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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 9 months while the second-year fellow has 3 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.

In the FCC, the patients identify the fellows as their primary rheumatologists. Rheumatology in general is an outpatient subspecialty. Additional clinical experience in the faculty practice will be included, especially for the fellow not on consult service. Currently, half of our faculty have training in musculoskeletal ultrasound. 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 9 months 3 months
Fellows Continuity Clinic (FCC) 3 weekly 3 weekly
Faculty Practice Clinic 3 weekly for 1 month 3 weekly for 6 months
Procedure and Ultrasound Clinic                1/2 session weekly for Consult fellow, and 1 session weekly for Non-consult fellow
Research (protected time)  1-4.5 weekly sessions x 3 months 2-5 weekly sessions x 9 months
Electives Needs PD approval Needs PD approval

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

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