Date Issued: 06/23/2002
Prior Revision Date: 03/18/2007
Date Reviewed and Revised: 03/02/2009
Infectious Disease Curriculum
Department: Internal Medicine
Faculty Coordinator: Allison Liddell, M.D.
Hospital: Texas Health Presbyterian Hospital Dallas
Periods offered: All
Length: 4 weeks
Max no. of residents: 1
First Day Contact: Connie Alonzo (214) 691-8306
First Day Time: 8:30 a.m.
First Day Place: 8230 Walnut Hill Lane, Suite 414, Dallas, TX 75231
Requirements: Monday-Friday from 8:30 a.m. to 5:00 p.m.
Weekends: Check with attending
Resident will be working one-on-one with an Infectious Disease physician
with a busy in-patient and out-patient practice. The resident will be exposed
to a wide variety of infectious diseases. He/she will participate in initial
evaluations as well as follow up evaluations in the infectious disease office.
He/she will also see inpatient consults.
Course Goals and Objectives:
(based on ACGME competencies for resident education)
Residents are expected to provide care that is compassionate, appropriate
and effective for the promotion of health, prevention of illness, treatment
of disease and at the end of life.
- Gather accurate, essential
information from all sources, including medical interviews, physical examinations,
medical records and diagnostic/therapeutic procedures. Examples: Always
obtain old charts and cumulative MAR from the pharmacy pertaining to prior antibiotic therapy.
- Make informed recommendations about preventives,
diagnostic and therapeutic options and interventions that are based on clinical
judgement, scientific evidence, and patient preference. Examples: Resident will always formulate a plan prior to
presentation/discussion with faculty.
- Develop, negotiate and implement effective
patient management plans and integration of patient care. Examples: After
discussion with faculty the resident may modify the plan outlined above. Follow-up visits proceed
- Perform competently the diagnostic and therapeutic
procedures considered essential to the practice of internal medicine. Examples:
Spinal tap is the only procedure regularly
Residents are expected to demonstrate knowledge of established and evolving
biomedical, clinical and social sciences, and the application of their knowledge
to patient care and the education of others.
- Apply an open-minded, analytical
approach to acquiring new knowledge. Examples: Text books, articles, and computer assisted.
- Access and critically evaluate
current medical information and scientific evidence. Examples: Use of computer based information.
- Develop clinically applicable
knowledge of the basic and clinical sciences that underlie the practice
of internal medicine. Examples: Discuss
pathophysiology with faculty. Selected reading as assigned by faculty.
- Apply this knowledge to
clinical problem-solving, clinical decision-making, and critical thinking.
Examples: As assessed by faculty.
Practice-Based Learning and Improvement:
Residents are expected to be able to use scientific evidence
and methods to investigate, evaluate, and improve patient care practices:
areas for improvement and implement strategies to enhance knowledge, skills,
attitudes and processes of care.
- Analyze and evaluate practice
experiences and implement strategies to continually improve the quality
of patient practice.
- Develop and maintain a
willingness to learn from errors and use errors to improve the system or
processes of care.
- Use information technology
or other available methodologies to access and manage information, support
patient care decisions and enhance both patient and physician education.
Example: Internet sites including MD Consult, NML, CDC-Gov, IDSA
website, NEJM website.
Interpersonal and Communication Skills:
Residents are expected to demonstrate interpersonal and communication skills
that enable them to establish and maintain professional relationships with
patients, families and other members of health care teams.
- Provide effective and professional
consultation to other physicians and health care professionals and sustain
therapeutic and ethically sound professional relationship with patients,
their families, and colleagues. Examples: Prompt,
thorough, meaningful notes - not just recitation of lab values and lists of antibiotics.
effective listening, nonverbal, questioning, and narrative skills to communicate
the patients. Examples: See
consult with attending present. Attending will perform occasional consult
with resident present.
with consultants in a respectful, appropriate manner. Examples: Daily face-to-face or phone communication after resident
has seen patient.
comprehensive, timely, and legible medical records. Examples: Daily
progress note when indicated.
Residents are expected to demonstrate behaviors that reflect a commitment
to continuous professional development, ethical practice, an understanding
and sensitivity to diversity and a responsible attitude toward their patients,
their profession, and society.
- Demonstrate respect, compassion,
integrity, and altruism in relationships with patients, families, and colleagues.
Example: Addressed daily.
- Demonstrate sensitivity
and responsiveness to the gender, age, culture, religion, sexual preference,
socioeconomic status, beliefs, behaviors and disabilities of patients and
professional colleagues. Example: Addressed
- Adhere to principles of
confidentiality, scientific/academic integrity, and informed consent. Examples:
- Recognize and identify
deficiencies in peer performance. Examples: Ask faculty for help. Acknowledge weaknesses.
Residents are expected to demonstrate both an understanding of the contexts
and systems in which health care is provided, and the ability to apply this
knowledge to improve and optimize health care.
- Understand, access and
utilize the resources, providers and systems necessary to provide optimal
care. Examples: Medical Records,
Pharmacy, Micro Lab, Radiology.
- Understand the limitations
and opportunities inherent in various practice types and delivery systems,
and develop strategies to optimize care for the individual patient. Examples: See patients in office when feasible.
- Apply evidence-based, cost-conscious
strategies to prevention, diagnosis, and disease management. Examples:
After discussion with faculty.
- Collaborate with other
members of the health care team to assist patients in dealing effectively
with complex systems and to improve systematic processes of care. Examples:
Utilize social services, Home Care, Pharm D., Infection
Methods of instruction:
Didactic (schedule, topic, faculty)
Daily residents conference 12:00-1:00 p.m. - IM Training
Wednesday mornings 7:30-8:00 a.m. - Clinical Grand Rounds - IM Training Room
Wednesday afternoons 12:15-1:00 p.m. - Internal Medicine Update - Haggar Hall
Evaluate and treat patients with infectious diseases in
the outpatient setting. Performing histories and physicals. Formulating
and carrying out a diagnostic and therapeutic plan and communicating that
plan verbally and/or in writing to the patient, the supporting medical team
and the consulting physician.