Competency Based Curriculum

 

 

 

Program: Internal Medicine

 

Program Director: Mohamed Siddique, MD

Specialty/Course:  Infectious Disease

Curriculum Coordinators: 1.  Wasif Hafeez, MD

                                           

 

Administrative Support:  Robin Pastorius

 

Date Revised: April 30, 2007


 

 

 

 

Competency

 

Objectives

Specific

 

Educational Experiences

Knowledge/ Skills

Integration/Application

 

 

Assessment

Tools

 

 

Patient Care

that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health

  1. To be able to diagnose and manage the major clinical syndromes in infectious disease both inpatient and outpatient.
  2. Learners should be able to examine patients efficiently and accurately
  3. Learner should have respect for patient  and primary service preferences

 

 

1. Perform ID Consultations

2. Teaching rounds

3. Morning report

4. Take care of HIV & Hepatitis C patients in infectious disease clinic.

 

 

 

  1. Monthly rotation evaluation by attending
  2. Mini-CEX (ABIM)#
  3. Consultation Discussions
  4. Documentation Evaluation
  5. Communication with the patient and primary service

 

 

 

 

 

 

Medical Knowledge

about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care

 

  1. Acquire proper understanding of concepts of antimicrobial therapy and drug resistance.
  2. Learn principles of hospital infections and infection control
  3. Learn principles of HIV and AIDS.
  4. Learn principles of ambulatory infectious diseases and preventive care.

 

 

  1. Management/Teaching rounds
  2. Didactic lectures on antimicrobials and major ID syndromes.
  3. ID grand rounds
  4. Directed readings

 

 

  1. Monthly rotation evaluation by attending
  2. Case Discussions
  3. Directed Readings discussion

 

 

 

 

 

 

Interpersonal and Communication Skills

that result in effective information exchange and teaming with patients, their families, and other health professionals

 

  1. Communicate effectively with primary service
  2. Demonstrate effective patient/family interviewing skills
  3. Establish excellent relationships with patients/families
  4. Able to educate and counsel patient/families
  5. Improve listening skills
  6. Able to maintain comprehensive, timely, legible medical records

 

 

  1. Presenting discussions on ID topics assigned.
  2. Writing follow-up notes
  3. Communication with the Patient and Consulting Service

 

1. Documentation Evaluation

2. Communication with the patient and primary service

 

 

 

 

 

 

Professionalism

as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population

 

  1. Treat patient and families with respect and consideration
  2. Treat nursing and other health care professional with respect
  3. Understand issues of race, religion, sexual orientation, disability, age, culture, gender etc. in patients and other health care providers
  4. Strive to improve patients’ quality of care
  5. Maintain appropriate relations with patients

 

  1. Daily interaction with health care professionals
  2. Peer-group discussion
  3. Faculty Role modeling

 

 

  1. Monthly rotation evaluation by attending
  2. ABIM Praise Cards and Early warning Cards
  3. Mini-CEX (ABIM)#

 

 

 

 

 

 

 

Practice-Based Learning and Improvement

that involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care

 

  1. Learn and demonstrate knowledge of scientific study design and statistical methods
  2. Learn to accept feedback from others
  3. Regularly self-assess
  4. Use information technology to manage information, access on-line medical information and support their own education on a regular basis
  5. Facilitate learning of others

 

  1. Didactic lectures
  2. Book: Users’ guides to the Medical Literature (JAMA)
  3. Self-directed inquiry
  4. Interactive computer programs
  5. Deliver the topics assigned at the beginning of rotation.

 

  1. Residents presentation

2.   Case discussions

 

 

 

 

 

 

Systems-Based Practice

as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system for health care and the ability to effectively call on system resources to provide care that is of optimal value

 

  1. Practice cost-effective care
  2. Learn to minimize patient care errors
  3. Understand various types of health insurances and how it impacts patient care in both in-patient/out-patient settings i.e. LOS, UR and prescriptions
  4. Advocate for patients within the health care system

 

  1. Interaction with social worker, counselers, outreach person and pharmacist in ID clinic  to facilitate comprehensive care of patients with HIV & Hepatitis C.

 

 

  1. Monthly rotation evaluation by attending
  2. Clinic patient discussions.

 


Important Infectious Disease Topics :

 

1. Pharmacodynamics & Kinetics

                   2. Antimicrobial agents

                   3. Antimicrobial Resistance

                   4. Skin and soft tissue infection

5.    Head and Neck infection

6.    Bone and joint infections

7.    Community Acquired Pneumonia

8.    UTI

9.    Introabdominal infections

10.           Meningitis/Encephalitis/Brain abscess

11.           Septic Shock, Toxic Shock

12.           Endocarditis/Prophylaxis

13.           STD/PID/Vaginosis

14.           HIV & AIDS

15.           Viral Hepatitis

16.           Tuberculosis

17.           Immunization

18.           FUO

19.           Nosocamial Infection-Principles

20.           Infection in Transplant Patients

21.           Agents used in biological warfare

22.           Rickettsial infection

23.           Common Mycoses

24.           Basics of Parasitology

 

 

Resource Materials

 

Recommended Textbooks:  

·        Principles & practices of ID - Mendell, 5th Edition.

·        Textbook of AIDS Medicine - Broder

·        Hospital Infections - Bennet, 4th edition

 

 

Electronic/Web Based Resources:

·        www.guidelines.gov

·        www.mdlinx.com

·        www.sgintmed.com/quick_reference.htm

 

Key Articles:

·        Practice guidelines for the management of community-acquired pneumonia in adults.  Infectious Diseases Society of America - Medical Specialty Society.  2000 Feb. 

·        2001 USPHS/IDSA guidelines for the prevention of opportunistic infections in persons infected with human immunodeficiency virus.  Centers for Disease Control and Prevention - Federal Government Agency [U.S.]
Infectious Diseases Society of
America - Medical Specialty Society
Public Health Service (
U.S.) - Federal Government Agency [U.S.].  1999 Aug (updated 2001 Nov 28). 

·        Guideline for the management of intravascular catheter-related infections.  AmericanCollege of Critical Care Medicine - Professional Association
Infectious Diseases Society of
America - Medical Specialty Society
Society for Healthcare Epidemiology of
America - Professional Association
Society of Critical Care Medicine - Professional Association.  2001 May. 

·        Epididymitis. Sexually transmitted diseases treatment guidelines 2002.  Centers for Disease Control and Prevention - Federal Government Agency [U.S.].  1993 (revised 2002 May 10)

·        Practice guidelines for the treatment of candidiasis.  Infectious Diseases Society of America - Medical Specialty Society.  2000 Apr. 

·        Acute HIV Infection and the Sexual Transmission of HIV - Journal of Infectious Diseases

·        HIV Patients Get Long-Term Boost with Short, Intermittent Drug RegimenNIH

·        Screening for Hepatitis C Virus Infection: A Review of the Evidence for the U.S. Preventive Services Task Force
Roger Chou, Elizabeth C. Clark, and Mark Helfand  Ann Intern Med, Mar 2004; 140: 465 - 479.

·        Hepatitis C in the HIV-Infected Person  Mark S. Sulkowski and David L. Thomas
Ann Intern Med, Feb 2003; 138: 197 - 207.