What Bedside Skills Could the Modern Rheumatologist Possess? Part II. "Certain Technical Procedures".

J Clin Rheumatol

Department of Medicine, Division of Rheumatology, Allergy, and Immunology, University of California at San Diego, San Diego, CA.

Published: November 2023

Rheumatologists have never been reluctant to adopt procedures that might enhance their diagnostic or therapeutic powers. Their propensity to penetrate the joints of the patients they were treating set them apart from the general internist. Since the 1980s, when a chance to look inside the joints they were treating attracted a few rheumatologists, other things that could be done at the bedside emerged with now an array of bedside procedures that could be part of a rheumatologist's skill set. Besides gains in diagnosis and/or therapy, each constitutes a chance to restore the physical contact between physician and patient, riven by factors of the last decade, such as electronic medical records and COVID. With such contact so important to satisfaction of the patient and physician alike, acquisition of proficiency in certain technical procedures described herein offers one path to begin restoring rheumatology to the richly fulfilling practice it once was.

Download full-text PDF

Source
http://dx.doi.org/10.1097/RHU.0000000000002022DOI Listing

Publication Analysis

Top Keywords

bedside skills
4
skills modern
4
modern rheumatologist
4
rheumatologist possess?
4
possess? "certain
4
"certain technical
4
technical procedures"
4
procedures" rheumatologists
4
rheumatologists reluctant
4
reluctant adopt
4

Similar Publications

The art of dermatopathology.

Clin Dermatol

December 2024

Department of Dermatology, Yale School of Medicine, New Haven, CT; Department of Pathology, Yale School of Medicine, New Haven, CT.

Dermatopathology, like dermatology, has evolved in many directions; yet, both fields remain true to visual morphology-based diagnosis. Dr. Irwin Braverman is a role model for the intersection of these two visual fields.

View Article and Find Full Text PDF

Bedside teaching - insights into the medical student experience and likely impact on future role as clinical teacher.

BMC Med Educ

December 2024

Medicine for University of Galway, Mayo Medical Academy, Castlebar, Co. Mayo, Ireland.

Background: Medical students and doctors are rarely taught how to be educators, but are expected to perform the role of clinical teacher once qualified (Kloek AT, Van Zijl ACM, ten Cate OTJ, Perspect Med Educ. 5:325-331, 2016). Qureshi (Perspect Med Edu 3:69-72, 2014) suggests that development of teaching skills should be incorporated into the undergraduate medical curriculum, while Charnell et al.

View Article and Find Full Text PDF

Background: There is critical need to strengthen the global nursing and midwifery workforce. This is especially true in Malawi where they are the primary providers of obstetric and neonatal care. In Neno district, Malawi, in 2017, we implemented an intensive training and longitudinal bedside mentorship intervention for nurses and midwives.

View Article and Find Full Text PDF

Ptosis, or eyelid drooping, can be an early indicator of various neurological and muscular disorders, underscoring the need for accurate diagnosis to ensure proper management. Myasthenia gravis (MG), a neuromuscular disorder, may initially present with isolated ocular symptoms, often resulting in diagnostic delays. This report details the case of a 72-year-old male who presented to the emergency department with a two-week history of progressive unilateral ptosis.

View Article and Find Full Text PDF

Diaphragmatic ultrasound: approach, emerging evidence, and future perspectives in non-ICU patients.

Intern Emerg Med

December 2024

Division of General Internal Medicine, Department of Medicine, University of Calgary, 3330 Hospital Dr NW, Calgary, AB, T2N 4N1, Canada.

Diaphragmatic dysfunction is an important contributor to hypercapnic respiratory failure, but its presence is often challenging to determine at the bedside. Diaphragm ultrasound provides an opportunity to evaluate the function of the diaphragm noninvasively by evaluating the following parameters that can help define diaphragmatic dysfunction: diaphragm excursion, diaphragm muscle thickness, and thickening fraction. Its evaluation has the potential to assist with diagnosis of respiratory failure, provide prognosis, and assist with patient monitoring and should be considered as part of an internal medicine physician's and emergency physician's skill set.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!