In this 14th edition, the MKSAP delivers another comprehensive review of internal medicine and its subspecialties. Eleven separate booklets cover the topics of internal medicine foundations, cardiovascular medicine, gastroenterology and hepatology, rheumatology, neurology, hematology and oncology, infectious disease, pulmonary and critical care medicine, general internal medicine, endocrinology and metabolism, and nephrology.

For physicians outside of the subspecialties of hematology, oncology, and rheumatology, those sections are the most laborious. The generalist is not likely to see many of the uncommon conditions that are detailed, and discussions of treatment options go beyond the interest of anyone outside of those fields.


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All residents will participate in rheumatology outpatient activities appropriately supervised by dedicated attending faculty members. The goals of this experience will be for the residents to gain expertise in the outpatient evaluation and management of digestive problems. The experience provides an opportunity to develop an understanding for the natural history of these conditions over an extended period of time.

There are many different models of rheumatology practice. Rheumatologists may have their own practice, seeing patients in consultation for other physicians and longitudinally for management of their rheumatic disease. Rheumatologists also frequently serve as hospital consultants for patients admitted with rheumatological disorders. Some rheumatologists maintain practices seeing a mix of patients with rheumatological issues and those with general medical problems. In academic settings, rheumatologists provide consultative and ongoing care in ambulatory and inpatient settings, perform basic science and clinical research in rheumatological diseases, and teach medical students and residents.

Fellowship training in rheumatology is two years following completion of a three year basic internal medicine residency. Following completion of a rheumatology fellowship, board certification is available through the American Board of Internal Medicine.

Dual certification in both rheumatology and allergy and immunology is also available and requires a minimum of three years of training beyond the three year basic internal medicine residency. Completion of this combined fellowship allows for board certification in both rheumatology and allergy and immunology.

MKSAP 19 resources can help identify and fill in learning gaps in 12 subspecialty areas including nephrology, neurology, oncology, rheumatology, and more! Use MKSAP 19 to assess your knowledge and stay current in medicine, to reference in your clinical practice, and to prepare for Board exams. e24fc04721

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