Download INFECTIOUS DISEASE ROTATION DESCRIPTION

INFECTIOUS DISEASE ROTATION DESCRIPTION
The resident will join the ID in-patient consultation team and attend clinics. Patients are
seen as consultation requests. Consults from other physicians are seen and recorded by
a house staff member of the team before presentation to the attending physician during
the next clinical round. Occasional patients, because of the urgency of their problems,
are seen in the Emergency department. The purpose of the 5 half-day clinics is to
introduce trainees to out-patient-based general infectious disease problems and their
management.
Trainees will familiarize themselves with the diagnosis and management of clinical
infectious diseases. They will learn a broad overview of antimicrobial therapy and
become able to use antimicrobial agents in an effective, safe and cost-efficient manner.
Trainees will be introduced to the microbiology laboratory and the appropriate use of
laboratory investigations in the diagnosis and management of infections. They will be
grounded in the epidemiology, economics and prevention of infectious diseases and in
infection control.
The Infectious Disease team is normally composed of an attending staff physician and a
core medical resident. Approximately 75% of the time an elective PGY-1and/or a clinical
clerk are also on the service. There are two different ID Rotations for Medical
Residents: In-patient Consults and Out-patient Clinics.
1.
Consultations
There are no admitted patients to the Infectious Diseases service. Patients are
seen as consultation requests from other physicians. In-patient consultations are
normally received through the office of the attending physician on service. From
there the senior housestaff member is then informed of the name, location and
nature of the consultation request. The consult is then seen and recorded by a
housestaff member of the team before presentation to the attending physician
during the next clinical round. As much as possible consults should be seen the
same day that they are requested. In-patient consultations are seen primarily at
KGH and occasionally at SMOL. Outpatient consultations are largely seen in the
General Infectious Diseases clinics. Occasional patients, because of the
urgency of their problems, are seen in the Emergency room.
2.
Out-patient Clinics
There are half-day general ID outpatient clinics through the week, one held each
Monday morning on FAPC Level 4 North, Tuesday morning on FAPC Level 4
North, Wednesday afternoon on FAPC Level 4 North and Thursday morning
FAPC level 4 (alternates weekly between North & South). HIV outpatient clinic
runs Monday to Friday mornings at Hotel Dieu Hospital -Jeanne Mance 3. A joint
Respirology/Infectious Diseases Tuberculosis clinic is held twice monthly on
Monday afternoons on FAPC Level 1 North.The purpose of these clinics is to
introduce trainees to outpatient based general infectious disease and HIV
problems and their management. Most ID clinics will have 2-4 new patients for
assessment. In addition, trainees will also be given the opportunity to follow-up
previously seen
Reviewed & revised: September 2011
in-patients and outpatients in the clinic to evaluate their outcome and response to
therapy. Residents and Clerks assigned to the ID Clinic Rotation should carefully
review the Clinic Rotation Schedule (emailed at the start of each Resident Block).
A schedule outlining clinic assignments for housestaff will be provided by the
Divisional Secretary. The goal is to have each member of the Infectious
Diseases housestaff team attend at least two clinics per rotation. Housestaff who
are post call are excused from afternoon clinics. Housestaff must inform the
Divisional Secretary of the days they are post call so the clinic schedule can be
adjusted.
.
Mandatory Didactic Sessions
The main teaching rounds that trainees attend while rotating on the Infectious
Diseases service are:
Round or Conference
Time
Location
Sign-in Rounds
Daily at 7:45 AM
Richardson Labs Room
104, Thursdays: Etherington Hall Auditorium
Dept of Medicine Grand Rounds
Thursday at 11:30 AM
Richardson Labs Room
104
Medical Mortality Conference
Wednesday at 8:00 AM
Richardson
Amphitheatre
Academic 1/2 Days
Tuesdays – PGY2 &3 (13:30-15:30)
Thursdays – PGY-1 (14:00-16:00)
Richardson Labs Room
104
Plate Rounds
Daily 1:00 PM
KGH Microbiology Lab
Douglas 3
Fridays at 12:00 PM
KGH - Dietary 3
Conference Room
ID Journal Club/Case Conference
The content and organization of the Infectious Diseases Case Conference is
the responsibility of the senior housestaff member and attending physician on the
clinical service. This is usually coordinated with the microbiology laboratory to
facilitate presentation of the laboratory aspects of the clinical cases presented
from the Infectious Diseases service. Two cases are usually presented. Each
trainee is expected to present at least once at these rounds during a 4-week
rotation. It is recommended that all case conference be presented with a specific
focused question in mind if possible, as opposed to a general review of the topic
e.g. epidemiology, diagnosis, therapy, prevention etc. The case conference
should be interactive in nature and not entirely didactic. Please have at least 2
specific learning objectives stated at the outset of your presentation.
Reviewed & revised: September 2011
It is also expected that you will review current literature to make the presentation
evidence based. Please include the specific citations you used in your
presentation and be prepared to discuss the quality of the evidence you found.
Journal Club is presented by Staff ID Physicians.
Plate Rounds are the responsibility of the attending Infectious Diseases
physician on the consultation service. These rounds are used to introduce
trainees to the many aspects of diagnostic medical microbiology. This occurs
through a review of the important positive cultures seen in the laboratory each
day and discussion of the pertinent tests from patients seen on the Infectious
Diseases consultation service. Trainees on the Infectious Diseases service, the
Infectious Diseases attending, the attending Microbiologist, and the senior
laboratory staff participate in this round along with the microbiology technologists
at the involved bench positions.
Reviewed & revised: September 2011