Rheumatology Visual Pearls for
Internists: A Show and Tell
RODNEY TEHRANI MD
ASSOCIATE PROFESSOR OF MEDICINE
RHEUMATOLOGY FELLOWSHIP PROGRAM
DIRECTOR
DIVISION OF ALLERGY, IMMUNOLOGY AND
RHEUMATOLOGY
Disclosures
 American College of Rheumatology/Rheumatology
Research Foundation Clinical Scholars Educator
Award (CSE)

3 year grant for the development of Rheumatology based
computer modules for Internal Medicine residents
5 modules yearly for 2 years
 Learning Management System (Moodle)
 Premise is that the modules will increase the residents Boards
scores in the subsection of Rheumatology

Traditional Lecture
 Introduction
 Prevalence/Incidence
 Pathophysiology
 Clinical Manifestations
 Diagnosis
 Treatments
 Also called Traditional Classroom Teaching
Traditional Lecture
 Most widespread method used.
 Advantages
1) Dispersion of material/content to large audience
 2) Cost effective
 3) Material presented by faculty with an expertise in the subject
 4) Able to ask questions to the faculty
 5) Timing/schedule

Traditional Lecture

Disadvantages
1) Material travels in one direction
 2) Sometimes too focused
 3) Decrease for group participation
 4) Ability to ask questions
 5) RETENTION

Problem Based Learning (PBL)
 Learning method characterized by use of patient
problems as a context for students to acquire
knowledge and learn problem solving skills. (1)

Advantages
Deep learning
 Decreased surface learning
 Improved performance

(1) Albanese MA, Mitchell S. Problem Based Learning: a review of literature on its outcome and implementation issues. Acad Med 1993;68:52-81.
Problem Based Learning (PBL)
 Individual
 Small Group
 Advantages
1) Learn from your peers
 2) More discussion


Disadvantages
1) Dominant personalities taking over the group
 2) Taking advantage of others work by not preparing
 3) Not asking questions for fear of not looking “smart”

Problem Based Learning (PBL)
McParland M et al. The effectiveness of problem based learning compared to traditional teaching in undergraduate psychiatry.
Medical Education 2004:38:859-867.
Computer Learning
 World Wide Web (WWW 1.0)
 World Wide Web (WWW 2.0)
 Twitter, Second Life ….
 Learning management system
 Education delivered via the web
 Methods:
1) Course materials (articles, PBL…)
 2) Watching taped lectures and procedures
 3) Chat rooms (virtual small group studies)
 4) Entire courses on-line for degrees

Computer Learning
 Advantages
 1) Travel
 2) Personal time schedule
 3) Convenience
 4) Is it better than other methods for learning?
 Disadvantages
 1) Lack of personal interaction
 2) Cost- computers, internet connection
 3) No better than previous teaching methods
 4) RETENTION- both traditional lectures and PBL
Computer Learning
Computer Learning
Retention
 How can we improve retention of what we teach?
 How can we improve retention of what we learn?
 Visual Images
 Is a Picture Worth a Thousand Words?
Rheumatology Visual Pearls
COLLECTION OF RHEUMATOLOGICAL
IMAGES FOR INTERNISTS
FROM HEAD TO TOE
IMAGES ARE FROM GOOGLE IMAGES,
WEBSITE GIVEN AT THE BOTTOM OF
EACH IMAGE
www.medscape.com
www.sarawakeyecare.com
ACR Rheumatology Image Bank: www.rheumatology.org
http://www.huidziekten.nl/zakboek/dermatosen/mtxt/malar-rash.htm
http://www.huidziekten.nl/afbeeldingen/malar-rash-2.jpg
www.dermsa.com
alcoholflushreaction.blogspot.com
www.aafp.org
www.gponline.com
www.globalskinatlas.com
Best Practice &
Research Clinical
Rheumatology
Volume 23, Issue 4,
August 2009, Pages
495–506
reasonablywell-julia.blogspot.com -
www.assh.org
http://nileherb.blogspot.com/2010/07/sarcoidosis-sar-koy-do-sis.html
Wikipedia: Lupus pernio 01.jpg
http://nileherb.blogspot.com/2010/07/sarcoidosis-sar-koy-do-sis.html
bjr.birjournals.org
uwmsk.org -
www.onlinedermclinic.com
http://drugline.org/ail/pathography/1727/
www.dominapharm.com
encyclopedia.lubopitko-bg.com -
www.hopkinsarthritis.org
www.hopkinsarthritis.org -
www.hopkinsarthritis.org
www.hopkinsarthritis.org
ACR Image Bank: www.rheumatology.org
www.scielo.br
openi.nlm.nih.gov -
www.drugs.com
www.ouhsc.edu -
www.learningradiology.com
dermatlas.med.jhmi.edu
ACR Image Bank: www.rheumatology.org
ACR Image Bank: www.rheumatology.org
www.dermis.net -
dermatology.cdlib.org
www.sciencedirect.com
quizlet.com
hardinmd.lib.uiowa.edu
www.drugs.com
ACR Image Bank: www.rheumatology.org
www.sciencedirect.com
www.sclero.org
dermatlas.med.jhmi.edu
ACR Image Bank: www.rheumatology.org
quizlet.com
quizlet.com
commons.wikimedia.org
ACR Image Bank: www.rheumatology.org
www.bala6y.org
ACR Image Bank: www.rheumatology.org
www.reumatologiaclinica.org
ACR Image Bank: www.rheumatology.org
www.odermatol.com
www.diseaseaday.com
thegoutkiller.com
Thank-You
QUESTIONS?