SOM Elective Brochure
 

Electives Type:  Clinical

Elective Title
Infectious Diseases-General ID Consultation in Austin
Course Number
MEDU-4117
Duration/Weeks
4
Prerequisites: Successful completion of Year 3 
      Additional Requirements:
n/a
Responsible Faculty Director:
Gordon Huth, M.D.
Other Faculty:
Elizabeth Douglass, M.D.
Location to Report on First Day
Tommie Starkey, 7:45AM,
Periods Offered
1-13
including Period 12 (June), including the holiday vacation Period 13 (Dec)
Maximum Enrollment
1

Goals
 Students will: 1. Evaluate patients with suspected infections and be able to localize and identify the source of an infection. 2. Become familiar with commonly encountered infectious organisms and their clinical presentation. 3. Acquire skills of incorporating history, physical exam and laboratory data in formulating a differential diagnosis. 4. Become familiar with frequently used antimicrobial agents including their mode of action, indications and side effects. 5. Become familiar with basic microbial diagnostic procedures. 6. Acquire skills and learn the basic management principles in patients with HIV disease and associated opportunistic infections, gain familiarity with antiretroviral therapy.

Objectives
 By the end of the rotation the student should be comfortable if not proficient in: 1. Doing a basic stepwise evaluation of a patient with an infection. 2. Formulating a plan of investigation for a patient. 3. Knowledge of the indications and actions of common antibiotics.

Description of course activities
 This elective consists primarily of inpatient Infectious Diseases (ID) Consulting. The focus of the elective is the evaluation and therapy of infections common to medical, surgical, and other specialties. This is accomplished by the consultation team, which is comprised of an Attending physician, house staff, and students. Consults are called to the house staff who will perform or designate the student to perform a problem oriented history and physical exam and collect pertinent past medical history, laboratory and radiological data. The information is discussed in conference with the team and the Attending physician so as to formulate an assessment and plan. All consults will be answered in 24 hours or less and patients are followed as long as assistance with management is needed. Students should attend morning report when possible. Medical student lectures are provided by the ID faculty and students should attend as scheduled. Each night we give a set of homework questions on a class of antibiotics or an infectious disease syndrome (e.g., endocarditis, meningitis) which we expect the student to research and be ready to go over the next day after rounds.

Type of students who would benefit from the course
 This course will benefit all students regardless of which specialty they wish to pursue. Infections comprise a major part of any clinical practice and antibiotics are prescribed by all. The incidence of antimicrobial resistance to common organisms is increasing and newer antibiotics are becoming available for use. Knowledge in this field of medicine is thus very important, which this course will adequately provide. To enroll, UTMB students should submit a C-form to Tricia M. McElligott via e-mail at tmmcelligott@seton.org or fax at 512-324-7988 for approval. Visiting students should submit an application through VSAS: https://services.aamc.org/20/vsas/public/school/instID/174 Select UTMB at Galveston as the host institution and indicate you wish to take MEDU 4117 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
   
  Day of Week AM PM
  Monday 9:30 Round with Attending See consults and follow-up old patients
  Tuesday 9:30 Round with Attending See consults and follow-up old patients
  Wednesday 9:30 Round with Attending See consults and follow-up old patients
  Thursday 9:30 Round with Attending See consults and follow-up old patients
  Friday 9:30 Round with Attending See consults and follow-up old patients
  Saturday off off
  Sunday off off
       
  Average number of patients seen per week: 4-5 per student  
  Call Schedule:   n/a  

  Research Activities (please insert estimated schedule here)
   
  Activity Hours per Week
  Faculty contact time

  Self-directed study

  Data collection/analysis

  Other


Method of student evaluation
Check all that apply - complete appropriate section(s) only:
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
    Five times a week on rounds.
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback
Other

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Attending.
  B. Frequency / duration of presentation(s)?
    Average 4-5 per week.
  C. Format - What guidelines are set for the student's presentation?
    Present cases with all elements of a complete H&P. Offer their assessment and plan of work up. Ask questions.
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases  Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
    Students are expected to expected to write an initial and daily FU consultation note on the patients they are following.
  B. Format - What guidelines are set for the student's written work?
    standard
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
   
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
    Based on patients they are following.
  F. Audience - Who assesses the studentís written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
  Format
    Oral   Written multiple choice   Written essay / short answer   OSCE
Other

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?
    The rounds are a small group discussion of new patients as well as old patients being followed by the service. The student should have updated information on his/her patients every day. The student is expected to actively participate in the discussions. They should be able to look up and research topics and present them to the group. There is daily "homework" consisting of questions regarding antibiotics and certain disease processes that are reviewed in daily sessions after rounds, M-F.

6.  Other Modes of Evaluation
  Please explain below.
    Attending faculty will complete standard evaluation forms based on the studentís ability to evaluate patients and learn and apply the basic principles of Infectious Diseases.

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