2268. Implementation of Resident Discussion Sessions Based on Core Articles in an Infectious Disease Sub-specialty Rotation
Session: Poster Abstract Session: Teaching the Future: Education in Infectious Diseases
Saturday, October 29, 2016
Room: Poster Hall
  • Resident Curriculum--IDWeek 2016--Lindholm--Final edited.pdf (661.6 kB)
  • Background: Internal medicine (IM) residents rotate through the Infectious Disease (ID) service to gain knowledge necessary in the practice of general IM. At our institution, the ID service consults primarily on surgical, critically ill, and burn patients. IM residents have variable exposure to ID relevant to general IM. We implemented weekly discussion sessions based on a reading list to broaden experience on the ID rotation and evaluated resident satisfaction and perceived knowledge with this approach.

    Methods: A reading list of 10 articles on antibiotic selection, selected clinical syndromes, and ID missteps was created. Discussion questions were distributed to rotating residents. Faculty and fellows conducted discussion sessions weekly in addition to their usual practice. Pre- and post-rotation surveys were distributed to assess perceived knowledge on covered topics using a 5-point Likert scale. Mean response was compiled per question. Open ended questions on article choice and the approach were also included.

    Results: 12 of 13 residents rotating with the ID service over 4 blocks completed both surveys. All residents viewed the discussion sessions as “useful” or “very useful.” Perceived ID knowledge base increased by 1.0 points from neutral to strong. Residents reported increased familiarity with ID resources, comfort in answering ID clinical questions, and confidence in antibiotic selection (1.2, 1.2, and 1.3 points, respectively). Self-reported improvement in clinical-syndrome knowledge in all categories was noted, most prominently in human immunodeficiency virus, bacteremia, and meningitis (0.87, 0.72, and 0.72 points, respectively). Comments indicated that the discussion sessions were highly valued. Pre-rotation survey comments identified antibiotic knowledge (n = 8) as the most desired area of study. Post-rotation surveys showed little concordance on areas of desired future study and included burns, fungal infections, emerging infections, and tuberculosis.

    Conclusion: A resident curriculum that includes formal discussion sessions based on pre-selected, core ID articles relevant to general IM is useful for increasing perceived ID knowledge in IM residents and is viewed positively as a supplement to the ID consult rotation.

    David Lindholm, MD, Alice Barsoumian, MD and Heather Yun, MD, FIDSA, San Antonio Military Medical Center, Joint Base San Antonio-Fort Sam Houston, TX


    D. Lindholm, None

    A. Barsoumian, None

    H. Yun, None

    Findings in the abstracts are embargoed until 12:01 a.m. CDT, Wednesday Oct. 26th with the exception of research findings presented at the IDWeek press conferences.