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case western reserve university

DIVISION OF INFECTIOUS DISEASES AND HIV MEDICINE

 
 

TRAVELER'S CLINIC

 

Clinic:

5-6 ID fellows/year, one-half day per week during their ambulatory clinic rotation.

Goals and Objectives:

To become familiar with pretravel consultation for international travel and to understand the outpatient approach to the evaluation and management of ill travelers.

Teaching methods:

Direct preceptorship with members of a group of physicians with a special interest in travel and tropical medicine.

Mix of patients, patient characteristics, clinical encounters, procedures and services:

Fellows attend clinic in the Traveler’s Clinic (TC) one-half day a week during their ambulatory block rotations. Each fellow is paired with an attending physician to evaluate travel-related medical issues. Patients are seen in this clinic for one of two reasons: pretravel consultation or post-travel illness. During pre-travel consultation visits, patients are given advice, immunizations, and prophylactic treatment (e.g., for malaria) appropriate for their given itinerary. During ill traveler visits, patients are evaluated for a variety of typical post-travel syndromes such as diarrhea, fever, eosinophilia, or rash.

Educational Resources:

Each fellow is given a packet of pertinent articles and offprints including the latest CDC guidelines for management travel-related medical issues (the "Yellow Book"). Direct online access for literature searches and journals from the hospital Core Library is available in clinic, as are links to current travel related websites (www.cdc.gov/travel; www.tripprep.com) .