Rheumatology

Draft proposed by Dr Eric KW Lee
Reviewed by Dr NC Fong

Essential Skills

Domain 1 Professional Values & Behaviour
Domain 2 Communication
​Domain 4 Patient Management
Domain 6 Leadership & Team Working

Additional desirable skills are listed in each proposal. These recommended skills are to be acquired as opportunity arises.

Download Syllabus (28 November 2023)
VIEW another syllabus

Basic Training

Basic principles in rheumatology
  • Application of pGALS musculoskeltal assessment
  • Application of various autoimmune markers in diagnoses of rheumatological diseases
Juvenile idiopathic arthritis (JIA)
  • Classification of JIA
  • Clinical presentations (articular & extra-articular) of different type of JIA, and diagnosis
  • Investigations
  • Management plan (medications including methotrexate, disease modifying anti-rheumatic drugs [DMARD], biologics; & joint rehabilitation)
Systemic lupus erythematosus (SLE)
  • Clinical presentation, diagnostic criteria, investigations, medical treatment of SLE (including steroid, immunosuppressant, biologics), and monitor for side effects
  • Clinical presentation, diagnosis and management of neonatal lupus erythematosus
Infection related arthritis
  • Clinical presentation, diagnosis, and management of infective arthritis
  • Differential diagnosis of reactive arthritis
  • Diagnoses and manages acute rheumatic fever and post-streptococcal reactive arthritis, and can provide prophylaxis for these conditions
Vasculitis
  • Clinical presentation, diagnosis and management of Henoch-Schonlein Purpura
  • Clinical presentation, diagnosis and management of Kawasaki disease
Paediatric rheumatological emergencies
  • Recognise the clinical presentation of rheumatological emergencies in children
  • Recognise the presentation of infection in a patient who is immunocompromised from symptoms of severe rheumatic disease and/or treatment side effects, and management
Non-inflammatory musculoskeletal conditions
  • Clinical presentation, diagnosis and management of hypermobility syndrome.
  • Differential diagnosis of musculoskeletal pain investigation and management.
Other rheumatological diseases
  • Clinical presentation, diagnosis of juvenile dermatomyositis
  • Clinical presentation, diagnosis of polymyositis
  • Clinical presentation, diagnosis of juvenile ankylosing spondylitis

 

Higher Training

Principles in Rheumatology
  • Application of biologics or new therapeutic modalities in different rheumatological disesaes, and monitoring of side effects.
  • Principal and application of plasmapheresis in rheumatological disease.
  • Familiar with the tools or assessment scale of disease activity, specific functional score, and quality of life for different rheumatological conditions.
Juvenile idiopathic arthritis
  • Multidisciplinary collaborative management plan involving physiotherapist, paediatric orthopedics surgeon, ophthalmologist.
Systemic lupus erythematosus and other systemic connective tissue diseases

Understand other systemic connective tissue disease and undifferentiated connective tissue disease:

  • Clinical presentation, diagnosis and management
Vasculitis
  • Clinical presentation, diagnosis, and management of other paediatric vasculitic disease besides HSP and Kawasaki disease.
Paediatric rheumatological emergency
  • Management of rheumatological emergencies (including macrophage activation syndrome, catastrophic antiphospholipid syndrome, severe Raynaud’s phenomenon).
Other rheumatological diseases
  • Management plan and rehabilitation including multidisciplinary approach for dermatomyositis, polymyositis and junvenile ankylosing spondylitis.
Desirable skills

1. Intra-articular injection
2. Skin biopsy for vasculitis

 

 

 

Text size:    A-   A    A+

curriculumreview_edit3.jpg

continuing2