform required procedures under Attendinghousestaff evaluation MK Duke Procedures Videopedia performance of and learn diagnostic and therapeutic direct supervision of fellow and Medical record review SBP to perform as indicated the procedures necessary for the attending Procedure log P diagnostic and therapeutic evaluation and management of procedures required for patients referred to the the evaluation and care of Rheumatology-immunology patients referred to the service under the supervision of Rheumatology- the fellow and attending phsician Immunology consult service and outpatient clinics

III. The interns and Demonstrate exemplary Observation of fellow/attending Attending observation PC residents will learn to attitude and develop effective Direct patient encounters Attendinghousestaff evaluation ICS effectively employ communication skills towards Case presentations at conferences Medical record review SBP interpersonal and patients, their families, Meetings with patients’ families P communication skills in a colleagues and members of the Multidisciplinary rounds if available professional manner multidisciplinary Rheumatology- during the rotation on the immunology team including Rheumatology- support staff, and learn to apply Immunology consult these skills to improve patient service and outpatient care and own performance by clinics asking supervisors for feedback