Clinical Infectious Disease

Sites: MGH
Director(s): Rajesh Gandhi, Alberto Puig
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: US/Canadian
Description: Students will learn to evaluate patients presenting with a wide range of infectious problems. Students will be assigned to one of three inpatient consultation teams. Each team will consist of an attending and a fellow, and may also have a medical resident. Students will perform one consult each day in coordination with the fellow. They will take a comprehensive history with emphasis on clinical presentation, epidemiologic risk factors for infections, and predisposing medical conditions. They will perform and observe physical examinations with particular attention pain to common physical findings associated with important infectious problems. They will generate a differential diagnosis with particular attention pain to the most probable and the most serious causes of a patient�s complaint. Students will present their findings, both written and oral, to the attending each day for review and feedback. Students will round on each of their consults daily until discharge or signoff and write progress notes in the medical record. The attending physician will supervise each student�s work on a daily basis and will provide ongoing daily feedback about the student�s performance. Students will attend weekly lectures and conferences (radiology, pathology, clinical management). Students are expected to give at least one comprehensive talk during the course of the month about a patient or a problem that they encountered, with particular emphasis on practicing evidence-based medicine and in understanding basic science and physiology as it a applies to a clinical problem.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Basic science and evidence-based medicine are presented to students in a series of weekly lectures. These principles are also applied each day on attending rounds to the care of actual patients that students are following. These principles should also form the core of each student�s comprehensive talk delivered during the month.
Grade Criteria:
Honors with Distinction: Student has displayed high degree of self-motivation, independence, and initiative in pursuing individual learning goals, investigating the details of patient history, and clinical recommendations. The comprehensive talk should be scholarly, organized ,and informative. Honors: Student has been an active learner who has learned a great deal about infectious diseases, but may not have demonstrated the kind of mastery and independence appropriate for the grade of honors with distinction. Satisfactory: Student has participated in the care and management of patients followed by the consult team. The student may have played a more passive role in his or her own learning, and the care of those patients. Unsatisfactory: Student has not participated adequately in his or her own learning or in the care of patients seen by the team. Failure to attend rounds or required conferences, without prior approval from attending. Failure to perform the required comprehensive talk.