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The Adult Rheumatology Training Program at the University of Manitoba follows the guidelines of the Specialty Committee for Rheumatology of the Royal College of Physicians and Surgeons of Canada. It is a two-year program undertaken by candidates with training in Internal Medicine. Residents must have completed 3 or 4 years of General Internal Medicine training prior to entering the program. Royal College guidelines allow for simultaneous completion of the fourth year of internal medicine and the first year of rheumatology training. The current program is divided into 26 four-week periods as set out by the Postgraduate Office at the University of Manitoba. The current collective bargaining agreement allows for one four-week period per year to be taken as vacation. The rotations are as follows: Wards and Consult Service 6 periods In addition to the various rotations, residents will participate in several longitudinal activities. These include a weekly Subspecialty Residents Clinic, Academic Half Day, Journal Club, Weekly Ward Rounds, and Radiology Rounds. Further, residents will be expected to undertake and present a research project appropriate for their level of training. Call duties never exceed 1 in 4. |
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ROTATIONS Arthritis Centre Clinics The Arthritis Centre Clinic Block (ACC) consists of 5 periods spread through the first 18 months of training. Under the supervision of the GFT section members, the resident will attend 4 – ½ day outpatient clinics per week. The resident will see both new consultations as well as patients with established rheumatic diseases. Those patients requiring follow-up will be seen in the resident’s weekly longitudinal follow-up clinic (“Fellow’s” clinic) on Friday afternoon. This clinic is in addition to the 4 scheduled clinics for that week. During these periods the resident will gain exposure to patients with inflammatory arthritides, complex connective tissue diseases, and rheumatic complications of systemic diseases encountered in a tertiary care centre. The “Fellow’s” clinic allows for longitudinal exposure to the management of these patients. Fellows will continue to attend Academic Half Day and Friday morning Ward Rounds during these periods. Ward and Consult Service During these 6 periods the resident will learn about inpatient management of rheumatic diseases both on the inpatient rheumatology ward and through the consult service. Along with the rotating internal medicine residents and medical students, and reporting to the attending rheumatologist on rotation, the resident will be responsible for admitted rheumatology patients. The section of rheumatology has access to 8 beds at the Rehabilitation Hospital on a combined rheumatology/orthopedic unit. There is an average of 5-6 rheumatology patients admitted at any time. It is expected that the resident will progress from being very “hands-on” to a more supervisory role as the periods progress and their knowledge base grows. In addition to the inpatient rheumatology unit, the resident will serve on the rheumatology consult service, seeing inpatient consults on non-rheumatology wards at both the Health Sciences Centre and St Boniface Hospital. This will serve to increase their clinical exposure as well as improving consultation skills. The ward resident is responsible for dividing consults to be seen between the rotating residents and themselves. The resident will also be responsible for following those consults which require ongoing rheumatologic attention. The “Fellows” clinic will continue through these periods and any unassigned inpatients requiring follow-up will be seen in the resident’s “Fellow’s” clinic. Community Practice These periods consist of several clinics each week in a variety of community practice settings under the supervision of community practice members of the section. These periods provide exposure to different types of clinical rheumatology cases while giving insight into the operation of an office in community practice. While the minimum exposure is 3 months, residents aiming for community practice are strongly encouraged to consider elective time in this setting. Academic Half Day and the weekly “Fellow’s” clinic continue through these periods. Pediatrics Residents complete a minimum of 2 months on the pediatric rheumatology service. This consists of 3.5 ½ day outpatient clinics per week, inpatient consults at the Children’s Hospital and specific teaching sessions. Residents will gain exposure to pediatric rheumatic diseases and the unique circumstances related to care of the pediatric patient. Due to the variable nature of the pediatric consult service, residents will also serve on the inpatient pediatric rheumatology consult service during their ward and consult service rotations. Academic half day and the “Fellow’s” clinic will continue during these blocks. Residents will spend one period attending outpatient clinics with a variety of musculoskeletal specialists focusing on soft tissue problems such as fibromyalgia, myofascial pain, mechanical spine problems, occupational and sports-related injuries. A second period will be spent attending outpatient orthopedic clinics focusing on surgical management of rheumatic diseases. The resident is expected to witness a representative number of surgeries firsthand. Academic Half Day and “Fellow’s” clinic will continue during this period. Electives Ample elective time is allotted for the resident to explore areas related to their career pathway. External electives are encouraged. These may be research-based, clinical or a combination. If desired, residents may spend extra time in some of the compulsory rotations described above. Where possible, electives will be done in the last 6 months of the training program. LONGITUDINAL EXPOSURES This compulsory program runs Thursday mornings from September to June. A modified program runs during the summer months. Residents are relieved of clinical duties during this time slot. The program consists of 3 hours each week. The first hour consists of invited speakers, both local and external focusing both on basic science and clinical aspects of rheumatology. The second hour of half day will be comprised of clinical-based presentations by the rheumatology resident, rotating residents and students. The third hour of half day consists of a core rheumatology tutorial series covering key clinical and basic science topics in rheumatology. Residents will be given weekly learning objectives and references and will be expected to come prepared to discuss the material. Finally, there is an interdisciplinary core curriculum half day offered by the PGME office for all residents. When the topic is of value to the rheumatology residents they will be expected to attend. The Practice Management session is considered compulsory by the PGME office. Fellow’s Clinic The “Fellows” clinic allows trainees to follow their patients for the course of the training program. This allows trainees to follow the evolution of rheumatic disease and its treatment over time. This clinic occurs weekly under rotating supervision from the attending rheumatologists. For continuity, patients initially reviewed with one rheumatologist will be scheduled for clinic when that same rheumatologist is present. Journal Club Trainees are expected to attend and contribute to a monthly Journal Club held as part of the Academic Half Day. This is an opportunity to review interesting research papers. Both basic science and clinical topics will be reviewed. Ward Rounds Medical ward rounds covering the medical issues of admitted patients occur Friday mornings throughout the year. All trainees and medical staff with admitted patients are expected to attend. This is both an educational and work oriented round. Interdisciplinary team rounds follow the medical rounds and those trainees taking call as well as those on ward service will attend. Internal Medicine Grand Rounds Grand Rounds run on Tuesday at 08:00 AM. They are linked to St Boniface Hospital. Trainees are expected to attend. A sign-in sheet is present at the entrance. Radiology Monthly radiology rounds will be held with the musculoskeletal radiologist. Trainees will be expected to pull films in advance of these rounds. Prior to each “Fellows” clinic, films from the previous week will be reviewed with the attending rheumatologist. Trainees will be responsible for pulling films in advance of these rounds. |
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Application Deadline: August 15th of the year preceding program commencement. Program Dates: Two year program from July 1st in year one until June 30th in year two. |
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Contact: |
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