Team 1 (Inpatient Consult Service at UIHC)

  • Inpatient UIHC Consults. On average, this service handles approximately 100-120 new consults per month
  • Or 2 months of the second year will be spent on Team 1 inpatient consult service

Goals and Objectives

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

  • Continue to advance his/her medical knowledge base of infections commonly encountered in a variety of hosts and in variety of organ systems in an independent manner
  • Refine the skills needed for the development of comprehensive differential diagnosis of various infections formulation of a diagnostic and treatment plan that is appropriate and feasible
  • Show proficiency in medical history taking and physical examination for a variety of infectious diseases and be able to convey these skills to learners on the team
  • Provide appropriate inpatient follow up, and arrange for adequate outpatient follow up
  • Demonstrate appropriate supervision and teaching of the internal medicine residents and students rotating on the consult service
  • Refine communication skills for effective relations with referring services
  • Demonstrate independent literature search of various medical topics and ability to interpret such literature in the context of a clinical case
  • Take a leadership role in the management of the consult team under the guidance of the clinical staff
  • Provide parenteral antimicrobials after patient’s discharge, and understand the financial and medical issues involved with extended antimicrobial administration
  • Demonstrate skills of antimicrobial stewardship
  • Demonstrate 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, microbiology rounds
  • 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 and immunocompetence states are evaluated
  • Lumbar puncture
  • Wound assessment and exploration
  • Gram Stain

Reading/Learning Lists

  • Principles and Practice of Infectious Disease, Mandell, et. al., 7th edition text
  • Core curriculum conference
  • ID Grand Rounds
  • Journal club, fellow selected articles for review, 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
  • National Network of STD/HIV Prevention Training Centers web-based STD case series at www.stdcases.org
  • 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 mini-CEX evaluation. The fellow also provides evaluations of the rotation to the Department.

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