Three to four weeks will be spent in the clinical microbiology laboratory with intensive instruction and hands-on experience with a clinical microbiologist
Goals and Objectives
- By the end of this rotation, the fellow is expected to:
- Understand and recommend various methods of appropriately collecting and transporting various specimen
- Be competent in microscopic examination of specimen
- Understand various staining and culturing techniques for a variety of bacterial, mycobacterial, fungal, and viral pathogens, and the principles and appropriateness of molecular diagnostic techniques
- Be able to interpret susceptibility data, and limitations of testing
- Understand mechanisms of antimicrobial resistance
Daily plate rounds with the Clinical Microbiology Lab: Complete bench rotations on checklist. Work with pathology resident on service to contact infectious disease fellow every week regarding particular patient slides and cultures the ID team would like to see and have available for ID lab rounds.
Microbiology lecture block, monthly micro conference
Mix of Clinical Topics
There are a wide variety of bacterial, mycobacterial, fungal and viral culture techniques and interpretation of susceptibility testing and interpretation of clinical significance. Variety of molecular diagnostic procedures reviewed and interpreted. Review malaria and other parasite exams with pathology resident and faculty. Review consults (slide interpretation) from anatomic pathology faculty with pathology resident and microbiology faculty.
Characteristics and types of clinical encounters, procedures and services:
- Variety of organism stains
- Services covered during this rotation are: bacteriology, infection control, antimicrobial susceptibility, TB/mycology, virology, parasitology and microscopy
- “Clinician and the Microbiology Laboratory” in Mandell’s text Principles and Practice of Infectious Disease, Mandell, et. al., 7th edition
- “Manual of Clinical Microbiology”, reference text from ASM
- Review procedure manual
- ID Grand Rounds
- Reference books and manuals
Written evaluations by the attendings are given at the end of the rotation.