4th Year ID Selective

Course Title: Infectious Diseases Selective (CID 1646)

Course Director: Dr. Molly Hughes, MD PhD (mah3x@virginia.edu, 924.5216)

Course Assistant Director: Dr. Breyette Lorntz,PhD (Lorntz@virginia.edu, 243.6237)

Course Description:
This 2 week ID Selective will expose the student to multiple aspects of infectious diseases by requiring the student to be involved in the inpatient consultation service as well as several different Infectious Diseases clinics (General ID Clinic, HIV Clinic, and Travelers’ Clinic).  In each of these settings, the student will be required to independently assess patients and to present them to either the infectious disease fellow or attending physician as described in the proposal.  Students will be required to independently assess patients and to present them to either the infectious disease fellow or attending physician.  The student will be an integral contributing member of the team, thereby allowing him/her to become accustomed to the team-oriented approach to patient care utilized during internship and residency.  The student will be expected to interact professionally not only with our team but also with the referring physicians and nursing/ancillary staff during care of the patient.  In addition to the above clinical duties, the student will be encouraged to attend the weekly ID Case Conference and ID Journal Club. 

In addition to the above clinical duties, the student will be expected to present a case to the Infectious Diseases faculty at our weekly ID Case Conference and to analyze and present a journal article at our ID Journal Club.  The ID Case Conference presentation will develop the student’s presentation and teaching skills.  The Journal Club presentation will expose the student to critical analysis of medical literature and to translation of clinical research into practice

Course Objectives:

  1. To gain exposure to the diagnosis and treatment of infectious diseases on the inpatient consultation service as well as several different infectious diseases clinics.

  2. To develop skills for interviewing patients, writing H&Ps, developing care plans, presenting patient cases, and writing progress notes

Course Format:
Students will perform and present inpatient ID consultations and work with the fellow and attending physician to develop an appropriate plan for each assigned consultation.  Students will make rounds with the ID fellow, the residents, and the attending physician every morning, including at least one weekend of the two-week Selective. 

DAY

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

AM

Consult Rounds

Consult Rounds

Consult Rounds

Consult Rounds

Consult Rounds

Consult Rounds

Consult Rounds

Noon

Grand Rounds

12:00-1:00 pm

Jordan Auditorium or Camp Heart

Didactic Conference

12:00-1:00 pm

MR4 3rd Floor

   

Journal Club

1st & 3rd Fridays

12:00-1:00 pm,

MR4, 3rd Floor

   

PM

I.D. Case Conference

3:00-4:30 pm,

7 East Hospital Conference Room

Travelers’ Clinic

ID Clinic

HIV Clinic

Didactics session on antibiotics or other ID-related topic,

1:00 pm following Journal Club on 1st & 3rd Fridays

Case prep/ assessment

   

Course Requirements:

  • Each student will be expected to present a case at Infectious Diseases Case Conference.  The presentation will take place on the second Monday of the rotation.  Students will select a case of interest during the first week of the rotation.  The case should center around a common topic in infectious diseases as opposed to rare infections.  The cases may be selected based on career plans.  Example topics will be provided to each student (list provided).  Each student will then present one case for 10-15 minutes.  A one-page handout will accompany the presentation.  The presentation will be presented as a case report and review of the literature and not in the standard “stump-the-attending” format of our Monday conference.  The student case presentations will take place in addition to the regular case presentations by the fellow and will probably supplant the management case.  It is anticipated that the students will spend most of their time preparing for the presentation on the weekend preceding the presentation.
     
  • Students will be expected to present one article at I.D. Journal Club.  This will take place on either the first or second Friday of the rotation.  The article to be presented will be selected on Monday or Tuesday of the week of the conference. The article should be e-mailed to Elaine Day (EMD8A@virginia.edu) who will email it to the fellows and faculty.  The article may be chosen from one of our regular journals (list provided) or chosen from any other journal based on the interest of the student. The student will prepare a 10-minute presentation.  Each presentation will be followed by a 5-10 minute discussion led by the ID attending physicians and fellows at the journal club.  The student is encouraged to review the presentation with a fellow or faculty member prior to journal club.   

Text:
Students will be provided with a reference book on Infectious Diseases on loan for the duration of the rotation.  Students will receive a  copy of the current Johns Hopkins “Medical Management of HIV Infection” to keep. 

Enrollment: Up to two 4th year Students per Period

Prerequisites: Completion of Clerkships

Assessment:
The final grade for each student will be determined by the attending physician who worked with the student during the rotation.  The attending physician may consult the fellows and clinic attending physicians for input, but the fellows and clinic attending physicians will not be involved in the final grade assignment.

 

 

Logistics:
The students are asked to contact the course director, Dr. Molly Hughes (PICC# 4538), by 9:00 am on the morning of the first day of the rotation and at any time during the rotation if they have questions.  If Dr. Hughes is unavailable by pager, please contact the inpatient fellow (PICC# 1369) to identify the rounding time and location on the first day of the rotation.

 

Recommended References

  1. Mermel et al.  “Guidelines for the Management of Intravascular Catheter-Related Infections” .  CID 2001:32 (1 May)
  2. Tunkle et al. “Practice Guidelines for the Management of Bacterial Meningitis” .  CID 2004:39 (1 November)
  3. Roth et al. “Approach to the Adult Patient with Fever of Unknown Origin”.  American Family Physician . Vol 6 No 11. 1 Dec 2003
  4. Beck et al. “Community Acquired Bacterial Meningitis in Adults ”. New England Journal of Medicine. 2006: 354: 44-53.

Schedule

Period 1: 6/26 – 7/22/06

Period 2: 7/24 – 8/19

Period 3: 8:21 – 9/16

6/26-7/8

7/24-8/5

Pham, Luu

8/21-9/2

Mason, Jonathan

7/10-7/22

Vandyck, Kofi

8/7 – 8/19

Carmody, James

White, Emily

9/4-9/16

Period 4: 9/18 -10/14

Period 5: 10/16-11/11

Period 6: 11/13-18 & 27 – 12/16

9/18 – 9/30

Felts, Amber

10/16 – 10/28

Cruise, Michael

Knape, Robert

11/13 – 12/2

Osleber, Michael

10/2 – 10/14

10/30 – 11/11

12/4 – 12/16

 

Period 7: 1/8 – 2/3/07

Period 8: 2/5 – 3/3

Period 9: 3/5 – 3/31

1/8 – 1/20

Barker, Kathryn

Gray, Daniel

2/5 – 2/17

3/5 – 3/17

1/22 – 2/3

2/19 – 3/3

Cool, Alecia

3/19 – 3/31

 

Period 10: 4/2 – 4/28/07

4/2 – 4/14

4/16 – 4/28