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| 1,2,3,4,5,6,7,8,9,10,11 | BCC 7144
BCC 7184 | 2@MCC | FT, 44 hr wk | 2,4 |
Dr. John Greene, Ana Paula Velez, Aliyah Baluch
An infectious disease approach to managing neutropenic patients, bone marrow transplant patients and patients with solid organ or hematologic cancers will be presented. The student will develop skills in managing patients with selected bacterial, fungal, and mycobacterial infections unique to this immuno-compromised population while working intimately with the microbiology lab. Appropriate use of antimicrobial agents including knowledge of therapeutic vs. toxic regimens will be emphasized. Also included will be critical care management of bone marrow transplant patients and other seriously ill cancer patients.
Midway through the elective a formal evaluation process results in the generation of written comments that are communicated to the student so that he/she can appreciate how his/her performance has been to that point. Daily, critical review of presentation of patient data will be incorporated into teaching rounds to provide guidance for the student to strengthen skills in those areas.
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Contact:
Dr. Aliyah Baluch
Aliyah.Baluch@moffitt.org
Bone Marrow Transplant Infectious Disease (BMT ID) rotation is conducted at Moffitt Cancer Center. The BMT ID service is often consulted for standard ID issues such as bacteremias, urinary tract infections, pneumonias and HIV related issues. In addition as Moffitt Cancer Center has a large dedicated bone marrow transplant unit with both autologous and allogeneic transplant recipients, there are infections seen in severely immunosuppressed persons. As with the other sites for ID rotations, the BMT ID service utilizes a team approach headed by an Infectious Diseases attending on service and a variety of potential team members such as an ID fellow. In addition to participating in bedside consultative rounds evaluating patients, there are daily didactic teachings. The student’s progress during the elective rotation will be assessment during bedside and teaching rounds by the attending. Teaching rounds include both general ID topics and bone marrow transplant related topics. There are weekly assigned current topics discussed in an informal mini-Journal Club style. Microbiology rounds are held monthly in a joint learning session between the ID services of the James A. Haley VA and Moffitt alongside Moffitt’s microbiology laboratory.
Objectives
- Provide fundamental information that allows for the assessment and treatment of an infectious disease.
- Obtain an appreciation for the evolution of a patient’s care while in the hospital and understand how antimicrobial usage can affect it.
- Gain insight into the process of selecting antimicrobials and creating durations of therapy.
Evaluation
Midway through the elective, there will be an informal evaluation process to allow the student to get early feedback as to the issues pertinent to an ID consultative service. A formal evaluation will be undertaken at the end of the rotation where written comments are communicated to the student. As mentioned above, daily feedback is often given back on the process of presentation skills and formulation of a good differential diagnosis from an ID perspective.