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Pediatric Infectious Diseases Elective Stanford University School of Medicine Competency-based Goals and Objectives Rotation Goals Understand the principles guiding prudent selection of antimicrobial agents for neonates, infants, and children with suspected or proved infections Understand the availability, utility, and limitations of laboratory resources in the evaluation and management of children with infectious diseases Participate in the care of patients with a variety of underlying diseases complicated by suspected or proved infection. Learn the differential diagnosis of a variety of syndromes associated with fever. Understand the approach to the evaluation and management of children with suspected immunologic deficiencies. Participate in the care of the children with human immunodeficiency virus infection. Objectives Patient Care Gather essential and accurate information about the patient using the following clinical skills: medical interviewing, physical examination, diagnostic studies, and developmental assessment Make informed diagnostic and therapeutic decisions based on patient information, current scientific evidence, clinical judgment, and patient preference Carry out patient management plans Counsel patients and families. Use information technology to optimize patient care Medical Knowledge Know, critically evaluate, and use current medical information and scientific evidence to develop a differential diagnosis. Know, apply, and teach the basic and clinically supportive sciences as shown in the infectious disease laboratory requirements Demonstrate an investigatory and analytic approach to clinical problem solving and knowledge acquisition Interpersonal and Communication Skills Communicate effectively to create and sustain a therapeutic relationship with patients and families Work effectively with others as a member or leader of a health care team Being able to act in a consultative role to other physicians and health professionals Practice-based Learning and Improvement Locating, appraising, and assimilating evidence from scientific studies related to health problems of patients on the consultative service Professionalism Demonstrating respect for and a responsiveness to the needs of patients and society by accepting responsibility for patient care, demonstrating integrity, honesty, compassion, and empathy in one’s role as a physician, respecting the patient’s privacy and autonomy, maintaining appropriate professional boundaries, demonstrating accountability and commitment, and demonstrating a responsiveness to the needs of patients and society that supersedes self-interest. Demonstrating high standards of behavior. Demonstrating sensitivity and responsiveness to patients’ and colleagues’ gender, age, culture, disabilities, ethnicity, and sexual orientation. Systems-based Practice Practice cost-effective health care and resource allocation that does not compromise quality of care Advocating for patients and assisting patients in dealing with system complexities Roles and Responsibilities 1. Perform inpatient consultations under the supervision of the ID fellow and attending. 2. See new patients in infectious disease clinic and be present for evaluation of established outpatients 3. Attend laboratory rounds and learn proper procedures for specimen collection and processing. 4. Prepare two short (10 minutes) presentations on the ID topic of their choice during the selective and present to the team. 5. Attend scheduled teaching conferences and be prepared to present their patients to those attending the conference. 6. Assist the ID fellow with phone calls from referring physicians. 7. The residents and medical students are not required to take evening or weekend call for the infectious disease service. Feedback and Evaluation The methods of evaluation for the Infectious Diseases Selective Rotation will consist of: Global Ratings Scales Sample of Consultation Note 3600 Evaluation written at the end of the rotation by ID team (attending and fellow)