Clinical training curriculum

In addition to discussion of clinical cases, fellows will receive formal didactic training covering a broad range of issues in pediatric infectious diseases, including:

  • Infectious endocarditis. Culture-negative endocarditis. Prosthetic valve endocarditis. Fungal endocarditis. Complications of endocarditis.
  • Cystic Fibrosis ID issues. Burkholderia and atypical mycobacterial infections. Resistant pseudomonas infections.
  • Anti-fungal agents. Pharmacology, uses of different agents in different scenarios.
  • Anti-microbial prophylaxis. Rationale for antimicrobial prophylaxis and choice of antimicrobials in endocarditis, rheumatic fever, urinary tract infections, sickle cell anemia.
  • Catheter infections
  • Tick-borne infections
  • Vaccines. Rationale for use of vaccines, and historical perspective. Adverse reactions.
  • Fungemia in non-BMT patients.
  • Infection control policy development. Fellows will be given a clinical scenario which calls for an infection control policy (e.g. cohorting in RSV season), and will be led through process of developing these policies.
  • VP shunt infections. Medical management, fungal shunt infections, indications for shunt removal, intrathecal antibiotics.
  • Cost-containment and quality improvement. How policies related to cost-containment and quality control are developed and implemented.
  • Public Health and quarantine issues. How infectious diseases expertise is brought to bear in the public health department.
  • Viral infections in BMT patients. Herpesviruses, parainfluenza, RSV.
  • Fungal infections in BMT patients. Aspergillus, candida.
  • Tuberculosis. Gastrointestinal TB, tuberculous osteomyelitis, tuberculous meningitis, and complicated pulmonary tuberculosis. Indications for steroid usage.
  • Surgical infections. Necrotizing fasciitis, complicated post-operative wound infections, infections post- dirty bowel surgery.
  • Herpes Simplex virus infections. Neonatal HSV. HSV encephalitis. Diagnosis and management.
  • Management of the pre-treated infant. Ill infants, high-risk infants who have been pre-treated, adequately or inadequately.
  • Sexually Transmitted Diseases. Diagnosis and management of common STD's in the U.S. and the developing world. Additional didactic lectures/board review is provided in conjunction with the Internal Medicine training program at the University of Washington.

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