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Curriculum

  • Infectious Disease - Curriculum

    Rotations | Conferences

    The goal of the Infectious Diseases Fellowship program is to provide excellent training in the practice and science of Infectious Diseases through mentored relationships involving progressive independence for the fellow.

    Rotations

    During the first year of training, fellows spend a majority of their time on the consultative services (inpatient and critical care units), with rotations in HIV, microbiology and antibiotic stewardship. Two months of the first year are dedicated to developing a research project to be completed by the end of training and with the intent to present the results at a national meeting and to submit an abstract for publication in a peer-reviewed publication. Fellows attend ambulatory care clinic as well as educational responsibilities in weekly conference presentations.

    On the consultative services fellows become familiar with the epidemiology, pathogenesis, diagnosis, prevention and treatment of infectious diseases. Fellows also become proficient in the idiosyncrasies in diagnosing and treating infections in solid organ transplant recipients, HIV/AIDS, and iatrogenically immunosuppressed patients as well as community- and hospital-acquired infections in immunocompetent hosts.

    Each fellow has a one-month ambulatory care rotation in HIV medicine at the Immunodeficiency Center, a Ryan White-funded comprehensive HIV care center. On the HIV service, fellows are supported by a nurse practitioner and supervised by a Board certified physician focusing on the outpatient management of HIV disease, including, but not limited to, the preservation and/or recovery of cell-mediated immunity, prevention and treatment of opportunistic infections, and prevention of transmission. Fellows are supported by a strong social work staff to optimize compliance with both appointments and medication adherence and to aid patients in navigating the health care system when their needs extend beyond the clinic's capabilities.

    One month is spent on clinical microbiology learning the basics of the evaluation of bacterial disease (blood cultures, sputum, fluids, urine, wounds), mycology, and parasitiology. Experience in the mycobacteriology laboratory is obtained at the city's mycobacterial lab.

    During the second year of training, the inpatient clinical experience expands to include off-site electives in stem cell transplantation, department of health STD and TB control clinics. Similarly, the outpatient clinical experience broadens to include training to our travel medicine and general infectious disease clinics, while maintaining a roster of continuity care patients in the Immunodeficiency Clinic. The second year is rounded out with rotations in infection control and dedicated time devoted to completion and presentation of the research project initiated in the prior year of training.

    Rotations | Conferences | Top

    Conferences

    Weekly Infectious Diseases Conference is held Fridays, 8-9 AM and is devoted to clinical case presentations, which are presented as unknowns, followed by a succinct review of the relevant literature and discussion of salient points raised by the case. Fellows journal club meets monthly for an in-depth review of two or more recent I.D. papers from the medical literature.

    Subspecialty fellowship research conference occurs monthly and ID division research conference convenes biannually, allowing fellows to become proficient in presenting their research and utilizing peer-review in the development of research projects and the interpretation of data.

    A combined conference with the Division of Pulmonary and Critical Care medicine meets monthly.

    The Infectious Disease Core Curriculum Conference series meets Tuesdays, 8:00-9:00 AM. These lectures are presented by faculty members to the fellows in a seminar-like setting and cover a broad range of core I.D. topics over a two-year cycle. Topics include:

    • Febrile patient (including FUO)
    • Pleuropulmonary infection
    • Peritonitis/abdominal infection
    • Central nervous system
    • Trauma, burns, bites
    • Bone and joint
    • STD’s
    • Viral hepatitis
    • Noscomial infections
    • Immunocompromised host
    • Stem cell transplant
    • Geriatric patients
    • Parenteral drug users
    • Pediatric patients
    • Upper respiratory infection
    • Urinary tract infections
    • Cardiovascular infections
    • Skin/soft tissue infections
    • Gastrointestinal/foodborne
    • Reproductive organs
    • Ocular infections
    • Sepsis syndromes
    • HIV/AIDS
    • Leukemia/lymphoma
    • Solid organ transplant
    • Traverlers
    • Parasitology
    • Surgical infections

    Institutional core curriculum seminars are provided by the Division of Academic Affairs for fellows and residents from all divisions. These seminars cover interdisciplinary topics. Attendance is required.

    Fellows are encouraged to attend national conferences (e.g. ICAAC, SHEA, IDSA) and supported financially when funds are available.

    A monthly HIV conference covers multidisciplinary outpatient care issues and is attended by the core staff of the Immunodeficiency Clinic as well as the Division of Infectious Disease.

    The Citywide Infectious Diseases Conference meets monthly and includes participants from all of Philadelphia's training programs.