Infectious Disease Typing Practice

This page loads the infectious disease pack: consult note lines built around cultures and recommendations, microbiology, imaging and pathology reads, and antimicrobials with their doses. Choose Infectious Disease in the Specialty menu or use a preset below, and the pack is mixed into the general clinical corpus.

Open the trainer with the Infectious Disease pack

Micro and susceptibilities Antimicrobial orders and OPAT HIV and transplant clinic

Preset links open the trainer with those settings already applied; you can change them afterward.

What ID notes are made of

Inpatient ID is mostly consult work: the initial consult with a detailed exposure and antibiotic history, daily follow-ups, stewardship notes and OPAT discharge orders, plus HIV and transplant clinic visits. Most of the typing lands in three places:

• Microbiology. Which blood culture sets or bottles turned positive and how fast, organisms and resistance patterns (MSSA, ESBL, KPC, CoNS), MICs, drug levels, serologic titers, viral loads and CD4 counts.
• Recommendations. Drug, dose and interval, a duration counted from the first negative culture, a stop date, and what to monitor each week.
• Exposure history. Travel, animals, ticks, housing, injection practices, sexual history, prior TB testing and allergy history.

Organism names are long, their abbreviations vary (E. coli, K. pneumoniae, C. glabrata), and they sit next to fractions such as 1 of 4 bottles and titers such as 1:64.

What the infectious disease pack adds

The pack adds 1,026 items and gives extra weight to 194 existing general items. Its 527 note phrases follow the consult note in order, and results lines are the largest group, because culture and susceptibility wording is the most distinctive thing ID clinicians type. Assessment lines separate colonization from infection and contamination from bacteremia; plan lines give durations and monitoring. The 98 report lines combine TEE findings, spine and foot MRI, chest CT patterns in fungal and mycobacterial disease, and microbiology and pathology reads such as Gram, AFB and GMS stains.

• Blood cultures 2 of 2 sets growing MSSA, time to positivity 11 hours
• Coagulase-negative staphylococci in 1 of 4 bottles, consistent with contamination
• Treat for 4 weeks from the first negative blood culture given complicated bacteremia
• Change to meropenem 1 g iv q8h for ESBL bacteremia, avoid piperacillin-tazobactam
• RPR decreased from 1:128 to 1:16 at 6 months, appropriate serologic response
• Reverse halo sign in the right lower lobe, raising concern for mucormycosis

Dosing covers 121 drugs with standard adult order strings, including loading doses, weight-band TB dosing and long-acting HIV agents: daptomycin 8 mg/kg iv daily, cefazolin 2 g iv q8h for MSSA bacteremia, pyrazinamide 1500 mg po daily for weight 56 to 75 kg.

How to practice

With Infectious Disease selected, about half of the draws come from the pack and the rest from the general corpus, and the category chips filter both. For microbiology, turn on Note Phrases, Radiology & Path Findings and Physiology & Labs with the drug chips off. For recommendations and OPAT orders, add both drug chips and raise the dosing slider.

The Abbreviations toggle switches every pack phrase between its long and short forms: "Blood cultures 2 of 2 sets growing MSSA, time to positivity 11 hours" becomes "BCx 2/2 sets growing MSSA, TTP 11 h". Turn it on for consult notes and off for spelled-out practice on organism names. Block mode stops at each error until you correct it, which is how genus and species spellings and fractions become reliable. Cascade lets errors pass and keeps you moving, closer to typing a long recommendations section in one go. Try five to ten minutes on most days. AI Mode works on top of any of these settings; nothing requires an account, and progress stays in your browser.