Pediatric to Adult Rheumatology Care Transition

Transitioning patients with childhood-onset rheumatic diseases that persist into adulthood can be complex and challenging. The ACR has developed a toolkit to assist in the transition of young adults phasing out of their pediatric rheumatologists practice to an adult rheumatologist. These toolkits focus on two diseases: Juvenile Idiopathic Arthritis and Lupus.

The ACR transition toolkits are split into two groups: Information/Toolkit for Pediatric Rheumatologists and Information/Toolkit for Adult Rheumatologists.

Pediatric Rheumatology

Transition Policy
Transfer Letter
Medical Summary Juvenile Idiopathic Arthritis
Medical Summary Lupus
Transition Readiness Assessment Questionnaire (TRAQ)
Transition Readiness Assessment for Youth (GotTransition)

Adult Rheumatology

Patient Welcome Letter
Patient Self Assessment
Five Things to Know About Lupus
Five Things to Know About Juvenile Idiopathic Arthritis
Medical Summary Juvenile Idiopathic Arthritis
Medical Summary Lupus

Pediatric and Adult


The ACR Pediatric Transition Toolkit was designed as part of a broader initiative led by the American College of Physicians (ACP) Council of Subspecialty Societies in partnership with GotTransition. The broad ACP workgroup composed of CSS members as well as outside organizations developed common tools/templates for a “general” transition process, and subspecialty societies utilized the templates to develop customized toolkits for specific diseases/conditions.

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