Rotations

Inpatient Rotations

Fellows assigned to inpatient rotations are responsible for the evaluation of inpatient and emergency room consultations and the continued follow up of these patients during their hospitalization. In this process they develop and refine clinical evaluation skills including the development of appropriate differential diagnosis, assessing the need for hospitalization, diagnostic evaluation strategies and treatment plans. Fellows also develop skills in providing consultation services, including communicating with patients and families, the referring teams and ensuring support for outpatient care. Fellows will develop a comprehensive understanding of the indications, contraindications, techniques, and complications of arthrocentesis as well as the interpretation of results from this procedure. Inpatient rotations are completed through the Montefiore Health System, the university hospital of Albert Einstein College of Medicine and through the Einstein teaching affiliates of Jacobi and North Central Bronx Medical Centers.

Outpatient Rotations:

All fellows, regardless of year in the program, maintain 3 half days of ambulatory continuity clinics. This experience continues with progressive responsibility through the fellowship and is supervised by dedicated attending faculty members assigned to each individual clinic. Each fellow will have 1 lupus clinic and 2 general rheumatology “arthritis” clinics each week where they will be exposed to the full breath and scope of the practice of rheumatology. The fellows will gain expertise in the outpatient evaluation and management of rheumatic diseases will gain an opportunity to develop an understanding for the natural history of these conditions over an extended period of time.

Weekly Rotation Schedule

Rheumatology Fellow Clinical Schedule**
  Monday Tuesday Wednesday Thursday Friday
Morning

Joint Pain Clinic:
Rotating 1st year JMC and Weiler fellows

MSK Ultrasound Clinic*:
Rotating 2nd year fellows

Montefiore SLE Clinic*:
ALL 1st year fellows and designated 2nd year fellows

NCB General Rheum Clinic*:
Designated 2nd year fellows

Montefiore Arthritis Clinic*: 
ALL 1st year fellows and designated and 2nd year fellows
Jacobi Arthritis Clinic*: 
ALL 1st year fellows and designated and 2nd year fellows
 
Afternoon Jacobi SLE Clinical*: 
Designated 2nd-year fellows
      Montefiore Arthritis Clinic*: 
Designated 2nd year fellows

*Continuity Clinic for at least year where the fellow is assigned to that clinic 
**All fellows do 1 lupus clinic and 2 arthritis/general rheumatology clinics as continuity clinics per year