Fellowship Training Program Overview


Definition of Infectious Diseases

Infectious Diseases (ID) as a subspecialty of Internal Medicine is the discipline encompassing the principles and practice of infections including diagnosis, management, and prevention in men and women from adolescence to old age, during times of health and through all stages of acute and chronic illness. Intrinsic to this discipline is the application of evidence-based methods of problem solving, decision-making and an attitude of care and management driven by humanistic and professional values.

The practice of infectious diseases requires comprehensive knowledge of human biology, behavior and spirit; an understanding of the epidemiology and pathophysiology of disease; and the mechanisms of treatment. Infectious diseases requires mastery in clinical skills in interviewing, physical examination, differential diagnosis and diagnostic testing strategies, therapeutic options, counseling and disease prevention, all related to infectious diseases.

Goals of ID Fellowship

  • At the end of two years of training fellows must demonstrate sufficient professional ability to practice clinical infectious diseases independently without supervision.
  • At the end of two years training Fellows must demonstrate a broad understanding of the pathophysiology of infectious disease problems in adults and learn a rational approach to establishing the diagnosis and management of these problems.
  • Fellows should understand the science behind the etiology, diagnosis and therapy of the common and less common infections that affect adults.
  • Fellows must comprehend principles of efficient and cost-effective infectious diseases practice, antimicrobial management and stewardship and system-based practice.
  • Fellows should demonstrate competence in the history and physical exam of adults presenting with ID problems.
  • Fellows must demonstrate professionalism and comprehend common ethical and legal issues and the psychosocial aspects of the practice of infectious diseases
  • Fellows must recognize how to apply the evidence in the medical literature to ID problems in adults.
  • Fellows should learn to critically evaluate the medical literature.
  • Fellows should formulate a research question, produce a plan for undertaking and completing research in the area of infectious diseases.
  • Fellows must demonstrate the fundamentals of teaching about infectious diseases, microbiologic agents and appropriate diagnosis and management.

Strengths of ID Fellowship

  • Diverse faculty and breadth of research and clinical experience
  • Multiple sources of salary support for fellows ( training grants, funding from clinical institutions, epidemiology degree track, special programs)
  • Focus in international research (TB, HIV, STDs, parasitic infections)
  • Premier international and national HIV programs (ACTU, CFAR)
  • Track record in training academic infectious diseases physicians

Tracks

Infectious Diseases (ID) Fellowship Training is a 2-3 year program depending on the track the fellow chooses. The fellowship tracks are designed to meet all ACGME training requirements and 12 months of clinical experience and 24 months of continuity clinic experience for ABIM subspecialty board eligibility. The first year of training is highly concentrated on clinical training and includes 9 months of clinical service, one month of a Clinical Microbiology rotation, one month of an Ambulatory rotation and a ½ day per week continuity clinic. Years 2 and 3 allow protected time for research under the mentorship of a faculty advisor chosen by the fellow.

  • Physician Scientist Track (U.S. Citizens)

  • Year 1

    • Clinical rotations – 9 months
    • Ambulatory block – 1 month
    • Clinical microbiology – 1 month
    • Continuity clinic – ½ day per week
  • Years 2 and 3

    • Clinical rotations – 1-2 months per year
    • Research – 9-10 months per year
    • Continuity clinic – ½ day per week

  • Clinical Investigator Track (U.S. citizens)

  • Year 1

    • Clinical rotations – 9 months
    • Ambulatory block – 1 month
    • Clinical microbiology – 1 month
    • Continuity clinic – ½ day per week
  • Years 2 and 3

    • Clinical rotations – 3 months per year
    • Research/Graduate courses– 8 months per year
    • Continuity clinic – ½ day per week

  • Clinician Track

  • Year 1

    • Clinical rotations – 9 months
    • Ambulatory block – 1 month
    • Clinical microbiology – 1 month
    • Continuity clinic – ½ day per week
  • Year 2

    • Clinical rotations – 6 months
    • Research/electives – 5 months
    • Continuity clinic – ½ day per week