Rotation Contact:

Rotation Director – Tom Belhorn, MD (tom_belhorn@med.unc.edu)

First Day Information:

Page attending on duty at 8:30am on your first day. Schedule is in WebXchange.

Goals and Objectives:

OVERALL EDUCATIONAL GOAL:
The resident will gain expertise in the diagnosis and management of common infections as well as uncommon and/or complicated
pediatric infectious diseases.

OBJECTIVES:
Develop competence in eliciting the important aspects of specific infectious disease presentations through history and physical examination skills. (PC)

Create an appropriate differential diagnosis and evaluation plan for the usual presentations of common infectious diseases. (MK, PC)

Understand the recognition of uncommon or complicated infectious diseases and providing the initial management for and appropriately referring patients with these infections. (MK)

Acquire knowledge of antimicrobial agents and understanding current issues involving antimicrobial resistance patterns. (MK, PC)

Make clinical correlates between the microbiology laboratory and individualized patients and competence in the appropriate use of specific cultures and interpretation of laboratory results. (MK, PC)

Describe the role of non-microbiologic testing for the diagnosis of infectious diseases (PCR, serology, etc.). Also understand the appropriate ordering of radiographic imaging in the diagnosis of infectious diseases. (MK)

Demonstrate competence in the evaluation of special problems presented by the immunocompromised patient. (PC)

EVALUATION:
Resident performance is evaluated by direct faculty assessment during clinical activities. An online evaluation is completed at the end of the resident rotation. Residents also evaluate faculty preceptors and the overall effectiveness of the rotation.

LEARNING ACTIVITIES OF THE ROTATION:
The principle learning activity of residents involves the assessment of inpatients on the general pediatric wards, newborn nursery, newborn and pediatric intensive care units, pediatric surgical services, and burn unit. Outpatients in the infectious disease clinic, pediatric HIV clinic, and pediatric acute care and referral clinics are also assessed. Prompt review by an attending infectious disease specialist occurs in each of these settings and immediate feedback on the resident’s assessment and treatment plan is provided. Residents are encouraged to attend conferences which either exclusively or frequently focus on the evaluation and management of pediatric infectious diseases; these conferences include the pediatric acute care conference, chest conference, weekly pediatric infectious disease conference, chair conference, and grand rounds. Residents may request specific didactic presentations by faculty on topics of interest. Residents are also encouraged to prepare brief didactic topics which address current patient management issues.

Recommended Readings:

Pediatric Sexual Assault Victims and Follow-up of HIV Post-Exposure Prophylaxis