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MEDICAL MICROBIOLOGY CURRICULUM GOALS AND OBJECTIVES

PATIENT CARE
I. SKILLS AND KNOWLEDGE

A. Performance of Procedures

1. Perform and Interpret Gram Stains
2. Screen and Identify Pathogenic Bacteria in Clinical Specimens
3. Identify Parasites in Clinical Specimens

B. Colleague and Patient Education

1. Uses information systems to obtain patient data and scientific information
2. Provide appropriate and effective consultation
3. Completes work in timely fashion

II. ACTIVITIES

A. Be able to perform and interpret Gram and other stains on assigned patient cultures
B. Culture patient specimens and identify pathogens present using microbiological standard techniques and instruments on assigned patient specimens.
C. Identify parasites in routine specimens sent to microbiology laboratory for investigation.
D. Review all Parasitology cases in which an organism was seen.
E. Be able to routinely use information systems to obtain patient data and scientific information
F. Advise laboratory users of how to best identify an unknown organism.
G. Provide clinical colleagues information on the significance of microbiological findings on the patient and treatment.
H. Review tests for referral testing and provide clinicians with advice on usefulness, turnaround times, and potential findings.
I. Serve as on-call for all microbiology questions by clinicians during the day, and share on-call with other clinical pathology residents on nights and weeks.
J. Present unusual on-call cases on the On-Call review.


III. EVALUATION

A. Daily observation
B. Daily presentations to faculty, and supervisors
C. Organism identification at the bench with faculty and supervisors
D. Weekly presentations at Residents’ Conference
E. Weekly Infectious Disease Rounds
F. Weekly evaluation of forms Describing On-Call Problems
G. End of Rotation Evaluations
H. RISE Examination
I. First time passing American Board of Pathology Examination

MEDICAL KNOWLEDGE
I. SKILLS AND KNOWLEDGE

A. Laboratory Test Selection and Use

1. Develop knowledge of basic disease processes
2. Demonstrate Appropriate Knowledge and Basic Skills in Interpreting Laboratory Data all Areas of Microbiology (Bacteriology, Immunology, Mycobacteriology, Molecular Testing, Parasitology, and Virology.
3. Understand the Effects of Methods on Reliability and Clinical Usefulness of Measurements of the Test Analyte.
4. Demonstrate Familiarity With Microbiology Literature

B. Safety

1. Describe Potential Infectious Agents Potentially Used In Bioterrorism.
2. Become familiar with microbiological safety policies within the Laboratory and Patient Care locations. (Note. It will be important to attend the Monthly Laboratory Safety Committee meetings and to accompany the Safety Officer on his rounds).


II. ACTIVITIES

A. Rotate through each of the microbiology workstations for two weeks.
B. Perform required textbook reading while on each workstation, and discuss findings with faculty
C. Know and interpret tests performed at each workstation
D. Read and discuss articles presented to resident by faculty, and obtain and discuss other articles as directed by faculty
E. Attend monthly departmental safety meetings
F. Make safety rounds with departmental safety officer
G. Serve as assistant safety officer when making infectious disease rounds

III. METHODS OF EVALUATION

A. Daily Observations
B. Assessment of personal safety practices while working at the bench
C. Weekly Infectious Disease Rounds
D. End of Rotation Evaluation
E. Monthly presentations at Safety Meetings
F. Yearly 360 degree evaluations by supervisors
G. RISE Examination
H. First time performance on American Board of Pathology Examination

PROFESSIONALISM
I. SKILLS AND KNOWLEDGE

A. Attend and Participate in Residents’ Weekly Microbiology Conferences
B. Attend and Participate in Weekly Infectious Disease Rounds
C. Demonstrates on-going learning in build foundation for life-long learning
D. Understands and complies with HIPAA and other regulations regarding patient confidentiality and handling of tissues for diagnosis and research.
E. Accepts responsibility and follows through on tasks.
F. Is punctual, arriving on time for sing-out sessions and conferences
G. Recognizes limits of abilities and need to consult with others
H. Is prompt and well prepared for assignments

II. ACTIVITIES

A. Attendance at Weekly Microbiology Conferences
B. Attendance at Weekly Infectious Disease Rounds
C. Daily discussions with attendings
D. Institutional On-line course for HIPAA training
E. Interactions with clinicians, faculty, technologists, other employees.

III. EVALUATION

A Daily observation
B. Observation at weekly meetings
C. Yearly On-line HIPAA training
D. Yearly 360 Degree Evaluations by Supervisors, other laboratory personnel
E. End of rotation evaluations by faculty

INTERPERSONAL AND COMMUNICATION SKILLS
I. SKILLS AND KNOWLEDGE

A. Lead Required Weekly Presentations in Microbiology
B. Communicate With Physicians and Infectious Disease Physicians Regarding Unusual or Critical Values.
C. Accept Constructive Feedback.
D. Demonstrate Teaching Skills
E. Establishes a network of relationships

II. ACTIVITIES

A. Lead Residents’ Conference Once Monthly
B. Present Laboratory Cases at ID Rounds
C. Notify appropriate health care providers when clinicians are not available for critical values
D. Notify Program Director of clinicians available for critical values
E. Teach Medical Students at scheduled sessions in pathology course
F. Give one in-service to microbiology technologists at both UHB and KCHC on an interesting case seen during the rotation.
G. Evaluate reports generated by the laboratory and suggest improvements.
H. Improve performance based on reviews by microbiology faculty
I. Complete and write up a project in Parasitology
J. Interact with clinicians visiting laboratory

III. EVALUATION

A. Daily meetings with faculty
B. Weekly Infectious rounds
C. Weekly Resident conferences
D. Review of resident’s Parasitology project
E. End of rotation review
F. Yearly 360 degree evaluation by supervisors and other laboratory personnel

SYSTEMS BASED PRACTICE
I. SKILLS AND KNOWLEDGE

A. Review Microbiology Operating Procedures and Make Suggestions for Improvement
B. Participate In Quality Improvement Programs in Microbiology
C. Evaluate Quality Control Data for Acceptability for Accreditation.

II. ACTIVITIES

A. While on rotation through each of the work stations, review the procedure manuals and discuss potential improvements with the director.
B. Share supervision of the Quality Improvement Programs with the faculty
C. Help prepare the departmental report for the Monthly Director’s meeting at KCHC and the Departmental QI meeting at UHB

III. EVALUATION

A. Attendance at weekly and monthly meetings
B. Daily interactions with laboratory personnel
C. End of rotation evaluations

PRACTICE-BASED LEARNING AND IMPROVEMENT
I. SKILLS AND KNOWLEDGE

A. Actively Participate in Quality Programs in Microbiology including Data Collection, Data Evaluation, Data Reporting, and Process Improvement.
B. Assimilate Regulatory and Medical-Legal Information and Limit Risks.
C. Critically Review Scientific Literature
D. Review Scientific Literature To Identify Potential Microbiology Laboratory Improvements.
E. Participate in Implementation of Laboratory Operating Procedure For Bioterrorism.
F. Uses external programs and benchmarks to guide laboratory improvement
G. Assimilates regulatory and medical-legal environment information and limit risk

II. ACTIVITIES

A. Help collect data for quality improvement programs at both KCHC and UHB
B. Evaluate CAP laboratory proficiency results reports
C. Help provide corrective action on proficiency result reports
D. Provide results of a literature search on improving quality improvement project
E. Review the laboratories operating procedure for bioterrorism, and assume position of resident in the chain of notification.
F. Evaluate performance on previous bioterrorism CAP Survey
G. Perform CAP inspection of one section of either KCHC or UHB laboratory section

III. EVALUATION

A. Daily observation
B. Monthly review of proficiency program results with faculty
C. End of Rotation Evaluation