Internal Medicine with Infectious Disease Focus Rotation

Preceptor - G. Elliott Cook, PharmD, BCPS

Rotation Description:

The Internal Medicine (IM) with Infectious Diseases (ID) Rotation is designed to provide a generalized review of internal medicine topics and ID topics. The resident will participate in the antibiotic surveillance program, pharmacokinetics service, and rounding on patients on the IM service. Additionally, the resident will assist the preceptor in tracking the use of certain antimicrobials, and enforce formulary restrictions.

The resident's tasks for this experience include, but should not be limited to:

  • Assist in the creation of protocols and other improvement processes to maximize patient outcomes.
  • Comprehensive assessment of each drug therapy regimen on an ongoing basis and development of a drug therapy plan for      each patient while considering each individual's previous pharmacologic recommendations, current health care status (e.g.      organ function, medical history), personal health related goals and ideology (e.g. whether to opt for aggressive or strictly      palliative treatments), and costs
  • Providing specific and accurate recommendations pertaining to drug therapy including, but not limited to dose adjustment,      drug addition, drug deletion, and drug monitoring both verbally and in writing incorporating the principles of evidence based      medicine and established regulatory guidelines whenever possible.
  • Effectively and professionally communicating with all health care related professionals, patients and families in regard to       medications, drug therapy regimen evaluations, formal recommendations, in-service topics, case presentations and other      required communications. Collaborating with other health care professionals in order to promote pharmaceutical care      including, but not limited to, attending physicians, medical interns and residents, medical and pharmacy students, nurses,      nurses' aides, dietitians, social workers, and the nursing home administrator.

    • Rotation Topic Discussions / Readings

    Common disease states with which the resident will be expected to gain facility through literature review, topic discussion and direct patient care experience include:

  • Antimicrobial prophylaxis in surgery
  • Lower respiratory infections
  • Urinary tract infections/pyelonephritis
  • Skin and soft tissue infections
  • Intra-abdominal infections
  • Bone and joint infections
  • Invasive fungal infections
  • Central nervous system infections
  • Sepsis

    • Demonstrate a working knowledge of the spectrum of activity, pharmacokinetic & pharmacodynamic principles, and cost of the following antimicrobial agents/classes.

  • Beta-lactams/monobactams/carbapenems
  • Macrolides
  • Ketolides
  • Sulfonamides
  • Fluoroquinolones
  • Metronidazole
  • Tetracyclines/Glycylcyclines
  • Aminoglycosides
  • Glycopeptides
  • Streptogramins
  • Oxazolidinones
  • Antifungals

    • ASHP Required Goals and Objectives to be taught and evaluated:

    Goal R1.1

  • OBJ R1.1.1
  • OBJ R1.1.2
  • OBJ R1.1.3

    • Goal R1.5
  • OBJ R1.5.1
  • OBJ R1.5.2
  • OBJ R1.5.3
  • OBJ R1.5.4
  • OBJ R1.5.5
  • OBJ R1.5.6
  • OBJ R1.5.7

    • Goal R2.1
  • OBJ R2.1.1

    • Goal R2.2
  • OBJ R2.2.1

    • Goal R2.3
  • OBJ R2.3.1

    • Goal R2.4
  • OBJ R2.4.1
  • OBJ R2.4.2
  • OBJ R2.4.3

    • Goal R2.5
  • OBJ R2.5.1
  • OBJ R2.5.2

    • Goal R2.6
  • OBJ R2.6.1
  • OBJ R2.6.2

    • Goal R2.7
  • OBJ R2.7.1

    • Goal R2.8
  • OBJ R2.8.1

    • Goal R2.9
  • OBJ R2.9.1
  • OBJ R2.9.2

    • Goal R2.10
  • OBJ R2.10.1
  • OBJ R2.10.2

    • Goal R2.11
  • OBJ R2.11.1
  • OBJ R2.11.2

    • Goal R2.12
  • OBJ R2.12.1
  • OBJ R2.12.2
  • OBJ R2.12.3

    • Goal R3.1
  • OBJ R3.1.1
  • OBJ R3.1.2
  • OBJ R3.1.3

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