Assistant Professor of Medicine, Division of Infectious Diseases
Call Secretary (545-9148) during the week before the rotation for a schedule and more information.
Length of Rotation: 1 week, 2 weeks
Clinical (ID) Objectives
- Learn the cardinal signs and symptoms of an infectious process in normal and various types of immunocomprised hosts.
- Learn the diagnosis and management of major organ system infections, including meningitis, respiratory tract infections, endocarditis/endovasculitis, abdominal/pelvic abscess, urinary tract infection, skin and skin structure infection, osteomyelitis, and prosthetic device related infections.
- Learn the appropriate and optimal use of antimicrobial therapy.
- Learn the methods and approaches used for outpatient, inpatient, and post hospitalization management of infectious diseases including long term antibiotic use outside the hospital.
Basic Science (Applied Microbiology) Objectives
- Learn the mechanism of action and mechanism of resistance for various classes of antibacterials, antifungals, and antivirals.
- Learn the spectrum of activity and pharmacokinetic/pharmacodynamics of commonly used antimicrobial agents.
- Review the staining and culture methods in the Microbiology laboratory.
- Learn the general methods of identification of common bacterial, fungal, and viral agents.
- Learn non-culture methods of diagnosing infectious diseases.
- Learn the principles and methods of monitoring antimicrobial therapy.
Key Learning Resources:
- Harrison's or Cecil's Textbook of Medicine
- Review of Medical Microbiology
- A group of recently published papers compiled by the Division. Contains literature on all common Infectious Diseases and on antimicrobial therapy. This is given to the students during rotation.
Expectations of Students:
- See patients in the outpatient clinic on Monday, Wednesday and Friday mornings. Complete history and physical on 2 - 3 patients, present the case to faculty and discuss diagnostic tests and management issues.
- See inpatient consults (not more than 2 - 3 per week). Do a detailed history and physical exam with review of all available records. Discuss the patient during rounds. The patients given to students are screened by faculty and/or Fellow.
- Attend inpatient rounds in the afternoon with the team of faculty, fellow, residents, and senior and junior students. Students are excused around 5:00 pm to give them time to study and review literature. Unless a student expresses a desire to join rounds on weekends they are excused.
- Students also review on-site microbiology diagnosis and write orders under the supervision of faculty or fellow.
- Present a case the student is following at the weekly Infectious Disease Conference on Tuesday.
Clinical (Educational) Activities:
- Outpatient clinics
- Inpatient rounds every day
- Tuesday morning (9:30 am) Microbiology Review and discussion
- Tuesday afternoon (1:00 pm) Clinical Infectious Diseases Case Presentations and Discussions
- Thursday afternoon (4:00 pm) Infectious Diseases Journal Club - research oriented.
- Direct observation of patient work ups.
- Questions and discussions during rounds and educational activities.
- Face to face feedback at the time and following various activities.
- Completion of clerkship evaluation form.
Assessment of the Rotation:
- Students are asked at various times during the rotation if they find the teaching methods and opportunities appropriate and useful. The group discussions on Thursdays are based on the needs expressed by the students.
- Students complete a rotation assessment form that goes directly to the clerkship office.