Competency Based Curriculum

Program: Internal Medicine

Program Director: Mohamed Siddique, MD

Specialty/Course: Infectious Disease

Curriculum Coordinator: Wasif Hafeez, MD

Administrative Support: Robin Pastorius

Date Revised: February 7, 2009

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	To be able to diagnose and manage the major clinical syndromes in infectious disease both inpatient and outpatient. Learners should be able to examine patients efficiently and accurately Learner should have respect for patient and primary service preferences	1. Perform inpatient ID Consultations 2. Teaching rounds(based on consults seen) 3. Morning report 4. See HIV patients in infectious disease clinic. 5. Participation in PERKS 6. M & M conference 7. Grand rounds	Monthly rotation evaluation by attending Consultation Discussions Documentation Evaluation Communication with the patient and primary service Answering patient management questions during morning report Ability to identify correct clinical findings in PERKS Bedside exam skill testing PGY 1 & 2
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	Acquire proper understanding of concepts of antimicrobial therapy and drug resistance. Learn principles of hospital infections and infection control Learn principles of HIV and AIDS. Learn principles of ambulatory infectious diseases and preventive care.	Management/Teaching rounds Didactic lectures on antimicrobials and major ID syndromes. ID grand rounds Directed readings ID board review	Monthly rotation evaluation by attending Case Discussions Directed Readings discussion ID monthly exam score Answering questions in ID morning reports
Interpersonal and Communication Skills that result in effective information exchange and teaming with patients, their families, and other health professionals	Communicate effectively with primary service Demonstrate effective patient/family interviewing skills Establish excellent relationships with patients/families Able to educate and counsel patient/families Improve listening skills Able to maintain comprehensive, timely, legible medical records	Presenting discussions on ID topics assigned. Writing follow-up notes 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	Treat patient and families with respect and consideration Treat nursing and other health care professional with respect Understand issues of race, religion, sexual orientation, disability, age, culture, gender etc. in patients and other health care providers Strive to improve patients’ quality of care Maintain appropriate relations with patients	Daily interaction with health care professionals Peer-group discussion Faculty Role modeling	Monthly rotation evaluation by attending 2. Resident performance in HIV Clinic – Sensitive, caring Approach to patients, inter- Action with Clinic nurse, social Worker and other staff. 3. Daily rounds with ID attending
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	Learn and demonstrate knowledge of scientific study design and statistical methods Learn to accept feedback from others Regularly self-assess Use information technology to manage information, access on-line medical information and support their own education on a regular basis Facilitate learning of others	Didactic lectures Book: Users’ guides to the Medical Literature (JAMA) Self-directed inquiry Interactive computer programs Deliver the topics assigned at the beginning of rotation. Journal Club, resident grand rounds	Residents presentation Daily case discussions HIV updates during clinic hours
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	Practice cost-effective care Learn to minimize patient care errors 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 Advocate for patients within the health care system	Interaction with social worker, counselors, outreach person and pharmacist in ID clinic to facilitate comprehensive care of patients with HIV Arrangements for follow-up care, outpatient IV antibiotic therapy, home care follow-up, prescribing the covered antibiotic	Monthly rotation evaluation by attending Clinic patient discussions Discussion during ID consult

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, current edition

· Textbook of AIDS Medicine - Broder

· Hospital Infections - Bennet, 4^th edition

· Harrison’s Textbook of Internal Medicine, ID section, current edition

· MKSAP ID booklet, current edition

Electronic/Web Based Resources:

· www.guidelines.gov

· www.mdlinx.com

· www.sgintmed.com/quick_reference.htm

Other resources:

IDSA guidelines on various topics – pneumonia, endocarditis, febrile neutropenia, catheter related infections, meningitis etc

CDC guidelines on various topics – Influenza, tuberculosis, STDs, bioterrorism etc

Updated HIV/AIDS treatment guidelines from AIDSinfo

Sanford guide to antimicrobial and HIV therapy, current edition