Orthopedic Infectious Disease

One rotation block will be spent on the ID ortho service.

Goals and Objectives

  • By the end of this rotation, the fellow is expected to:
  • Establish an appropriate and logical work up of suspected infections in this population
  • Understand the unique biological environment created within the musculoskeletal system by implantation of foreign device, and its impact on emergence and persistence of infection in this patient population
  • Understand the medical and surgical indications for management of orthopedic infections
  • Understand the role of infection control measures in this patient population (screening for carriage of organisms commonly associated with wound infection (staph aureus) organisms, pre-surgical antibiotic prophylaxis, etc)
  • Demonstrate appropriate inpatient and outpatient follow up care for this patient population
  • Communicate effectively with the orthopedic surgery service, both verbally and in the medical record

Teaching Methods

Daily inpatient rounds with the ID Ortho attending: This includes review of the fellow’s work up, case presentation, clinical bedside examination, and review of all laboratory data and radiology tests. The fellow’s assessment of the problems and plans are critiqued with feedback on written documentation.

Mix of Clinical Topics

There are on average about 5-10 inpatient and 3 scheduled outpatient consults per week. These include consults primarily from orthopedic surgery service and on occasion, from internal medicine service requesting consults on patients with orthopedic infections. The fellow is expected to attend at least 1 outpatient ortho-ID clinic per week while undertaking this rotation.

Patient Characteristics and types of clinical encounters, procedures and services:

  • Adult inpatients from a variety of socioeconomic levels and ethnic background are evaluated
  • Patients and diseases as above
  • Wound assessment and exploration
  • Gram Stain

Reading/Learning Lists

  • Principles and Practice of Infectious Disease, Mandell, et. al., 7th edition
  • 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
  • Chicago Board Review DVD’s
  • Articles assigned by the ortho service staff