Rotation Curriculum by bK4698M


									                          Rotation Curriculum
                    Department of Medicine Residency Program

Date Reviewed: 5 September 07
Rotation: Infectious Diseases

Educational Purpose: To be able to diagnose and manage common infectious diseases
seen by internists.

Specific Objectives: To be able to diagnose and manage complex or suspected infections
among inpatients referred to the infectious disease service. To be able to prescribe anti-
microbial agents effectively, efficiently, and safely. To be able to facilitate appropriate
use of the microbiological laboratory for the diagnosis of infectious diseases. .

Teaching Methods: Supervised consultative patient care of infectious disease service
inpatient, outpatients, or consultative patients.

Readings: Harrison’s 16th Ed: Ch 254 Sepsis and Septic Shock, Ch 104 Introduction to
Infectious Diseases, Ch 105 Molecular Mechanisms of Microbial Pathogenesis, Ch 106
Approach to the Acutely Ill Infected Febrile Patient, Ch 109 Infective Endocarditis, Ch
110 Infectious of the Skin, Muscle and Soft Tissues, Ch 111 Osteomyelitis, Ch 114
Clostridium difficile-Associated disease, Ch 116 Hospital Acquired Infections, Ch 117
Infections in Transplant Patients, Ch 118 Treatment and Prophylaxis of Bacterial
Infections, Ch 119 Pneumococcal Infections, Ch 120 Staphylococcal Infections, Ch 121
Streptococcal Infections, Ch 182 Diagnosis and Treatment of Fungal Infections, Ch 173

Mix of diseases: Most patients will have acute and chronic infectious diseases and
symptoms suggestive of inflammatory disease in the setting of medical co-morbid
conditions such as immune deficiency, surgery, or debilitated state. Participating
residents will attend HIV clinic at least one-half day weekly.

Lines of Communication: Residents will be supervised on all patients by an attending
infectious disease teaching physician. Inpatients and outpatients followed on the
infectious service will have direct communication between patient and resident with
orders written by residents and supervised by the attending. Residents on the consult
service will present consultant findings in the chart after discussion with the attending.

Expectations of Resident Competence: Residents are expected to be professionally
diligent in all aspects of patient care and pursuit of educational knowledge and achieve
the competency level of proficient in the general physical examination and independent
clinical practice of common and moderately severe infectious diseases.

Documentation of Evaluation: One45 global evaluation at end of rotation.

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