Infectious Diseases Curriculum

GEORGETOWN UNIVERSITY HOSPITAL

DIVISION OF INFECTIOUS DISEASES

RESIDENT AND STUDENT ROTATION

Curriculum & Learning Objectives

OVERVIEW:

Welcome to the Infectious Diseases elective rotation.  As part of the course, you may participate in the Inpatient consultation service and/or the Ambulatory Care clinic.

Residents and students on the inpatient consultation service will be expected to perform thorough infectious diseases evaluation of patients in the hospital, attend conferences and lectures, and complete outside reading and self study.  During the rotation, you will become knowledgeable and proficient in treating infections in the surgical, transplant, intensive care, OB/GYN, hematologic/oncologic, general medicine and HIV patients.

On the Ambulatory service, residents and students will have the opportunity to learn about general infectious diseases, travel medicine, Hepatitis and STD/HIV.  The clinic is located in the Kober Cogan Building Suite 110 and is open from 8:30 am to 5 pm Monday through Friday.  Residents and students will be asked to record vitals, weight, and pain each time a patient is evaluated.  They will be expected to complete the patient teaching section or if patient teaching was not needed, place N/A on this section.  Completed charts should be given to the teaching attending.  Nursing should be notified about any needed vaccines or injections.  In addition, the purple Outpatient summary list, Medication lists, allergy list, yellow problem list, vaccination history, patient education form (for new patients), and CD4/viral load flow sheets should be updated with each visit.

TIME MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
8:30-9:30 MORNING REPORT JOURNAL CLUB RESEARCH STAFF STUDENT/ RESIDENT LECTURE GRAND ROUNDS MORNING REPORT (*8 AM)
  ROUNDS ROUNDS ROUNDS ROUNDS ROUNDS
12:00 RES NOON LECTURE/ STATE OF ART LECTURE M&M     LUNCH
1:00       CORE CURRICULUM ID/PULM CONFERENCE  
2:00 ROUNDS ROUNDS ROUNDS ROUNDS ROUNDS
4:30       TROPICAL DISEASES  
7:00 GWIDS        

DIVISION OF INFECTIOUS DISEASES WEEKLY SCHEDULE

Conferences and Learning Venues for Residents on the Infectious Diseases Consult Rotation

Monday 8:30-9:30 AM:  Morning Report:  Inpatient consult cases presented and discussed with attending physicians, fellows, social work, and case management.

12:00 ? 1PM Resident Noon Lecture:  Once a month, ID faculty or fellow gives a noon conference on a relevant ID topic.

             12:00 ? 1 PM:  Start of the art lecture series:  Once a month, ID faculty or fellow presents in-depth presentations on new groundbreaking ID topics.

              7 PM ? Greater Washington Infectious Diseases Society monthly meeting where academic centers present the most interesting and unusual cases of the year.

Tuesday 8:30-9:30 AM:  Journal Club twice a month.  Attendings and fellows critically review the infectious diseases literature and discuss landmark or controversial papers.  Research Meeting once a month to discuss current Infectious Diseases trials at Georgetown University Hospital . 

              12:00 ? 1PM:  Morbidity and Mortality conference

Wednesday 8:30-9:30 AM:  Resident Teaching:  ID Attending gives lectures on Antibiotics, HIV therapy or reviews Infectious Diseases board questions.

Thursday 8-9 AM:  Internal Medicine Ground Rounds.

                1-2 PM:  Core curriculum:  Core lecture series on basic and important infectious diseases topics.  ID/Pulmonary Conference once a month to review interesting cases or discuss diagnostic dilemmas.  A guest speaker or assigned topic will be reviewed at each conference as well.

               4:30 PM:  Tropical Diseases conference is held quarterly at the NIH.

Friday 8-9 AM:  An infectious diseases case is presented at Internal Medicine Morning Report and an ID faculty members leads with discussion.

Infectious Diseases Consult Elective

Goals and Objectives

Updated July 5, 2005

Learning Venues

  1. Direct Patient Care/Consultation
  2. Attending Rounds
  3. Residency/Fellow Core Lecture Series
  4. Self Study
  5. Weekly ID Resident Teaching
  6. ID Journal Club, Ground Rounds, State of Art Lecture Series

Evaluation Methods

    1. Attending Evaluation
    2. Direct Observation
    3. Fellow Evaluation
    4. Oral examination
PATIENT CARE Learning Venues Evaluation Methods
Demonstrate the ability to perform history & physical exam, interpret ancillary tests to make diagnostic and therapeutic decisions. 1,2.3 A,B,C
MEDICAL KNOWLEDGE    
Understand the pathophysiology, evaluation, and management of microbiological diseases (bacterial, viral, mycobacterial, parasitic, fungal, and rickettsial). 1,2,3,4,5 A,B,C,D
Understand the pathophysiology, evaluation, and management of HIV and AIDS related infections. 1,2,3,4,5 A,B,C,D
Understand the pathophysiology, evaluation, and management catheter related infections, endocarditis, and pneumonia, 1,2,3,4,5 A,B,C,D
Understand the pathophysiology, evaluation, and management central nervous system infections. 1,2,3,4,5 A,B,C,D
Understand the pathophysiology, evaluation, and management GI related illnesses. 1,2,3,4,5 A,B,C,D
Understand the pathophysiology, evaluation, and management of surgical infections. 1,2,3,4,5 A,B,C,D
Understand the pathophysiology, evaluation, and management septic and critically ill patients. 1,2,3,4,5 A,B,C,D
Understand the pathophysiology, evaluation, and management immunocompromised patients such as transplant patients. 1,2,3,4,5 A,B,C,D
Understand the pathophysiology, evaluation, and management febrile neutrapenia and other hematological/oncological infections. 1,2,3,4,5 A,B,C,D
Understand the pharmacodynamics and pharmokinetics of antimicrobial agents. 1,2,3,4,5 A,B,C,D
Understand the pathophysiology, evaluation, and management of sexually transmitted diseases. 1,2,3,4,5 A,B,C,D
Understand the pathophysiology, evaluation, and management for bioterrorism. 1,2,3,4,5 A,B,C,D
Understand the pathophysiology, evaluation, and management of travel related diseases. 1,2,3,4,5 A,B,C,D
PROFESSIONALISM    
Treats patients, team members, and primary caregivers with respect. 1,2 A,B,C
Shows compassion to patients, families, and colleagues. 1,2 A,B,C
Actively participates in consultations and rounds. 1,2 A,B,C
Attends and participates in all scheduled conferences. 1,2 A,B,C
PRACTICE-BASED LEARNING    
Evaluates own performance and uses medical literature to address gaps in medical knowledge. 1,2 A,B,C
Incorporates feedback into improvement activities. 1,2 A,B,C
SYSTEMS-BASED PRACTICE    
Understands the barriers to optimal care of patients with HIV. 1,2 A,B,C
Understands the need for teamwork with multiple caregivers, social work, and case management. 1,2 A,B,C

Core Curriculum for Medical Residents

July 2005- June 2006

Month Topic
July Tropical Medicine Slide Review
  Pulmonary/ID Rounds
  Community Acquired Pneumonia
  Acute Meningitis
August Bactericidal and Blood Cultures
  Pulmonary/ID Rounds
  Care of the Traveler
  Vaccines-Basic Principles
September Diarrhea in the Returning Traveler
  Pulmonary/ID Rounds
  Salmonella
  Shield
October Amebiasis
  Pulmonary/ID Rounds
  Cholera
  Gastrointestinal E.coli Infection
  Yersinia
November Campylobacter infection
  Pulmonary/ID Rounds
  Giardiasis
December Enteric fevers
  Pulmonary/ID Rounds
  ID Jeopardy
January Pulmonary/ID Rounds
  Medical Record Keeping/Medical Care
  Fever in the Returning Traveler
February Eosinophilia in the Returning Traveler
  Pulmonary/ID Rounds
  Diarrhea in the Returning Traveler
  Parasitology/Protozoans
March Parasitology/Helminths
  Pulmonary/ID Rounds
  Travel Visit
  Vaccines-Basic Principles
April Drugs for Malaria
  Pulmonary/ID Rounds
  Management of the Malaria Patient
  GWIDS
  Microscopy-Gram stain
May Microscopy-Malaria smears
  Pulmonary/ID Rounds
  Antiparasitic Drugs ? Ivermectin
  Antiparasitic Drugs ? Albendazole
June Antiparasitic Drugs ? Praziquantel
  Pulmonary/ID Rounds
  ID Jeopardy

Suggested Resources:  Residents have access to Mandell, Douglas, and Bennett?s Principles and Practice of Infectious Diseases, UpToDate in Infectious Diseases, Harrison ?s Principles of Internal Medicine, and medical journals through the Dahlgren Medical Library.