[Show abstract][Hide abstract] ABSTRACT: The 2014 Ebola virus disease outbreak in West Africa has been the largest in recorded history. During this Ebola epidemic, the media has focused much attention to the magnitude of the problem in West Africa but has also overplayed the potential for an Ebola virus pandemic as patients have been transported for treatment to the United States and Europe causing panic and paranoia in the population. Knowledge of the epidemiology, pathogenesis, clinical presentation, treatment, and prevention of this infection will allow a better understanding of the disease and decrease irrational fear of spread.
No preview · Article · Sep 2015 · Transactions of the American Clinical and Climatological Association
[Show abstract][Hide abstract] ABSTRACT: Microbiology rounds are an integral part of infectious disease consultation service. During microbiology rounds, we highlight
microbiology principles using vignettes. We created case-based, interactive, microbiology online modules similar to the vignettes
presented during microbiology rounds. Since internal medicine residents rotating on our infectious disease elective have limited
time to participate in rounds and learn microbiology, our objective was to evaluate the use of the microbiology online modules
by internal medicine residents. We asked residents to complete 10 of 25 online modules during their infectious disease elective.
We evaluated which modules they chose and the change in their knowledge level. Forty-six internal medicine residents completed
assessments given before and after accessing the modules with an average of 11/20 (range, 6 to 19) and 16/20 (range, 9 to
20) correct questions, respectively (average improvement, 5 questions; P = 0.0001). The modules accessed by more than 30 residents included those related to Clostridium difficile, anaerobes, Candida spp., Streptococcus pneumoniae, influenza, Mycobacterium tuberculosis, and Neisseria meningitidis. We demonstrated improved microbiology knowledge after completion of the online modules. This improvement may not be solely
attributed to completing the online modules, as fellows and faculty may have provided additional microbiology education during
Full-text · Article · Nov 2014 · Journal of Clinical Microbiology
[Show abstract][Hide abstract] ABSTRACT: The role pathology plays in establishing or excluding infectious diseases has been established. However, as the practice of
pathology has become subspecialized, there is not enough infectious disease specimen volume to have a pathologist dedicated
full time to this crosscutting subspecialty. So, what are the myths and realities of a practicing infectious disease pathologist
in the hospital setting? Infectious disease clinicians tend to consult pathologists when there are questions regarding terminology
used in pathology reports; when there is the need to perform additional studies on formalin-fixed, paraffin-embedded tissues;
and when there is an interest in seeing biopsies or resections obtained from patients and in obtaining photographs for presentations.
Pathologists consult infectious disease pathologists when there is a need to review diverse inflammatory reactions; for identification
of fungi, parasites, or unknown structures; to define the need to use special stains and other techniques in order to identify
organisms in tissues that have been formalin fixed; and to help with terminology to be used in reports. This review explores
in more detail why and how these consultations occur.
Preview · Article · Jun 2014 · Clinical Infectious Diseases
[Show abstract][Hide abstract] ABSTRACT: Objectives:
To increase awareness in pathology residents of different career choices and familiarize them with the job market.
For 3 years, community pathologists and faculty members participated in half-day panels that residents attended voluntarily. Panelists presented their professional life experiences and shared advice. We showcase the implementation and resident evaluation of these panels.
Panelists were rated as outstanding or excellent for relevance. Residents chose the following themes as most useful: visualizing the array of practices (community, part-time, public health, and others), careers that follow unexpected courses and people taking advantage of opportunities as they happen, knowing that not having a definitive direction is frequent, and finding out what different practices look for when they are hiring.
Career planning is a neglected aspect of pathology residency training, and panels in which pathologists present their experiences are helpful to prepare residents for what lies ahead.
Preview · Article · Apr 2014 · American Journal of Clinical Pathology
[Show abstract][Hide abstract] ABSTRACT: Objectives:
To describe the implementation and evaluation of a case-based microbiology curriculum during daily microbiology rounds.
Vignettes consist of short cases with images and questions that facilitate discussion among microbiologists, pathologists, infectious disease physicians, and trainees (residents and fellows). We performed a survey to assess the value of these vignettes to trainees.
Motivation to come to rounds on time increased from 60% to 100%. Trainees attending rounds after implementation of the vignettes perceived the value of microbiology rounds to be significantly higher compared with those who attended rounds before implementation (P = .04). Pathology residents found that vignettes were helpful for retaining knowledge (8.3 of 10 points).
The vignettes have enhanced the value of microbiology rounds by serving as a formalized curriculum exposing trainees from multiple specialties to various microbiology topics. Emphasis on interdisciplinary interactions between clinical and laboratory personnel was highlighted with this case-based curriculum.
No preview · Article · Mar 2014 · American Journal of Clinical Pathology
[Show abstract][Hide abstract] ABSTRACT: Fungal infections are a frequent occurrence in medical practice due to increasing numbers of immunosuppressed patients. New antifungal medications have been developed and it has become evident that different fungi require different treatments as some are intrinsically resistant to these drugs. Thus, it is imperative that pathologists recognize the limitations of histopathologic diagnosis regarding speciation of fungal infections and advocate for the use of different techniques that can help define the genus and species of the fungus present in the specimen they are studying. In this review we present the use of in situ hybridization as an important adjunct for the diagnosis of fungal diseases, the different techniques that have been used for fungal identification, and the limitations that these techniques have.
No preview · Article · May 2013 · Advances in anatomic pathology