Microbiology Rotation (CP-1 and CP-2)
- Dr. Thomas Murray
- Dr. Tom Tinghitella
- Dr. Sheldon Campbell
During the rotation, the resident will learn general microbiology techniques as well as the interpretation of cultures from blood, CSF, the respiratory tract, genital areas, wounds and stools. Skill will also be obtained in mycobacteriology, mycology, parasitology, molecular diagnostic methods, and the interpretation of antibiotic sensitivity profiles. These skills are learned by rotations through the various stations of the laboratory as well as daily rounds in which instructive cases are discussed from both the microbiological and clinical points of view.
Cancer chemotherapy, organ transplantation, and HIV infections have let to an increasing number of patients with immunodeficiency who in turn are susceptible to a large number of opportunistic pathogens causing disease. The development of sensitive and specific diagnostic procedures for these opportunistic pathogens presents an ongoing challenge. Novel, emerging infections and changes in the pathogenic mechanisms and antimicrobial resistance of familiar pathogens also provide new problems. In addition, the application of monoclonal antibodies and molecular techniques is revolutionizing all of microbiology.
In order to provide clinical correlation, Infectious Disease teams from adult and pediatric services round in the laboratory daily and review laboratory tests relevant to their patients. Residents help to collect, demonstrate and explain the laboratory tests to the I.D. team, as requested on specific patients. The resident also attends the weekly clinical conference of the Infectious Disease Service. An approved Clinical Microbiology Fellowship is funded for those wishing to pursue Microbiology as a career.
Additional Resident Duties and Responsibilities
- Learn general microbiology techniques
- Interpret routine and special cultures
- Consult on biochemical identification and antibiotic sensitivity profiles
- Prepare and present at plate rounds with the Infectious Disease Service
- Correlate microbiologic results with clinical and pathologic findings
Additional Goals and Objectives for the Microbiology Rotation
- Assess the quality of a specimen by Gram stain
- Utilize antibiotic susceptibility data to determine the appropriateness of an antibiotic choice
- Learn to present cases to the Infectious Disease clinicians on rounds
- Appropriately report AFB smears to clinical team(s)
- Correlate relevant histopathology with the microbiology results