Rheumatology incorporates the investigation, holistic management and rehabilitation of patients with a wide spectrum of disorders of the muskuloskeletal system encompassing the locomotor apparatus, bone and connective tissues and blood vessels. Rheumatic disorders include inflammatory arthritis, complex auto immune rheumatic and multi-system disease, soft tissue conditions including injuries, osteoarthritis, spinal pain, chronic pain syndromes and metabolic bone disease. The optimum investigation and management of such conditions is often challenging and rewarding and requires a multi-disciplinary approach linking the application of principles of pathophysiology of disease and advanced therapeutics with sound principles of rehabilitation.
Rheumatology provides an excellent opportunity to practice clinical medicine in its broadest sense with principles of acute and chronic disease management at its core. This often results in satisfying and rewarding long term therapeutic and educational relationships with patients. The specialty may be linked with duties in General Internal Medicine and there are opportunities to develop special interests and research with a developing academic career pathway.
Entry into Rheumatology training is possible following successful completion of both a foundation programme and a core training programme.There are two core training programmes for Rheumatology training:
- Core Medical Training (CMT)
- Acute Care Common Stem - Acute Medicine (ACCS-AM)
The curriculum for each specialty defines the process of training and the competencies needed for the award of a certificate of completion of training (CCT). The curriculum includes the assessment system for measuring trainees’ progress comprising workplace based assessment and knowledge based assessment.
A new curriculum for Rheumatology will be implemented in 2022, subject to GMC approval.
Information on the Specialty Certificate Examination (SCE) in Rheumatology can be found on the MRCP(UK) website.
Previous versions of the curriculum are no longer available online but copies can be requested from firstname.lastname@example.org.
The ARCP decision aid for each specialty defines the targets that have to be achieved for a satisfactory ARCP outcome at the end of each training year. ARCP decision aids were revised to reflect the changes to the assessment and review process from August 2014 and replace all previous versions.