Adult Rheumatology — Core of Discipline

C3b Performing and interpreting the results of joint, bursa and tendon aspirations and/or injections - Part B: Interpretation of Results

Key Features:
- This EPA includes all of the following: knowledge of the indications and contraindications; informed consent; preparation; aseptic technique; performance; sample handling and sending fluid for appropriate analysis; and post-procedural care including documentation and managing any immediate complications.
- This EPA does not include knees, which were previously assessed in Foundations, nor the spine, sacroiliac joint (SI) joints, hips, nor temporomandibular joints (TMJ)
- The use of ultrasound is not an expectation of this EPA, and a dry aspirate is acceptable.
- This EPA includes crystal analysis.
- The observation of this EPA is divided into 2 parts: performing the procedure; interpretation of results.
- A logbook to track the procedures performed is an optional feature of this EPA.

Assessment Plan:
Direct or indirect observation (review of images) by supervisor
Use Form 1. Form collects information on:
- Setting: inpatient; outpatient; emergency room; simulation including models, photo micrographs and microscope teaching slides
- Fluid interpretation: calcium pyrophosphate dehydrate (CPPD); monosodium urate (MSU); other
Collect 2 observations of achievement
- At least 1 CPPD
- At least 1 MSU

Form

F1: Observation

Milestones

Context Variables

Requirements