Date Issued: 07/23/2002
Prior Revision Date: 07/28/2009
Date Reviewed and Revised: 07/28/2010


Department: Internal Medicine

Faculty Coordinator: Stanley Cohen, M.D. & Roy Fleischmann, M.D.

Hospital: Texas Health Presbyterian Hospital Dallas

Periods offered: All

Length: 4 weeks

Max no. of residents: 2

First Day Contact: Stanley Cohen, MD (214) 540-0700 or page through operator at (214) 345-8480

First Day Time: 8:30 am

First Day Place: Rheumatology Associates, 8144 Walnut Hill Lane, Suite 800, Dallas, TX

Requirements: 8:30 am to 5:00 pm Monday thru Friday

Weekends: None

I.  Course Description:

Referral based rheumatology outpatient practice which will expose residents to the presentation, evaluation and treatment of the patient with rheumatolocial disease. Residents will also be responsible for consultation, evaluation and management of in-patients with rheumatological disease.

II.Course Goals and Objectives: (based on ACGME competencies for resident education)

Patient Care:

Residents are expected to provide care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and at the end of life.


Medical Knowledge:

Residents are expected to demonstrate knowledge of established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others.


Practice-Based Learning and Improvement:

Residents are expected to be able to use scientific evidence and methods to investigate, evaluate, and improve patient care practices:


Interpersonal and Communication Skills:

Residents are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families and other members of health care teams.



Residents are expected to demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and sensitivity to diversity and a responsible attitude toward their patients, their profession, and society.


Systems-Based Practice:

Residents are expected to demonstrate both an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improve and optimize health care.


III. Methods of instruction:

A. Didactic (schedule, topic, faculty)

During the four week rotation the following topics will be covered:
- Rheumatoid arthritis
- Systemic lupus erythematosus
- Spondyloarthritis
- Systemic Sclerosis
- Inflammatory myopathies
- Small vessel vasculitis
- Polymyalgia rheumatica and giant cell arteritis
- Osteoarthritis
- Fibromyalgia
- Osteoporosis
- DMARD therapy
- Crystal arthropathy
- Laboratories in rheumatology

Internal Medicine
Daily residents conference 12:00-1:00 p.m. - IM Training Room
Wednesday mornings 7:30-8:00 a.m. - Clinical Ground Rounds - IM Training Room
Wednesday afternoons 12:15-1:00 p.m. - Internal Medicine Update - Haggar Hall

B. Clinical

Evaluate and treat patients with rheumatological diseases in the outpatient setting. Performing histories and physicals. Formulate and carry out a diagnostic differential and therapeutic plan and communicating that plan verbally and/or in writing to the patient, the supporting medical team and the consulting physician.