Well done Dr Garner who wins the teaching award for his Microbiology teaching. He'd like to thank the medical students, FY1 and FY2s as well as Registrars and all those who voted for him... Apparently he has won 5 years in a row and Frimley Health have asked for others to beat him!
Curriculum for the Foundation Program
Introduction
During the foundation years 30-40% of junior doctors’ patients will be on an antibiotic for a possible infectious disease. It is critical that the doctors have a clear understanding of how to diagnose and manage these patients. In order to meet this need the foundation year doctors should be able to equip themselves with a level of knowledge that allows them to treat these patients safely and effectively. How do they do this if they have no access to the expertise of a Consultant Microbiologist? This foundation curriculum is a suggested programme that allows junior doctors to become proficient in identifying infectious causes and treating them without the need for formal teaching. If a formal teaching program is available, do utilise it! And use this program to guide your further learning. This teaching program takes the form of clinical scenario based tutorials supplemented with a core textbook “Microbiology Nuts & Bolts” written by Dr David Garner and available to buy online at Amazon. There is also a free to access website www.microbiologynutsandbolts.co.uk which contains much of the information from the book as well as the lectures and lecture notes which can be watched in the doctors own time.
Teaching Program
During the foundation years 30-40% of junior doctors’ patients will be on an antibiotic for a possible infectious disease. It is critical that the doctors have a clear understanding of how to diagnose and manage these patients. In order to meet this need the foundation year doctors should be able to equip themselves with a level of knowledge that allows them to treat these patients safely and effectively. How do they do this if they have no access to the expertise of a Consultant Microbiologist? This foundation curriculum is a suggested programme that allows junior doctors to become proficient in identifying infectious causes and treating them without the need for formal teaching. If a formal teaching program is available, do utilise it! And use this program to guide your further learning. This teaching program takes the form of clinical scenario based tutorials supplemented with a core textbook “Microbiology Nuts & Bolts” written by Dr David Garner and available to buy online at Amazon. There is also a free to access website www.microbiologynutsandbolts.co.uk which contains much of the information from the book as well as the lectures and lecture notes which can be watched in the doctors own time.
Teaching Program
Foundation Year 1 |
Topic |
Lecture 1 |
Respiratory and urinary infections |
Lecture 2 |
Gastrointestinal infections |
Lecture 3 |
Skin, bone and joint infections |
Lecture 4 |
Sepsis and intravenous device infections |
Foundation Year 1 |
Topic |
Lecture 1 |
Central nervous system infections |
Lecture 2 |
Sepsis and infective endocarditis |
Lecture 3 |
Primary care microbiology |
Lecture 4 |
Fever in a returned traveller |
Curriculum
At the end of the Foundation Program doctors should be able to meet the following competencies:
Basic Concepts
Microbiology
Infection Control
- Clostridium difficile associated disease
- Diarrhoea and vomiting
- Glycopeptide Resistant Enterococcus (GRE)
- Influenza
- Tuberculosis
Clinical Scenarios
Diagnose and manage:
Antibiotics
Basic Concepts
- Understand the difference between colonisation and infection
- Understand the difference between endogenous and exogenous sources of infection
- Describe the different infectious microorganisms
- Describe the differences between normal flora in the community and hospital settings, why these differences occur and how this affects the management of patients
- Understand the how history taking, examination and laboratory investigations affect the diagnosis and management of infectious diseases
- Recognise the sick patient
Microbiology
- Know how what microbiology specimens to take and how to take them
- Know how to interpret microbiology results
- Identify common bacteria from their appearances in Gram films and their growth requirements
Infection Control
- Understand root cause analysis and how this applies to infection control
- Describe what is required in universal precautions, personal protective equipment and the necessity of good hand hygiene
- Understand the different types of protective isolation
- Understand the infection control requirements for:
- Clostridium difficile associated disease
- Diarrhoea and vomiting
- Glycopeptide Resistant Enterococcus (GRE)
- Influenza
- Tuberculosis
Clinical Scenarios
Diagnose and manage:
- Community Acquired Pneumonia (CAP)
- Hospital Acquired Pneumonia (HAP)
- Aspiration pneumonia
- Infective exacerbation of COPD
- Urinary Tract Infections (UTI)
- Cellulitis
- Osteomyelitis and septic arthritis
- Intravascular device associated infections
- Clostridium difficile associated disease
- Infective endocarditis
- Pyrexia of Unknown Origin (PUO)
- Fever in a returned traveller
- Sepsis
- Neutropaenic sepsis
- Meningitis and encephalitis
- Necrotising fasciitis
Antibiotics
- Describe what is meant by antimicrobial stewardship
- Understand how to choose an antibiotic
- Know how to review antibiotic therapy on a daily basis
- Describe the reasons for failing antibiotic therapy
- Know how and when to safely switch from intravenous to oral antibiotic therapy
- Understand therapeutic drug monitoring and when it is required for antibiotic therapy
- Understand how renal failure and obesity impact on antibiotic therapy
- Understand antibiotic resistance and how this impacts on antibiotic therapy
- Understand how beta-lactam allergy influences patient treatment
