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A lot of us are starting to retire, says Dr. Morris. Theyre not keeping up with the number of rheumatologists retiring, which is a big problem. The other aspect of this bottleneck is the lack of fellowship opportunities for those coming out of residency who want to specialize in rheumatology.
Primary health care providers should consider referring patients to a rheumatologist if: You diagnose or suspect an inflammatory type of arthritis (e.g., rheumatoid arthritis, lupus, psoriatic arthritis), or to confirm a diagnosis. A patient needs a management plan for a type of inflammatory arthritis.
Referral criteria: Must have suspected persistent joint inflammation for at least 4 weeks (and for less than 6 months) 2 of the following: Swelling of 3 or more joints.
For many people, after having discussed the initial symptoms with their GP, the GP will suspect that it is some form of arthritis but will refer the person to the rheumatologist to make a specific diagnosis of RA.
Essential entry criteria MBBS or equivalent medical qualification. Either of the following: MRCP (UK) Part 1 at time of application and MRCP (UK) full diploma by offer date. i eligibility for the specialist register in general internal medicine by time of application. ii

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Refer a patient GPs can contact the Rheumatology Consultants directly by email or via the hospital switchboard for urgent advice. We do not accept emailed referrals or self-referrals.
Please refer patients with suspected persistent joint inflammation of 4 weeks or more AND any one of the following: Swelling of 3 or more joints. Swelling of the small joints of hands or feet.

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