Wrapping It Up
The biomedical knowledge of rheumatic diseases and treatments grows every year, so it can be challenging to standardize the most important content in rheumatology curricula. The most consistently crucial elements of the practice of rheumatology that clinical educators can bestow upon rheumatology fellows are skills, rather than biomedical knowledge. Skills are likely to withstand the test of time and remain the bedrock of our field.
Laura Upton is a graduating medical student from Georgetown University School of Medicine.
Adam Kilian, MD (@KilianMD), is an assistant professor of medicine, rheumatologist and rheumatology curriculum co-leader for the Rheumatology Fellowship Program at the George Washington University School of Medicine and Health Sciences, Washington, D.C.
References
- Houchens N, Harrod M, Fowler KE, et al. How exemplary inpatient teaching physicians foster clinical reasoning. Am J Med. 2017Sep;130(9);1113.e1–1113.e8.
- Faustinella F, Jacobs RJ. The decline of clinical skills: A challenge for medical schools. Int J Med Educ. 2018 Jul 13;9:195–197.
- Kilian A, Upton LA, Sheagren JN. Reorganizing the history of present illness (HPI) to improve verbal case presenting and clinical diagnostic reasoning skills of medical students: The all-inclusive history of present illness (AIHPI). Submitted to J Med Educ Curric Dev. 2020 Jun 10. https://doi.org/10.1177/2382120520928996.
- Peterson MC, Holbrook JH, Von Hales D, et al. Contributions of the history, physical examination, and laboratory investigation in making medical diagnoses. West J Med. 1992 Feb;156(2);163–165.
- Roshan M, Rao AP. A study on relative contribution of the history, physical examination and investigations in making medical diagnoses. J Assoc Physicians India. 2000 Aug;48(8):771–775.
- Summerton N. The medical history as a diagnostic technology. Br J Gen Pract. 2008 Apr;58(549):273–276.
- Viswanathan M, Golin CE, Jones CD, et al. Interventions to improve adherence to self-administered medications for chronic diseases in the United States: A systematic review. Ann Intern Med. 2012 Dec;157(11):785–795.