For Team Members

Learning Goals and Objectives

To provide trainees with experience consulting on adult patients with a broad range of acute, subacute, and chronic infectious diseases.

To enhance appropriate diagnostic and therapeutic skills in the management of patients with infectious diseases. To enhance prevention of infectious diseases. This includes improvement of clinical skills in history data collection and physical examination.

To foster communication, confidence, ethics, problem solving, and the delivery of high quality care in a supervised academic environment. Specific goals include effective presentations at ID Grand Rounds, efficient and accurate documentation in patients’ records and timely and thorough additions to the electronic medical record, clear communications with other healthcare providers, and excellent teaching skills. Evaluation will assess above plus the six competencies, and will include evaluation of patient care, medical knowledge, practice based learning improvement, interpersonal and communication skills, professionalism, system based learning, educational attitudes, leadership, and overall clinical competence.

General Guidelines

Welcome to the Infectious Disease Consult Service at Harborview Medical Center. The service consists of the ID Attending Physician(s) and the ID Fellow(s) assigned for the month, as well as a medical resident, usually several medical students and occasional pharmacy students. Dr. King Holmes is the director of the Infectious Diseases Service at HMC and Dr Robert Harrington is the associate director. Katie Effert 206-744-5147 is the contact person for the rotation.

The service's major responsibility is to provide infectious disease consultative service and teaching as needed at HMC. Consultations usually involve inpatients but may occasionally include outpatients in a clinic or in the urgent care/emergency department. Consults should in general be seen the same day the request is received, and should be presented to the attending within 24 hours. Ward Rounds to see patients being followed by the service are generally made in the morning. At that time, the team (or, if on a weekend or holiday, the individual fellow/resident) will review patient progress, x-rays, tests, etc., on patients being followed by the service. Attending Rounds are generally held Monday, Tuesday, Wednesday, Thursday and Friday at 1:30pm in 3EC24. Teaching rounds are generally between 1:30 and 2PM after which the teams leaves for the wards to see patients.

Requests for consultation should be documented in the progress notes of the soliciting (primary) service. All consultations should culminate with a note in the patient's electronic medical record using the infectious diseases templates within ORCA and outlining pertinent findings and recommendations. Whenever possible try to communicate directly with the patient's physicians rather than just leaving a note. Direct, same-day communication with the primary or covering physicians is required for critically ill patients or any patient needing timely, urgent input from the ID service. Periodic progress notes as clinically indicated should be written for patients being followed by the service.

Besides Attending Rounds, other regularly scheduled teaching activities include the Wednesday afternoon Infectious Disease Clinical and Curriculum Conferences from at 4:30 to 6:00 p.m. in the R&T building (attendance required) and Microbiology Plate Rounds in the Microbiology Laboratory on Monday, Wednesday and Friday mornings at 11:00 a.m. (attendance required; student, resident, or fellow should stop by Micro lab at 9:00 a.m. to check with lab tech at Blood Bench on new positive cultures and then check patients’ charts before 11:00 a.m. in order to present relevant clinical information at Micro Rounds). The ID Resident is expected to attend Morning Report at 10:00-11:00 a.m., Room 2W81, Monday-Wednesday and Friday. The fellow(s) will be responsible for organizing and carrying out teaching on Ward Rounds, while the attending will have this responsibility during Attending Rounds. The attending and fellow(s) will generally be responsible for presenting at one Wednesday afternoon clinical conference during the month. An electronic version of the presentations should be sent to Jennifer Humann (jhumann@medicine.washington.edu  for posting on the divisional website. Audio/Visual equipment needs for the conference can be arranged for by Katie Effert (744-5147 or keffert@uw.edu); it is best to call or email ahead so the equipment will be available for you.

Clinics

The HMC ID Division has several Infectious Diseases clinics:

Madison HIV Clinic (2 W Clinic)
Days/Time: Monday - Friday; 8 a.m. - 4:30 p.m.
Contact: 744-5100

Sexually Transmitted Diseases Clinic (Ground East Clinic)
Days/Times: Monday-Friday; 8:00 a.m. - 4:30 p.m.

General Infectious Diseases Outpatient Clinic (2 W Clinic)
Days/Time: Monday, Thursday, and Friday 8-12:00PM; Tuesday and Wednesday 1-4:00PM.


Contact: 744-2308 for triage (Rachel Murphy is the patient care coordinator)

The Infectious Diseases team is welcome to attend the ID clinic each Thursday to participate in patient care and teaching.

In addition, the Hansen's Disease Clinic - 744-2128 - operated by Dermatology, meets every Wednesday 9:00 a.m. - 12:00 p.m.; the Hepatitis Clinic - 744-3402 - meets every day from 8:30 a.m. to noon at 1 East Clinic Room 31; and TB consultations are available as needed by calling the TB Clinic, 744-4579.

In general, the inpatient consult service is very busy and this limits participation in any of the outpatient clinics, however if the opportunity arises, interested persons should contact the directors of the individual clinics to inquire about attending particular clinic sessions.

Clinic directors

  • Madison Clinic: Bob Harrington and Shireesha Dhanireddy
  • STD Clinic: Matt Golden
  • ID Clinic: John Lynch
  • Hansen’s Disease Clinic: Jim Harnish
  • Hepatitis Clinic: Maggie Shuhart, John Scott or Nina Kim

Logistic Details

The HMC Infectious Diseases Section offices are located in 3EC34. The Infectious Diseases team room, in which you can leave coats, books and briefcases, is located in room 3EC19. The team room contains computer work stations as well as reference text books. HIPPA regulations mandate that the door be closed/locked at all times when the room is not in use (also remember, this being Harborview, if it ain’t nailed down, it’s gonna walk away!) Access codes can be obtained from Katie Effert at 744-5147.

Fellows and residents should use their assigned pagers, while students may obtain pagers through Katie Effert, if needed. At the beginning of the rotations, fellows should create the call schedule for the month and provided the schedule to the paging operators.

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