Clinical Rheumatology

Sites: MGH
Director(s): Eli Miloslavsky, Alberto Puig
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time for one month. Not offered July
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: US/Canadian
Description: The MGH Rheumatology clerkship focuses on exposing students to a broad range of rheumatologic diseases, including inflammatory arthritis, connective tissue diseases and vasculitis. A major focus of the course is clinical reasoning, especially in the presence of diagnostic uncertainty. The rotation is composed of three half day outpatient clinics and participation on the inpatient rheumatology consult service. Additional specialized outpatient clinics, such as musculoskeletal ultrasound, are also available. Students typically evaluate new patients in both the inpatient and outpatient settings and are given primary responsibility for patient evaluation, note writing and communicating with medical teams. Students meet for one on one teaching with the clerkship director as well as attend Rheumatology Unit conferences including Rheumatology Grand Rounds, Medical Grand Rounds, Radiology Rounds, Case Conferences, Journal Clubs and Pathology conference.
Incorporation of Basic Science Content and Evidence-Based Medicine:
In addition to discussion of relevant basic science topics in the course of clinical care there are conferences focused on basic science advances in rheumatology.
Grade Criteria:
Honors with Distinction: Demonstrates exceptional data gathering, clinical and communication skills as well as an outstanding fund of medical knowledge. Is able to provide exemplary clinical care, partner with patients and other medical professionals and contribute to the education of their team. Takes ownership of patients, demonstrates curiosity and takes initiatieve in their own learning. Honors: Demonstrates average or slightly above average clinical skills and medical knowledge. Is able to provide effective but not exceptional clinical care and shows a commitment towards their own learning. Satisfactory: Demonstrates adequate but below average clinical skills and medical knowledge. Presentations are adequate but frequently demonstrate gaps in understanding of the disease proceses. Demonstrates some improvement over the course of the rotation. Unsatisfactory: Does not display initiative, displays below average clinical skills and medical knowledge, not able to demonstrate significant improvement over the course of the rotation.