IU School of Medicine



The student will consult on and round on all pediatric rheumatology inpatients at Riley Hospital with the staff rheumatologist, and will see all urgent outpatient consultations. S/he will attend outpatient clinics to learn elements of history and physical examination of children with arthritis and other autoimmune and chronic inflammatory diseases. The student will learn to differentiate inflammatory disease from recurrent mechanical pain syndromes. The student will also apply the basic knowledge of inflammatory pathways to the treatment of complex rheumatic diseases, and through working with nursing and physical therapy, will experience inter-professional learning and care delivery.

Elective Details:

Primary Contact for Add/Drops: Kathleen M. O'Neil (kmoneil@iu.edu)

Director: Kathleen M. O'Neil, M.D.

Campus: Indianapolis

Location: Riley Hospital, Riley Outpatient Ctr, IU North Riley Clinics

Learning Objectives

  • 1) List the characteristics that differentiate inflammatory from mechanical causes of joint pain in children (MK2)
  • 2) Describe how musculoskeletal alignment of the lower extremities changes in children from a toddler through adolescence (MK1)
  • 3) Define the laboratory tests and imaging modalities important in the diagnosis and monitoring of childhood rheumatic diseases (PC3)
  • 4) Describe the most common causes of recurrent knee pain in children (MK5)


  • Clinical Performance Evalution Form (Each consultation note will be written by the student and reviewed/revised by the attending physician. The student will read these notes and receive verbal feedback on how to improve the documentation. The attending MD will examine the children with the student, so that his/her skills will improve over time. Each consultation will be presented in an organized fashion to the attending MD, and the case concisely presented to the division physicians at the weekly case management conference. The student will get feedback from the attending MD on service that week in a private discussion Friday afternoon).

Enrollment Information

Prerequisites: 3rd or 4th year status

Availability with Max Students per Month:


Duty Hours: 35-40

Time Distribution: 85%Clinical; 10% Library/Research; 5% Lecture/Seminar

Elective Type Category: CP - Clinical Practice

Notes and Enrollment Information:

Add/Drop Contact Person: Kathleen M. O'Neil (kmoneil@iu.edu)

Third Year Elective? Yes

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: Yes

Skills Description: Amy Rakestraw, MSPT,MPH teaches physical examination and rehabilitation. Rheumatology nurses teach about living with rheumatic diseases, home administration of injectable medications and monitoring of children on major immune suppressive medications.

Service Learning Included: None