Team 2 (Outpatient Consult Service at UIHC & VAMC Consult Service)
- Inpatient VAMC consults, outpatient consults at UIHC and VAMC and outside phone calls.
- Approximately 5 months of the first year will be Team 2 outpatient 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, develop a diagnostic and treatment plan that is appropriate and feasible
- Provide appropriate patient follow up
- Develop skills to effectively and appropriately communicate with the referring services or outside referral entities, both verbally and in writing
- Be able to perform a literature search of various medical questions, and interpret such literature in context of clinical case
- Develop facility in providing parenteral and oral antimicrobials after patient’s discharge, and understand the financial and medical issues involved with extended antimicrobial administration
- Develop skills of antimicrobial stewardship
- Oversee outpatient care for VA patients
Each patient is reviewed with the attending and history and physical exam are confirmed. Assessment, plans and encounter notes are reviewed. The fellow also interacts with the clinic nurses, social workers, pharmacist and ARNPs. An ID attending is present in the clinic for all patient encounters.
Mix of Clinical Topics
Services are provided at both at the UIHC (outpatient only) and at the VA (inpatient and outpatient). Patients with a broad range of illnesses are seen both for initial and follow up evaluations. There are on average 25-30 new outpatient consults at the UIHC, 15-20 outpatient visits and 20 new inpatients consults at the VA per month.
Patient Characteristics and types of clinical encounters, procedures and services
- Adult patients from a variety of socioeconomic levels, ethnic background and immunocompetence states are evaluated
- Patients and diseases as above
- Lumbar puncture
- Wound assessment and exploration
- Gram Stain
- 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
- 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
Immediate feedback is given on each patient presentation. The ID attending provides a written evaluation at the end of the rotation. A mini-CEX evaluation is given twice a year. The entire care team (nurses, pharmacists, social workers) provides bi-annual evaluations. The fellow provides evaluations of the rotation to the Department.