Senior Residency Training in Rheumatology
Rheumatology is a 3-year Internal Medicine (IM)-related Senior Residency training programme following the completion of the 3-year IM Residency Training Programme. For details on eligibility criteria and compulsory courses, please refer to the section on Internal Medicine-related specialties. The training is fully accredited by the Joint Committee on Specialist Training (JCST).
The duration of residency training accredited by ACGME-I and that required for exit certification by the Specialists Accreditation Board is listed in the following table. Where the duration for accreditation exceeds that of ACGME-I, the remaining time will be accredited by the Joint Committee on Specialist Training (JCST).
Training Requirements Document
Singapore Country Addendum to the ACGME-I Advanced Specialty Requirements
The Singapore Country Addendum to the ACGME-I Advanced Specialty Requirements prescribes specialty-specific programme requirements applicable to residency programmes in Singapore as discussed with the ACGME-I and the Singapore Residency Advisory Committees (RAC).
Read together with the ACGME-I Advanced Specialty Requirements, they represent the requirements of graduate medical education in the specialties listed.
|
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.
|
FellowsMUSThave access to an ultrasound machine for both diagnostic and interventional musculoskeletal applications at the bedside and in the ambulatory clinic.
|
FellowsSHOULDhave 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 ofreports of:
|
Rheumatologists in Singapore do not interpret the scan films but rather interpret based on the reports generated by the radiographers.
|
Exit Criteria