Curriculum

At Vancouver General Hospital, areas of special emphasis include bone marrow and solid organ transplantation, travel and tropical medicine, neurosurgery and neurology, burns, multiple trauma, tuberculosis, and spinal cord injury.

At St. Paul’s Hospital, the trainees’ objectives emphasize HIV/AIDS, cardiovascular surgery and cardiology, cystic fibrosis, and infections in injection drug users. A dedicated ward called the Urban Health Infection Unit includes HIV/AIDS patients and also patients with addictions issues plus infections at St. Paul’s Hospital and it provides a valuable elective opportunity for training.

Acute and chronic community-acquired infections, nosocomial and medical device-associated infections, and surgical infections are seen at both sites.

Additional sites and areas of specialization include:

Infections Related to Obstetrics and Gynecology:

  • training at the BC Women’s Hospital and the Oak Tree Clinic
  • includes HIV infection in women, youth and children

 

Pediatric Infectious Disease:

  • two-month rotation at BC Children’s Hospital
  • participate in both inpatient consultation service and outpatient clinics

 

Ambulatory Care:

  • occurs throughout the training program
  • Second-year ID specialty residents have a longitudinal clinic, focusing on all aspects of general ID
  • additional elective ambulatory care experience – includes full-time one month rotation in TB or sexually transmitted infections (STI) at the BC Centre for Disease Control (BCCDC),  a full-time one-month rotation at the Oak Tree Clinic for women and families with HIV, and outpatient management of viral hepatitis

 

Hospital Infection Prevention and Control (IPAC):

  • one month block in the clinical and laboratory aspects of infection control
  • be involved in the design, conduct and analysis of at least one infection control project
  • participate in the investigation of an outbreak
  • attend monthly Infection Control Unit meetings for 1 year (except while on the inpatient consultation service)
  • attend daily infection control meetings while on the Pediatric service

 

Medical Microbiology:

  • initial three-month block with experience and knowledge in general bacteriology, mycology, virology, molecular  diagnostics and parasitology
  • a dedicated infection control and antimicrobial stewardship block
  • two-month microbiology block spent at SPH or another site in advanced microbiology and virology
  • a block of public health

 

Research:

  • an area of emphasis in the UBC program
  • a clinical Epidemiology course features design and interpretation of research studies, evaluation of investigative and diagnostic methods, data analysis and basic statistical skills; the course may be available for ID fellows to take (if no scheduling conflicts)
  • develop critical appraisal skills at weekly Journal Club
  • spend elective rotations in clinical or basic science research under Committee supervision
  • submit for presentation at least one abstract at a major meeting, and submit a manuscript for publication in a peer-reviewed journal

 

Infectious Diseases Academic Half-Day:

  • every Thursday afternoon with adult ID, pediatric ID, and medical microbiology residents; subspecialty residents are excused from clinical duties at this time
  • a two-year program of weekly topics designed to ensure coverage of the basic and clinical sciences relevant to the specialty
  • take turns presenting topics, with faculty acting as facilitators
  • write practice examinations every six months, prep for the Royal College ID examination

 

TRAINING SCHEDULE

Program Year

Content and Sequence of Rotations  4 week blocks

1

2

3

4

5

6

7

8

9

10

11

12

13

First year

ID Clinical Service

Microbiology

ID Clinical Service

Elective

Second

year

Elective

Pediatric Infectious
Diseases

Microbiology including
Infection Prevention and Control, Antimicrobial Stewardship, and Public Health

ID Clinical Service

 

MANDATORY CONTENT

1. Medical Microbiology

Includes bacteriology, mycology, parasitology, virology, infection prevention and control, antimicrobial stewardship, and public health

6 months

  • VGH
  • BC Centre for Disease Control
  • St. Paul’s Hospital
  • BC Children’s Hospital

 

2. Adult Consultation Service

10 months

  • inpatient consultations
  • general ID outpatient clinics
  • tropical medicine clinics
  • HIV/AIDS clinics
  • STI clinics
  • TB clinics
  • burns
  • transplant ID

 

  • VGH
  • BC Cancer Agency
  • St. Paul’s Hospital
  • BC Women’s Hospital
  • Oak Tree Clinic
  • BC Centre for Disease Control
  • (VGH and University of Toronto for Transplantation/ID training)
  • (VGH and University of Toronto for Tropical medicine training)

 

3. Pediatric Infectious Diseases

Inpatient and outpatient

    2 months

  • BC Children’s Hospital

 

 

 

ELECTIVE CONTENT

1.Research

Clinical trials/clinical or laboratory studies/basic science research

2 – 6 months

  • VGH
  • St. Paul’s Hospital
  • BC Centre for Disease Control
  • BC Women’s Hospital
  • UBC Dept. of Microbiology

 

2. Additional Clinical Training

Includes TB, HIV in women and families, chronic viral diseases

0 – 4 months

  • as for ‘Mandatory Content’ above

 

3. Clinical Epidemiology Course

(may be available for ID subspeciality residents to take if there are no scheduling conflicts)

  • UBC Dept. of Health Care and Epidemiology