Infectious Diseases Fellowship Program

Orientation Manual

 

To new rotating ID fellows, welcome!

The purpose of this orientation manual is to familiarize new fellows on the unit’s activities, hospital policies, and work coverage &schedule.

 

1. Goals and Objectives

The objectives of the ID Fellowship program at KKUH are to train ID Fellows to:

• Become knowledgeable and respected ID physicians and researchers.
• Provide state-of-the art consultation service to facilitate and meet the needs of the hospital.
• Take a leadership role in the ID consultation team
• Teach medical students and residents in the discipline of Infectious Diseases
• Organize the academic activities and take an active role in promoting these activities
• Participate in research in infectious Diseases.
• Promote implementation of correct  Infection Control practices
• Rigorously adhere to the antibiotic stewardship program in the hospital.
• Participate and contribute to the management of outbreaks of infectious diseases, both in the hospital and the community.

 

1. Consulting Service

An essential aspect of a good Consulting Service is that pages are answered promptly.

• If you live in an area that is out of range for the pager, please inform the ID unit secretary (ext. 7-1510) for your mobile number to be included in the rotation schedule.
• If you know that you are going to be unavailable for any reason, entrust your pager to another Fellow.

As the ID Fellow, you will be responsible for answering the pages, and distributing the consultations amongst your team. However, you will be ultimately responsible for all patients in your team to be presented to the Consultant.

Please ensure that you do not delay seeing the ID consults received during the day. If you may receive a consult after 2:00 p.m, please assess the urgency of the consultation and do not postpone seeing the patient if a decision needs to be taken immediately.

Urgent matters should be communicated to the primary team verbally in case they do not read your recommendations on time.

Maintain a complete written list of patients on your service at all times.

Submit a list of all ID consults seen per week, including those from the weekend if you were on-call, to the ID unit secretary every Sunday morning. Please ask for the ID patient referral form from the unit secretary.

 

1. Outpatient Clinics

A rota schedule will be provided to the ID fellows of their out-patient clinic schedule.  You are requested to be at the clinic on time by 9:00 a.m for morning clinics, and 1:00pm for afternoon clinics. 

 

1. Infection Control

Fit Testing for N95 Respirator

ID Fellows must be fit tested for N95 before they can see patients on airborne isolation.  If you are not already Fit Tested by the time you arrive at KKUH, you should contact Occupational Health at extension #_______ on the 2^nd Floor of the New Building.

Antimicrobial Stewardship Program

Antimicrobial approval requires an evaluation of the patient before you decide to approve or reject the request for the antimicrobial.

 

1. Endorsement (Sign-Out)

Proper endorsement of patients is a reflection of your sense of responsibility. A written endorsement, with emphasis on important pending investigations is mandatory whenever you change service and over the week-end.

 

1. Academic Activities

1. Every Monday: Fellows Activities Meeting at 12:30-1:30pm

• ID Guidelines (1^st. 3^rd and 5^th Mondays of the month)

Brief summary of ID Guidelines, preferably from IDSA, with topics chosen and presented by Fellows.

 

• Journal Club (2^nd Monday of the month)

One ID Fellow per month will be required to review a prospective study of interest in Infectious Diseases with emphasis on study design, statistics, and implications for ID practice. He/she will need to send the study out to the ID Department 1 week earlier for review. Recommended journals include CID, JID, Lancet ID, NEJM.

 

• Board Review (4^th Monday of the month)

Designated consultant will review 12-15 MCQs with rationale.

2. Every Thursday: ID Cases of the Week 10:00 a.m-12:00pm

Interesting cases with good learning potential are to be presented and discussed. Three ID cases of half an hour each will be chosen from each of the consulting services i.e male, female and ER/ICU.  If there is a good ID case from the inpatient service, it can be incorporated in lieu of one of the consult cases. Case presentation and discussion will be 20 minutes, followed by 10 minutes of topic presentation. The ID Fellows will be required to co-ordinate this activity amongst themselves to ensure a very stimulating and illuminating session.

 

3. Wednesdays monthly: Microbiology and Infectious Disease Combined Activity 12:30pm

Scheduled by the Department of Microbiology

 

1. End of Rotation

 

• At the end of your rotation you are expected to complete all your clearance form requirements before leaving the hospital (form can be taken from the unit secretary or at the Post Graduate office and should be submitted to them).

 

• Patients should be properly endorsed and unit pagers should be given to the incoming fellows/ residents or to the unit secretary before leaving.

 

We hope that you would enjoy your rotation with us and good luck!

 

"Try not to become a person of success, but rather try to become a person of value." --Albert Einstein

 

Thank you,

 

Dr. Awadh AlAnazi

Program Director