Download Infectious Diseases in UGME

Infectious Diseases in UGME
George G. Zhanel
Professor: Department of Medical Microbiology/Infectious
Diseases, Faculty of Medicine, University of Manitoba
Course Leader: Infectious Diseases, UGME, Faculty of Medicine,
University of Manitoba
Title of presentation
umanitoba.ca
Infectious Diseases (ID) in UGME
Process
1. Create curriculum committee ~2009
2. Investigate ID teaching in 5 Canadian medical
schools (2010)
3. Establish ID course goals (2011)
4. Create M0, M1 and M2 course outline (2011-2013)
5. Establish ID DD for the ~130 composite clinical
presentations (CP4) [2012/2013]
Infectious Diseases (ID) in UGME
1. Create curriculum committee
- Drs Embree and Zhanel Co-chairs
- ~10 core individuals (adult/ped ID, Med
Micro, Clin Micro and basic science)
Drs. Fred Aoki, Lindsey Nicolle, Sergio Fanella,
Maryanne Crockett, Fiona Fleming, Jared Bullard,
Ian Mclean, Yoav Keynan
Infectious Diseases (ID) in UGME
2. Investigate ID teaching in 5 Canadian
medical schools
- Dalhousie, Toronto, Saskatchewan,
Alberta, UBC
- ~80 teaching hours in 4/5 schools
- goals/content/style reviewed
Infectious Diseases (ID) in UGME
3. Establish ID course goals
- 4 core goals
Infectious Diseases (ID) in UGME
ID course goals
1. Understand the management of common infectious
diseases
2. Know how and when to use antimicrobials and the
principles of antimicrobial stewardship
3. Be able to practice infection control and prevention in
medical settings
4. Employ and understand immunization practices
Infectious Diseases (ID) in UGME
4. Create M0, M1 and M2 course outline
- M0 introductory concepts
- M1 ???
- M2 “CORE” ID course (2 week period)
- M2 “COURSE SPECIFIC” ID teaching
- DRAFT reviewed by “ID/MM ALL”
- DRAFT being reviewed by course and theme
leaders
JULY 23 2012 UGME CuRe Preclerkship M1/2: Health & Disease Modules
Y1 M1  Normal Biology and Health
• FOUNDATION
wks.days ( w. 2 days eval )
1. Blood & Immunology I (+ Skin I)
2. CV I & Resp (+ ET) I
3. Neurobiology I(Psych, Neuro + Opth)
4. Musculoskeletal I
5. Endocrine I & Reproduction I
6. GI/ Nutrition I & Renal I
TOTAL
M2  Health and Disease
4.
5.
6.
7.
8.
9.
10.
Resp + ET II
Endocrine II
Reproduction II
GI & Nutrition II
Renal II
Neurobiology II (Psych, Neuro, Opth)
Musculoskeletal II & Skin II
M3  Consolidation
4 ---- 2013 Aug 26 - Sept 20
3------------ Sept 23 - Oct 11
5 ------------ Oct 14 - Nov 15
4.6 --------- Nov 18 - Dec 18… Dec break
2------2014 Jan 6 - Jan 17
4------------- Jan 20 - Feb 14
4------------- Feb 17 - Mar 14
26.6
……………….Mar 17 - 21 ………Reading week
PROPOSED /DRAFT
1. Intro to ID/Intro Oncology
2. Blood & Immunology (+ autoimmune diseases) II
3. CV II
Y2
Approximate dates
2-------------Mar 24 - April 4
5
3-------------Apri 7 - April 25
4-------------Apri 28 - May 23
-----------May 26 - 30 …………. Rural week
4--------------Aug 25 - Sept 19
3--------------Sept 22 - Oct 10
3--------------Oct 13 - Oct 31
3 -------------Nov 3 - Nov 21
3 +3d------- -Nov 24 - Dec 18…… Dec break
6 -----2015- Jan 5 - Feb 13
4--------------Feb 16 - Mar13
----------------Mar 16 - 20 ……. Reading week
10-------------Mar 23 - May 29
8
Infectious Diseases (ID) in UGME
5. Establish ID DD for the ~130 composite
clinical presentations (CP4)
- DRAFT completed by Curr Cttee
- Being reviewed by “ID/MM ALL”
Composite Clinical Presentations CP4* UGME Sept 2012
SYMPTOMS & SIGNS
1 abdominal mass
2 abd pain: acute & chronic
3 allergic reactions
4 anxiety
5 ascites
6 blunt trauma
7 burns
8 bleeding
9 cardiac murmurs
10 chest pain
11 constipation
12 cough- acute & chronic
13 cyanosis
14 delirium
15 dementia
16 diarrhea- acute & chronic
17 diplopia
18 dysphagia
19 dyspnea-acute & chronic
20 dysuria/UTI
21 ear pain
22 edema
23 extremity pain-acute&chronic
24 eye trauma
25 fever
26 fatigue
27 foot ulcers
28 fracture/dislocation
29 GI bleed
30 head injury
31 headache
32 hearing loss
33 hematuria
34 hemoptysis
35 hirsutism
36 hoarse voice
37 impotence
38 incontinence
39 jaundice
40 joint pain-acute & chronic
41 low back pain
42 lymphadenopathy
43 neck mass/thyroid
44 pain syndrome
45 palpitations
46 pruritus
47 red eye
48 paralysis
49 pelvic pain/mass
50 seizures
51 skin growths
52 skin rashes
53 sleep disorders
54 somnolence
55 sore throat
56 syncope
57 tendon rupture
58 testicular swelling/pain/mass
59 tinnitus
60 vomiting
61 vision loss acute&chronic
62 weakness
63 wheezing- acute & chronic
64 UT obstruction symptoms-lower
65 vertigo/dizziness
DRAFTV6
ABNORMAL LABS
HEALTH CONDITIONS
66 acidosis
67 alkalosis
68 hemoglobin disorders
69 calcium/phopshate/magnesium
70 cardiac markers/EKG
71 coagulation abnormalities
72 creatinine:acute & chronic
73 CXR abnormalities
74 lipd abnormality
75 leukocyte disorders
76 liver enzymes/function
77 potassium abnormalities
78 platelet disorders
79 pulmonary function tests
80 sodium abnormalities
81 urinalysis abnormalities
99 ADHD spectrum
100 adrenal disorders
101 arthritis
102 CVD
103 cirrhosis
104 CNS infections
105 diabetes
106 Drug OD
107 eating disorders
108 fungal infections
109 HIV/AIDS
110 hypertension
111 infertiltiy
112 kidney disease-chronic
113 lung disease-chronic
114 malnutrition
115 menses/menopause
82 adverse drug reactions
83 chronic disease
84 Contraception
85 Culture
86 WHO Determinants of Health
87 developmental pediatric delay
88 Disabilities
89 neglect/abusive relationship or behavior
90 educational level
91 elderly/frail
92 environmental health
93 infectious epidemic/prevention
94 food and water security
95 body weight disturbances
96 substance abuse/addiction/alcoholism
97 poverty
98 smoking
116 mood disorders
117 multiple sclerosis
118 osteoprosis
119 pediatric emergencies
120 palliative care
121 pituitary disorders
122 pregnancy/complications
123 psychosis
124 suicidal behavior
125 shock/resuscitation
126 sports injuries
127 STI
128 suicidal behavior
129 systemic autoimmune disorders
130 surgical infections
131 TB
132 thyroid disorders
133 Venous thrombosis 10
FACTORS EFFECTING HEALTH
*Complied from MCC objectives, UGME CD survey 2010 , UBC website
Infectious Diseases (ID) in UGME
To Do/Issues:
-
DRAFT curriculum reviewed by course and theme leaders
-
? Zhanel on all course committees ?
-
Old and new blood
-
Establish M0, M2 (CORE) and M2 teaching
-
ID topics with no home ???
-
ID topics taught by ID and Non ID
-
Teaching style ?
-
Teachers ?
-
Finalize DRAFT ~130 composite clinical presentations (CP4)
and send to course/theme leaders