Adult Rheumatology
Curriculum
Our curriculum uses the Royal College of Physicians of Canada Competency-by-Design (CBD), which is a competency-based curriculum.
Residents go through stages of residency. In each stage, residents focus on gaining competency in specific tasks, called Entrustable Professional Activities (EPAs). Once they gain competency in all of those tasks, they move to the next stage.
Stages
Transition to Discipline (TTD)
EPAs
- TTD1a Performing histories and physical examinations in uncomplicated patients with rheumatologic disease, including documenting and presenting findings - Part A: History and Physical
- TTD1b Performing histories and physical examinations in uncomplicated patients with rheumatologic disease, including documenting and presenting findings - Part B: Assessment and Documentation
- TTD2 Recognizing emergency rheumatologic situations and following up appropriately
Foundation of Discipline (F)
EPAs
- F1 Assessing and providing initial diagnosis and treatment plans for patients with uncomplicated rheumatology presentations
- F2 Triaging and proposing initial management of patients with emergency rheumatologic conditions
- F3 Detecting MSK abnormalities through physical examination
- F4 Performing knee arthrocentesis
- F5 Counselling patients and/or families regarding diagnosis and treatment plans for uncomplicated rheumatologic diseases
- F6a Completing written documentation for uncomplicated patient encounters - Part A: Clinical Documentation
- F6b Completing written documentation for uncomplicated patient encounters - Part B: Prescriptions
Core of Discipline (C)
EPAs
- C1 Providing initial assessment, diagnosis, and management for patients with a range of acute and chronic rheumatologic presentations
- C2 Detecting rheumatologic disease abnormalities through physical examination
- C3a Performing and interpreting the results of joint, bursa and tendon aspirations and/or injections - Part A: Aspiration/Injection
- C3b Performing and interpreting the results of joint, bursa and tendon aspirations and/or injections - Part B: Interpretation of Results
- C3c Performing and interpreting the results of joint, bursa and tendon aspirations and/or injections - Part C: Logbook (Optional)
- C4 Providing ongoing management for patients with stable, chronic and/or complex conditions
- C5 Managing patients with exacerbations, disease progression, and/or complications of chronic rheumatologic diseases and/or treatment
- C6 Assessing and managing patients in whom there is uncertainty in rheumatologic diagnosis and/or treatment
- C7a Counselling patients/families regarding diagnosis and treatment plans for a broad range of rheumatologic diseases - Part A: Counselling on the Disease State
- C7b Counselling patients/families regarding diagnosis and treatment plans for a broad range of rheumatologic diseases - Part B: Counselling on the Treatment Plan
- C8 Completing written documentation for complex patient care
- C9 Leading the provision of care for patients on a rheumatology service
- C10 Managing a longitudinal clinic
- C11a Delivering scholarly teaching to a variety of audiences, including peers, junior trainees and/or other health professionals - Part A: Formal Teaching
- C11b Delivering scholarly teaching to a variety of audiences, including peers, junior trainees and/or other health professionals - Part B: Clinical Teaching
- C12 Recognizing and triaging presentations of common pediatric rheumatologic diseases and identifying when to refer
Transition to Practice (TTP)
EPAs
- TTP1 Facilitating access to treatments and/or services for individual patients
- TTP2 Planning and implementing transfers of care through the health care system
- TTP3 Advancing the discipline through scholarly activities
- TTP4 Developing a personal learning plan for future practice and ongoing professional development