Clinical Microbiology

Overview

During the training in Clinical Microbiology, residents gain experience in the isolation and identification of medically important microorganisms and in the interpretation and application of laboratory results. Residents have assigned responsibilities in each area in Microbiology with emphasis on acquisition of technical experience and clinical application of the data provided to the attending physician.

DURATION: 2 months 

GOALS 

The goal of the two-month Clinical microbiology rotation is to provide a broad-based training program in laboratory microbiology, which includes all subspecialties of that discipline. The focus of the training program is laboratory diagnosis of infectious diseases and clinical interpretation of microbiologic results. 

OBJECTIVES 

At the end of the rotation, the residents should be able to:

  1. Describe the approaches for evaluation of specimens submitted for aerobic and anaerobic microbiology, mycology, mycobacteriology, parasitology, virology, and serology.
  2. State the principles associated with requirements for specific sample submissions including rationale for requiring specific volumes, transportation conditions, and the rationale for use of selective versus non-selective culture conditions.
  3. Understand the basic diagnostic approaches for the work up of specimens from different sites (blood, exudates, respiratory specimens, etc.) and the algorithm used for identification of gram positive and gram negative bacteria.
  4. Understand the clinical significance of serology results of major clinical infectious diseases syndromes (hepatitis panel, HIV western blot, etc.)
  5. Be familiar with the culture media used for viral culture and the cytopathic effect caused by different viruses.
  6. Learn the basic morphology characteristics of yeasts and filamentous fungi.
  7. State the principles of antimicrobial susceptibility testing and evaluate the interpretation of the results.
  8. Correlate the finding of histology examination with microbiologic culture when appropriate.  

RESIDENT RESPONSIBILITIES: 

Attend the scheduled bench rotation for the different sections of the clinical microbiology laboratory.

  1. Prepare a case presentation for CP conference on Thursdays
  2. Attend to the Infectious Diseases Case Conference Monday at noon (3rd floor Hanes Conf Room 3042). One presentation every other week (10 minutes talk).
  3. Prepare presentations (path slides) for the Inf Disease Case Conference and M&M conference in Infectious Diseases when needed: 5-6 cases every three month.
  4. The resident also serves as a consultant by recommending appropriate cultures and culture processing for autopsies.
  5. Correlate mycology/AFB results with Path reports
  6. Prepare a presentation for the laboratory personnel focusing in methods of diagnostic. 

REFERENCES:

-Medical Microbiology (Part VI): In Clinical Diagnosis and Management by Laboratory Methods. Henry J (ed).

-Bailey & Scott Diagnostic Microbiology: Baron E, Peterson L, Finegold S (eds).

-Koneman’s Color Atlas and Textbook of Diagnostic Microbiology. 

Online resources:

FACULTY and STAFF:

Elizabeth Palavecino, M.D. (Director)

Richard Stallings (Lab Manager) prepare the bench schedule rotation.

Microbiology Lab personnel participate in the bench training.

 

 

Quick Reference

Pathology Residency Training Program
Program Director:
Ryan T. Mott, MD

Tel: 336-716-4311
Fax: 336-716-7595

Wake Forest Baptist Medical Center
Medical Center Boulevard
Winston-Salem, NC 27157
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Last Updated: 01-24-2014
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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.