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Rheumatology/Clinical Immunology - RHEU 540


Internal Medicine Clerkship


University of Maryland / Baltimore VA Medical Center / University of Maryland Rehabilitation & Orthopaedic Institute

Description and Goals:

Students will participate in all the inpatient and outpatient activities of the Rheumatology Consult service, including the weekly half-day Rheumatology clinics at the University Health Center and the VA Hospital. Patients worked up by students will be presented to the attending staff. When time permits, students will also be involved in the care of patients in the private practice offices of the Rheumatology faculty.

  • Students will be expected to learn how to take an appropriate rheumatologic history, how to examine the musculoskeletal system in an efficient manner, and how to recognize common rheumatologic findings.

  • Students will learn an approach to the differential diagnosis of rheumatologic syndromes and classification of symptoms into a type of illness (i.e., inflammatory vs. noninflammatory, etc.)

  • Students should learn the underlying pathophysiologic mechanisms of the major rheumatologic syndromes. This will include an understanding of the function of the immune system and its role in autoimmune diseases and the role of urate metabolism in gout.

  • Students will be expected to understand the role of laboratory and radiologic studies in the evaluation of patients, and the role of rheumatoid factors, anti-nuclear antibodies and complement. They should learn the indications for, and general techniques of, arthrocentesis; how to identify urate and calcium pyrophosphate crystals; and how to perform an arthrocentesis of the knee. They should learn the common radiologic manifestations of rheumatoid arthritis, osteoarthritis, spondylitis, and the microcrystalline diseases.

  • They should learn the general outline of treatment for common rheumatologic diseases; the differences and similarities among the non-steroidal anti-inflammatory drugs; and their common side effects, interactions and toxicities.

  • They will learn the common rheumatologic manifestations of systemic diseases.

Number of Students:


Time of Year Available:

Academic weeks 1-48


Monday through Friday - Yes
Evenings - No
Weekends - No
Call - No

Faculty Responsible:

Raymond Flores, M.D.
(410) 706-6474  

Administrative Contact:

Emily Moore
(410) 706-6474  


Last Revision: October 8, 2013