Procedural skills and diagnoses are monitored through a procedure log maintained by the MedHub system. The fellow will log-in their procedures and have the supervising physician verify it. After the numbers of requirements are met, the program director will certify the procedure. Please note the term “procedure” is used to describe both a physical performance of procedures and can also be case-based experiences with Rheumatologic diseases. Procedure certification is a MANDATORY requirement for graduation

Procedure Requirements

Title	Number of Requirements
Crystal Identification	3
Joint Aspiration	3
Soft Tissue/Tendon/Bursa Injection	3
Systemic Lupus Erythematosus	3
Infection of Joints and Soft Tissues *	3
Joint Injection	3
Metabolic Diseases of Bones	3
Nonarticular Rheumatic Diseases, Including Fibromyalgia	3
Nonsurgical, Exercise-Related (Sports) Injury	3
Osteoarthritis	3
Osteoporosis	3
Juvenile Inflammatory Arthritis	3
Polymyositis *	3
Regional Musculoskeletal Pain Syndromes, Acute and Chronic Musculoskeletal Pain Syndromes, and Exercise-Related Syndromes	3
Rheumatoid Arthritis	3
Scleroderma/Systemic Sclerosis	3
Sjögren's Syndrome	3
Spondyloarthropathies	3
Vasculitis	3
Psoriatic Arthritis	3
Gout	3
Pseudogout	3
Dermatomyositis *	3
Septic Arthritis *	3

* This diagnosis has been identified as a rare rheumatological disorder. The fellow on consult or in clinic will be responsible for notifying other fellows when these cases appear