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Travel Clinic

  • Held twice weekly at University of Iowa Hospitals & Clinics, fellows rotate as per schedule
  • Each fellow will participate in 4 ½ day Travel clinics

Goals and Objectives

  • During this rotation, the fellow is expected to:
  • Become proficient in obtaining pertinent health history and vaccination history
  • Become proficient in predicting possible exposures based on patient’s itinerary, travel plans and underlying health status.
  • Become proficient in recommending immunoprophylaxis and chemoprophylaxis, in a manner individualized to the traveler’s medical and social needs and planned itinerary
  • Provide advice as to general principles of avoiding a variety of environmental exposures
  • Help arrange follow up if problems arise for returning travelers.
  • Develop understanding of, and comply with, various governmental requirements for travel

Teaching Methods

  • An ID attending or experienced advance practice provider is present for each patient encounter, reviews the relevant history and travel plans, and helps decide on the recommendations and counseling given to patients. Assessment, plans and encounter notes are reviewed.
  • Simulated patient tutorial available, overseen by Travel Clinic Director

Mix of Clinical Topics

There are usually 40-60 new travel clinic visits per month at UI Hospitals & Clinics. Patients traveling to countries all over the world are seen for pre-travel recommendations.

Patient Characteristics and types of clinical encounters, procedures and services:

  • Patients from a variety of socioeconomic levels and ancestral background are evaluated

Reading/Learning Lists

  • CDC Yellow Book
  • Travax Web site
  • Principles and Practice of Infectious Disease, Mandell, et. al., 7th edition
  • Core curriculum conferences on parasitology and tropical/travel medicine

Evaluation

Immediate feedback is given on each patient presentation. Written evaluations by the Travel clinic attendings are given biannually.