The UBC ID training program is organized by the CANMED objectives as outlined by the Royal College of Physicians and Surgeons of Canada. Each rotation has specific objectives, but the general objectives for the training program are to ensure the resident becomes proficient as a:
Medical Expert/Clinical Decision-Maker (described below)
Medical Expert/Clinical Decision-Maker
- Demonstrate diagnostic and therapeutic skills for ethical and effective patient care.
- Access and apply relevant information to clinical practice.
- Demonstrate effective consultation services with respect to patient care, education and legal opinion.
Residents must become familiar with the following:
- Etiology, pathogenesis, natural history, pathology, clinical features and management of:
- Acute illnesses due to a wide variety of microbial agents including acute communicable diseases occurring in the normal host:
- chronic infectious diseases, particularly mycobacterial and fungal diseases, presenting as either a respiratory or non-respiratory illness;
- sexually transmitted infections in both sexes;
- parasitic diseases and infectious illnesses acquired outside Canada;
- nosocomial infections;
- HIV infection and AIDS;
- infections in the immunologically compromised host;
- maternal infections as they affect the fetus, and infections in the neonate;
- microbial diseases as they present in surgical and gynecologic patients;
- cutaneous infections including those due to dermatophytes and ectoparasites.
- The clinical and laboratory approaches and differential diagnosis of complex problems in which infections may play a role, such as:
- fever of unknown origin;
- acute rapidly progressive illness perhaps due to sepsis from an undefined site;
- pulmonary infiltrates of uncertain etiology;
- post-operative fever.
- Principles of epidemiology and public health and their application in the prevention and control of:
- infection within the community including knowledge of reservoirs, transmission, sanitation and vector control, and the role of public health authorities at local, provincial, federal, and international levels;
- hospital-acquired infections and knowledge of chemoprophylaxis, disinfection, sterilization and host susceptibilities.
- General knowledge of microbiology and technical skills to include:
- the principles of molecular biology, microbial genetics, microbial physiology, and microbial structure;
- specific techniques of obtaining specimens from patients, with appropriate investigations;
- theoretical knowledge and practical skills in all principal areas of diagnostic microbiology including virology, parasitology and mycology.
- A knowledge of immunology and immunization practices to include:
- details of humoral, cell mediated and phagocytic responses to microbial colonization and invasion in the normal and abnormal host;
- pathogenic mechanisms by which immune responses facilitate or prevent disease;
- principles and practice of immunization techniques together with adverse effects and efficacy of immunizing agents;
- appropriate indications for the prescription of gammaglobulins.
6. A knowledge of antimicrobial pharmacology to include:
- pharmacokinetics in the normal and abnormal host;
- mechanisms of action and resistance, including its prevalence, incidence and contributing factors;
- clinical indications and use;
- principles of pharmacoeconomy;
- principles of antimicrobial stewardship programs at the hospital level.
7. A knowledge of the history of microbiology and infectious diseases with awareness of major changes that have occurred in disease epidemiology and pathogenesis during the past century.