Download Pediatric Infectious Disease Rotation Specific Objectives MEDICAL

Pediatric Infectious Disease Rotation Specific Objectives
MEDICAL EXPERT
The resident demonstrates an understanding of:
1. Concept of the immunocompromised host.
2. Basic biology of the four main groups of micro-organisms (bacteria, viruses, fungi
and parasites).
3. The most common important pathogens in each of those four groups causing
disease in children, including but not limited to the following:
a. Streptococcus pneumoniae
b. Staphylococcus aureus
c. Mycobacterium tuberculosis
d. Influenza, respiratory syncytial virus
e. EBV, CMV, HSV, VZV
f. Candida spp.
4. Gram stain - what it is and how it can help the clinician.
5. Microbial colonization versus infection of the human body.
6. Body sites of bacterial colonization and main bacteria involved.
7. Epidemiological principles including routes of transmission of infection, reservoir,
vector (live or inanimate), etc.
8. Types of isolation and personal protective equipment needed for each.
9. Post-exposure prophylaxis using antimicrobials, active immunization, and
passive immunization.
10. Names, natures and schedules of all the routinely recommended vaccines used
in Ontario,
11. Antibiotics: how they are grouped, how they work, how resistance develops,
laboratory testing for bacterial susceptibility, how to select an antibiotic for a
particular patient, principal toxic effects.
12. Antibiotic stewardship: what it means, why it is important, how it is achieved.
13. Antibiotic-resistant organisms (MRSA, VRE, PRSP, ESBL, KPC): why they are
important, basic principles of their management.
14. Tuberculosis (latent infection vs active disease): TB skin test – performing and
interpreting.
15. Cardinal manifestations and immediate management of infections that kill rapidly
or cause significant morbidity in Canada (e.g., necrotizing fasciitis, meningitis,
encephalitis, meningococcemia, malaria, pneumonia, strep or staph-toxic shock,
joint infections, bacteremia in immunocompromised hosts).
16. Common infections in Canada (e.g., causative agents, cardinal manifestations,
diagnostic tests, basic treatment) - please see attached list.
17. Approach to the newborn or very young infant presenting with fever.
18. Approach to fever in the returning traveler or new immigrant.
COMMUNICATOR
1. The resident will demonstrate the ability to establish a therapeutic relationship
with the patient and family. This includes the ability to obtain and share pertinent
information with the patient and the health care team.
COLLABORATOR
1. The resident will demonstrate the ability to work effectively in a team
environment, by contributing to interdisciplinary patient care activities and by
consulting effectively with other physicians.
MANAGER
1. The resident will utilize health care resources effectively to balance patient care,
learning needs and outside activities.
2. The resident will be able to utilize information technology to optimize patient care
and life-long learning.
HEALTH ADVOCATE
1. The resident will identify the important determinants of health affecting patients.
2. The resident will recognize and respond to those patient care issues where
patient advocacy is appropriate.
3. The resident will appreciate how the care of new Canadians (including refugees
and asylum-seekers) has unique associated challenges.
SCHOLAR
1. The resident will develop, implement and monitor a personal continuing
education strategy that will include the ability to critically appraise the literature.
2. The resident will develop teaching skills in order to facilitate the learning of their
patients.
PROFESSIONAL
1. The resident will practice medicine ethically with integrity, honesty and
compassion, always demonstrating respect for others.
2. Their duties will be discharged reliably and they will always strive for excellence.