Rheumatology

Renal Medicine

24

(24) + 12

I B

The educational program in Rheumatology must be 24 months in length.

The education program in Rheumatology in Singapore must be 36 months in length, of which, 24 months would be ACGME-I accredited while the remaining 12 months would be governed by the RAC/JCST.

The total duration of training for an exit certification in Singapore is 36 months in length.

II B.3.

Fellows MUST have access to an ultrasound machine for both diagnostic and interventional musculoskeletal applications at the bedside and in the ambulatory clinic.

Fellows SHOULD have access to an ultrasound machine for both diagnostic and interventional musculoskeletal applications at the bedside and in the ambulatory clinic.

This should not be mandatory as not all wards and clinics are equipped with ultrasound machines.

IV A.1

A minimum of 12 months must be devoted to clinical experience.

For the local 36-month program, minimum of 24 months must be devoted to clinical experience. The remaining 12 months can be spent on research or elective posting.

Singapore RAC’s specification on training requirements.

V A.6 & 7

Fellows must demonstrate competence in:

6. The performance of arthrocentesis of peripheral joints and periarticular/soft tissue injections including instruction & experience in performing these procedures under ultrasound guidance; and,

7. The performance and interpretation of diagnostic ultrasonography of painful musculoskeletal structures commonly encountered in a rheumatology clinic including synovial joints, periarticular soft tissues, tendons and ligaments.

Residents will be exposed to and will understand technique of ultrasound guided joint injections, but will not be required to be necessarily able to perform ultrasound-guided injections themselves

Fellows are not expected to know and perform all joint injections under ultrasound guidance, but they are required to understand the indication and the process of the procedures. They must be capable to interpret the reports and have clinical experience in some of the procedures.

It may not be necessary and practical to perform all procedures under ultrasound guidance. It would be good for residents to get exposure in this area but should not make it a mandatory competency requirement.

V B. 3

The indications for and interpretation of:

The indications for and interpretation of reports of:

Rheumatologists in Singapore do not interpret the scan films but rather interpret based on the reports generated by the radiographers.

V B.3. g)

Plain radiography, arthrography, ultrasonography, radionuclide scans, CT, and MRI of joints, bones and periarticular structures;

Remove arthrography

< ACGME-I AGREED TO DELETE >

Arthrography is replaced by MRI in the latest practice in Singapore.