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Clinical Experience

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The core clinical experience for our fellows (PGY-4 and PGY-5) is inpatient hospital consultation service and Fellows’ continuity clinic (FCC) in the ambulatory service. Hospital consult service is 12 months of inpatient ward responsibility in month-long blocks over a 24-month training period. The first-year fellow is responsible for 7 months while the second-year fellow has 5 months of hospital consult service. Ambulatory patients are seen by Fellows in ½ day continuity clinic which include 3 weekly adult clinics (Lupus Clinic and 2 General Rheumatology Clinics) at Einstein Medical Center Philadelphia and a Pediatric Rheumatology clinic monthly on Friday morning at SCHC. In the FCC, the patients identify the fellows as their primary rheumatologists. Rheumatology in general is an outpatient subspecialty. Additional clinical experience in the faulty practice will be included, especially for the fellow not on consult service. See the link for weekly schedule. One Friday morning a month, fellows have Wellness Friday Morning which can be used for self-care, such as attending to doctor, dental, accounting, pet, or their child's appointments. Wellness Friday Morning is to be pre-arranged with Friday Clinic preceptor. We are working to start a weekly procedure clinic designated for diagnostic and therapeutic injections with and without ultrasound guidance. The consult fellow is expected to attend early half of the session while the non-consult fellow is expected to attend the entire session of the procedure clinic. Fellows are clinical educators and team leaders for residents from our outstanding internal medicine residency program, as well as for medical students on elective rotations.

Rotations  First-Year Fellow  Second-Year Fellow
Hospital Consults 7 months 5 months
Fellows Continuity Clinic (FCC) 3 weekly 3 weekly
Pediatric Rheum Clinic Monthly Monthly
Faculty Practice Clinic (FPC)
1 weekly am for 12 months
4 weekly pm for 3 months
1 monthly Wellness Friday Morning when fellow doesn't attend FPC
1 weekly am for 12 months
4 weekly pm for 4 months
1 monthly Wellness Friday Morning when fellow doesn't attend FPC
Procedure and Ultrasound Clinic 1/2 session weekly for Consult fellow, and 1 session weekly for Non-consult fellow
Research (protected time)  4 afternoon/wk x 1 month
4 afternoon/wk x 1 month
Electives Needs PD approval
4 afternoon/wk x 1 month
Needs PD approval
4 afternoon/wk x 1 month

Elective options include but not limited to: Physical Medicine & Rehabilitation at Moss Rehab (among U.S. News and World Report's Top 10 rehabilitation facilities in the nation), Musculoskeletal Radiology, Orthopedic Surgery, Neuromuscular Medicine, Ophthalmology, Musculoskeletal Ultrasound, etc.

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