Team 1 (Inpatient Consult Service at UIHC)

  • Inpatient UIHC Consults. On average, this service handles 100-120 new consults per month
  • Approximately 5 months of the first year will be spent on Team 1 inpatient consult service

Goals and Objectives

During this rotation, the first year fellow is expected to:

  • Develop medical knowledge base of infections commonly encountered in a variety of hosts and in variety of organ systems
  • Develop a logical approach to differential diagnosis of various syndromes, recognize common clinical manifestations of particular organisms and develop a diagnostic and treatment plan that is appropriate and feasible
  • Become proficient in obtaining a complete history and physical examination for a variety of infectious diseases
  • Provide appropriate inpatient follow up, and arrange for adequate outpatient follow up
  • Develop skills to effectively and appropriately supervise internal medicine residents and students rotating on the consult service and develop his/her teaching skills
  • Provide appropriate inpatient follow up, and arrange for adequate outpatient follow up
  • Develop communication skills that will lead to effective relations with referring services
  • Be able to perform a literature search of various medical topics, and interpret such literature in the context of a clinical casea
  • Develop facility in providing parenteral antimicrobials after patient’s discharge, and understand the financial and medical issues involved with extended antimicrobial administration
  • Acquire leadership skills in orchestrating the consult team which includes staff, residents, and students
  • Develop skills of antimicrobial stewardship
  • Develop knowledge of methods to reduce the risk of healthcare associated infections

Teaching Methods:

  • Daily inpatient rounds with the ID attending and rotating residents: This includes review of the fellows’ presentation, clinical bedside examination, review of all laboratory data and radiology tests. The fellow’s assessment of the problems and plans are evaluated along with antibiotic management and written consult notes. Rounds generally last 5-6 hours per day.
  • Weekly – ID Grand Rounds, core curriculum lectures
  • Monthly – Journal club, Special Topics in ID, common fellows’ curriculum

Mix of Clinical Topics

The inpatient consult service completes approximately 100-120 new consults each month. Services are provided to all medical and surgical services and include both immunocompetent and immunosuppressed hosts. Patients with diseases in all categories listed in the curriculum above are seen.

Patient Characteristics and Types of Clinical Encounters, Procedures, and Services

  • Adult inpatients from a variety of socioeconomic levels, ethnic background, immunocompetence states and underlying disease are evaluated
  • Lumbar puncture
  • Wound assessment and exploration
  • Gram Stain

Reading/Learning Lists

  • Principles and Practice of Infectious Disease, Mandell, et. al., 7th edition
  • Core curriculum conference
  • ID Grand Rounds
  • Journal club, fellow selected articles for review and discussion
  • Up-to-Date
  • Online access to numerous journals, MD Consult and textbooks through Hardin Library
  • For the first year, free subscriptions to Journal of Infectious Diseases and Clinical Infectious Diseases
  • Chicago Board Review DVD’s
  • Special ID Grand Rounds

Evaluation

Immediate feedback is given on each patient presentation. Written evaluations by the ID attendings on service are given at the end of the rotation. Twice a year a patient encounter is directly observed by the attending faculty using the mini-CEX (clinical evaluation exercise) format. The fellow also provides evaluations of the rotation to the Department.

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