Patient Care

• Identify common complaints suggestive of pediatric rheumatic disease, including fever, weight loss, fatigue, skin rash, morning joint stiffness, joint swelling
• Create a differential diagnosis for the child presenting with joint pain and how to distinguish inflammatory from non-inflammatory pain
• Implement and interpret appropriate clinical laboratory and radiologic testing to suggest, confirm, or exclude a pediatric rheumatic disease

Medical Knowledge

• Recognize the clinical features suggestive of Kawasaki Disease
• Understand the long-term morbidity related to Kawasaki Disease and the appropriate therapy to prevent it
• Know the distinguishing features of each of the subtypes of Juvenile Idiopathic Arthritis
• Know the major comorbidity associated with JIA and the risk factors for it
• Know when to suspect the life-threatening sequelae of systemic JIA
• Recognize multi-organ system involvement of Henoch-Schonlein Purpura
• Understand the ways in which juvenile dermatomyositis differs from its adult counterpart

Interpersonal and Communication Skills

• Engage the patient and ask probing questions to maximize the value of the clinical history, which is an essential and key part of the child with suspected rheumatic disease
• Recognize the patient’s fears in dealing with a potentially life-threatening condition and establish a trusting relationship with the child and family
• Allow the child and their family to express concerns and openly ask questions about their condition and treatment options
• Summarize the information to be provided to a specialist to whom you might refer a child with suspected rheumatic disease

Professionalism

• Provide compassionate and respectful care
• Take on the role of patient advocate when their medical condition leads to conflicts and issues at school, home, or workplace
• Ensure that medical decision-making is always done with the best interests of the patient at the forefront

Practice-Based Learning

• Identify personal learning goals in the diagnosis and treatment of pediatric rheumatic disease
• Engage in ongoing self-assessment and continuous self-evaluation of learning needs
• Utilize information technology to search for and critically evaluate medical information relevant to the care of children with rheumatic disease

System-Based Practice

• Recognize the importance of a multi-disciplinary approach to the diagnosis and treatment of pediatric rheumatic disease
• Identify any system problems that interfere with the timely and efficient care of children with rheumatic disease
• Incorporate considerations of cost-effectiveness in the diagnosis and treatment of pediatric rheumatic disease