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Related Experiment Videos

Rheumatology training at internal medicine and family practice residency programs.

D L Goldenberg, R J DeHoratius, S R Kaplan

    Arthritis and Rheumatism
    |April 1, 1985
    PubMed
    Summary

    Rheumatology training is widely available in residency programs, yet many positions remain unfilled. Program directors report that essential rheumatology skills are often inadequately taught, falling short of standards in other specialties.

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    Area of Science:

    • Medical Education
    • Rheumatology Training
    • Residency Programs

    Background:

    • Formal rheumatology training is a component of many internal medicine and family practice residency programs.
    • Despite availability, a significant number of rheumatology training positions are not filled.
    • The presence of full-time rheumatologists varies significantly across program types and sizes.

    Purpose of the Study:

    • To evaluate the current state of rheumatology training within internal medicine and family practice residency programs.
    • To identify potential deficiencies and areas for improvement in rheumatology education.
    • To compare rheumatology training quality to that of other internal medicine subspecialties.

    Main Methods:

    • A survey was conducted by the Medical Research Education Subcommittee of the American Rheumatism Association.

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  • The survey targeted a random selection of large and small internal medicine and family practice residency programs.
  • Data collected included information on training availability, staff rheumatologists, and training methodologies.

    • Main Results:

    • Formal rheumatology training is offered in 90% of surveyed residency programs.
    • Full-time rheumatologists are present in 69% of large internal medicine programs, 32% of small internal medicine programs, and 11% of family practice programs.
    • A majority of program directors believe basic rheumatology skills are inadequately taught, and training quality lags behind cardiology and gastroenterology.

    Conclusions:

    • While rheumatology training is broadly accessible, its perceived quality and filled positions suggest systemic issues.
    • There is a need to enhance the adequacy of basic skills and techniques taught in rheumatology residency programs.
    • Rheumatology training may require restructuring to meet the standards of other internal medicine subspecialties.