Curriculum

Year One 

The first year is clinically oriented and is spent consulting on patients with problems related to the entire spectrum of infectious diseases. The diversity of clinical experience obtained through the various rotations is exceptional and one of our program’s true strengths. Fellows rotate at the University Hospital (General, Surgical, Transplant, Med-ID [HIV/ID inpatient ward], Critical Care, and the Greenebaum Comprehensive Cancer Center), the Veterans Affairs Medical Center, UMMC - Midtown Campus, and in the Clinical Microbiology Laboratory. New rotations added in 2016 include Infection Control and Hospital Epidemiology and Antibiotic Stewardship.

Fellows see consults and supervise residents and medical students, and spend much of their time teaching and providing patient care. Daily work is performed under the guidance of full-time faculty, many of whom are experts in subspecialties within infectious diseases, such as infections in transplant recipients, neutropenic host infections, surgical infections, and infections in patients living with HIV.

First Year Schedule

  1. 9-10 months of the year are spent on the inpatient clinical rotations
  2. 2-3 months are spent in elective rotations which can include any of the following 
    1. Infectious diseases/HIV research
    2. International rotation
    3. Clinical rotations
      1. Shock Trauma
      2. Outpatient clinic
  3. Each fellow has 1 longitudinal/continuity clinic per week at one of our main clinic sites.
    1. VA Infectious Disease Clinic 
      1. Fellows provide care for their own panel of HIV-infected patients as well as seeing outpatient infectious disease consults.
    2. Center for Infectious Diseases Clinic at UMMC - Midtown Campus

Year Two

Time spent in the second year is determined by the fellow’s career pathway. Fellows on an academic/research career track devote more time to their focused research project, while fellows on a clinical career track spend more time on the various clinical rotations. 

Research Fellow 

  1. Definition - A research fellow is defined as a fellow with an identified project, concomitant funding from their mentor, and plans to complete 3 or more years of training. Research fellows still have clinical rotations but they are divided over the second and third years.
  2. Second Year Schedule for Research Fellows
    1. 2-4 months on clinical rotations
    2. 8-10 months on research rotations
      1. Research projects and time allocation will be worked out with the fellow's mentor and taking into consideration the fellow's career goals and needs(See Research tab for more information on research)
    3. One longitudinal/continuity clinic per week at one of our clinic sites.
      1. Fellows also have the option to add a second clinic that reflects their career or research interests. This can be either for an entire year or for 3-6 month rotations.
        1. Examples (these are only examples. We are flexible with the choices as long as they fit into the fellow's career and research plans).
          1. Transplant
          2. Cancer
          3. Hepatitis C
          4. Travel Medicine
          5. Adolescent HIV

Clinical Fellow

  1. Definition - A clinical fellow is one who is planning a career in clinical medicine, whether in an academic or private practice setting.
  2. Second Year Schedule for Clinical Fellows
    1. 6 months on clinical rotations
    2. 6 months research/elective rotations (possible electives are noted under the Elective tab)
      1. Note that all fellows including clinical fellows are expected to participate in a research project during their fellowship. (See Research tab for more information on research)
    3. A longitudinal/continuity clinic each week at one of our clinic sites.
      1. Fellows may add a second clinic experience that reflects their career interests. This can be either for an entire year or for 3-6 month rotations.
      2. Examples (these are only examples.  We are flexible with the choices as long as they fit into the fellow's career and research plans).
        1. Transplant
        2. Cancer
        3. Hepatitis C
        4. Travel Medicine
        5. Adolescent HIV

Year Three and Beyond

  1. Who can pursue a third year of fellowship?
    1. Both clinical and research fellows can pursue a third year (or more) of fellowship. 
    2. The decision to pursue additional years of training is made taking into consideration the fellow's career goals, skills the fellow needs to acquire, and funding.
  2. Who should pursue a third year of fellowship?
    1. Clinical fellow who wishes to acquire additional training
      1. Specific career goals that require additional skills (e.g., transplant, HIV, trauma)
        1. Clinical Transplant ID
        2. International HIV
          1. Including TB
        3. Domestic HIV
        4. Trauma ID
        5. Epidemiology
      2. Interested in an academic career focusing on one of the strengths of the program
        1. Immunocompromised Hosts
          1. HIV
          2. Transplant
          3. Cancer
        2. Vaccines
        3. Epidemiology
    2. Research Fellow 
      1. Pursuing research career in either clinical, translational or laboratory research
      2. Usually fellows who stay for additional training fall into one of the following areas of research which are the primary strengths of our institution:
        1. HIV
        2. Vaccines
        3. Epidemiology
  3. How is the third year structured?
    1. All third year fellows will develop a schedule tailored to their educational and career needs in collaboration with their mentor and the program director.
    2. The third year of fellowship occurs after completion of the ACGME approved 2 year program. 
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