Rheumatology

Kids with Backpacks
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

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, ophthamologist

Systemic lupus erythematosus & 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