EDUCATIONAL GOALS AND OBJECTIVES INFECTIOUS DISEASES CORE INTERNAL MEDICINE Principle Objectives 1. To familiarize the resident with the diagnosis and management of clinical infectious diseases in both the hospital and out-patient setting. 2. To provide the resident with a broad overview of antimicrobial therapy and enable them to utilize antimicrobial agents in an effective, safe and cost effective manner. 3. To introduce the resident to the microbiology laboratory and the appropriate use of laboratory investigations in the diagnosis and management of infections. 4. To provide an introduction to the epidemiology, economics and prevention of infectious diseases and infection control. CanMEDS 2000 ROLES/SPECIFIC OBJECTIVES Medical Expert/Clinical Decision Maker 1. Using patient derived data formulate a patient based problem list and clinical/microbiologic diagnosis. 2. Summarize the pertinent investigations needed to confirm a microbiologic diagnosis. 3. Be able to interpret common microbiologic tests and other laboratory investigations within the context of the clinical assessment of the patient. 4. Be able to use appropriate empiric directed antimicrobial therapy for common clinical infectious syndromes. Communicator 1. Perform an accurate and complete clinical assessment and record findings in a readable and organized fashion. 2. Outline an organized approach of investigations and management based on the database collected. 3. Present and discuss the clinical findings in a consultation format or letter for the referring physician. 4. Present a case for discussion at clinical rounds and ID rounds in a succinct and clear fashion. Collaborator 1. Correctly collect specimens to ensure accurate bacterial, viral and other microbiologic testing. Educational Goals and Objectives INFECTIOUS DISEASES – CORE INTERNAL MEDICINE …/ 2 2. Work with microbiology staff to ensure appropriate evaluation of clinical specimens based on clinical information. 3. Work in conjunction with pharmacy staff to ensure optimal antimicrobial therapy. Manager 1. Demonstrate an organized cost effective sequence of investigations based on the database. Health Advocate 1. Recognize the importance of utilizing antibiotics appropriately to reduce the emergence of resistant organisms. 2. Be aware of strategies to prevent infectious diseases. 3. Understand the role of infection control in the hospital environment. Scholar 1. Describe common clinical infections in major organ systems, e.g. pneumonia – community acquired, nursing home, hospital acquired bacteriuria endocarditis 2. Review and utilize recent literature pertaining to selected infectious diseases and their management. 3. Appreciate the importance of critical appraisal of the literature and the application of the literature in patient care. 4. Recognize the requirement for self-assessment and the critical care role of the selfdirected learning and continuing medical education. Professional 1. Demonstrate appropriate professionalism during interactions with other members of the health care team including microbiology laboratory staff, nurses, pharmacists, and other allied health care workers. June 2003