Infectious Diseases & Immunology Fellowship Clinical Training
In the Infectious Diseases and Immunology Fellowship, our goal is to provide fellows with the opportunity to observe and treat adults who have a variety of infectious diseases, on both an inpatient and outpatient basis. This helps fellows develop clinical expertise in the prevention, diagnosis, and management of infectious diseases.
Inpatient Clinical Training
During your first year, you provide supervised clinical consultations at locations that serve a broad array of patients: NYU Langone’s Tisch Hospital and Kimmel Pavilion, NYC Health + Hospitals/Bellevue, the Manhattan campus of the VA NY Harbor Healthcare System, and Memorial Sloan Kettering Cancer Center.
Tisch Hospital and Kimmel Pavilion
Fellows perform inpatient infectious disease consultations at Tisch Hospital and Kimmel Pavilion under the supervision of faculty, some of whom are from NYU Langone Infectious Disease Associates. These consultations involve a diverse mix of medical and surgical patients, including recent travelers, people who have HIV and AIDS, and patients who are being treated with targeted immunotherapies. Clinical training here integrates antimicrobial stewardship and infection control into the inpatient service and involves daily rounds with a pharmacist who can answer medication-related questions about dosing and drug interactions.
NYC Health + Hospitals/Bellevue
Bellevue, a major academic medical institution committed to caring for New York’s diverse communities, provides inpatient infectious disease consultations across multiple specialties.
A referral hospital for many long-term care facilities, Bellevue includes an isolation unit for the care of people with highly contagious infectious diseases such as viral hemorrhagic fevers, a dedicated tuberculosis ward, and a prison ward. Antimicrobial stewardship is integrated into the inpatient service and involves daily rounds with a pharmacist as well as frequent communication with the Bellevue director of antimicrobial stewardship.
VA NY Harbor Healthcare System
The inpatient consultation service at the Manhattan campus of the VA NY Harbor Healthcare System provides fellows with experience in the evaluation and management of a range of acute infectious diseases, supported by full-time clinical faculty.
The VA NY Harbor Healthcare System in Manhattan serves as a referral center for the New York metropolitan area VA system in cardiology, cardiovascular surgery, and neurosurgery, helping you gain experience in managing infections associated with different specialties.
Memorial Sloan Kettering Cancer Center
Our fellows also rotate on the Memorial Sloan Kettering Cancer Center Infectious Diseases Service for two-week blocks in their first year. Teaching takes place during daily attending rounds and includes a review of specified didactic topics. As a fellow, you learn about new complexities in the diagnosis and management of infections and how different types of cancer and medications that alter the immune system’s response affect risk of infections.
You attend divisional conferences at the center and daily microbiology rounds, which helps you gain experience in the evaluation and management of patients with solid tumors, allogeneic bone marrow transplant recipients, and people whose immune systems have been weakened as a result of cancer treatment.
NYU Langone Transplant Institute
The transplant infectious diseases rotation at NYU Langone Transplant Institute provides comprehensive training in the diagnosis and management of infections in patients waiting for a transplant and patients receiving a solid organ transplant, a treatment for end-stage organ failure of the kidney, liver, pancreas, heart, and lung.
Fellows provide inpatient consultation supervised by dedicated transplant infectious diseases faculty. During daily inpatient rounds and case management conferences, in-depth discussions focus on issues related to diagnostic strategies for both common and less frequently observed infections, the prevention of infection complications using antimicrobial therapy, and treatment of diseases caused by pathogenic and opportunistic infections.
The Transplant Institute also participates in the HOPE in Action study, a multicenter prospective observational study of HIV-positive deceased donor transplant for HIV-positive liver and kidney recipients. This provides fellows with experience in caring for and addressing the needs of this unique population.
Clinical Microbiology Laboratories
Our fellows have a one-month rotation in the clinical microbiology laboratories at Bellevue and NYU Langone. During this rotation, you gain direct experience with diagnostic bacteriology, mycology, mycobacteriology, parasitology, serology, molecular microbiology, and virology. In addition, you develop skills in antimicrobial susceptibility testing and molecular diagnostic assays.
Under the supervision of the laboratory director, fellows learn the basic principles and practices in clinical microbiology and laboratory capabilities from the medical technologists. You also participate in microbiology laboratory rounds and conferences with the clinical pathology laboratory director and pathology residents. You gain additional exposure to the microbiology laboratory during daily clinical microbiology rounds while on rotation on the general or transplant infectious diseases inpatient services at Tisch Hospital and Kimmel Pavilion, as well as weekly formal microbiology rounds at Bellevue.
Infection Prevention and Control Rotations
The infection prevention and control rotation is a two-week block consisting of core lectures and practical exposure, antimicrobial stewardship, and hospital epidemiology. Fellows are exposed to quality improvement initiatives central to the infection prevention and control mission and have an opportunity to undertake their own quality improvement projects under supervision of faculty members.
Outpatient Clinical Training
Fellows must maintain a continuity outpatient clinic for 24 months. Outpatient experiences are held at the Bellevue Virology and General Infectious Diseases Clinic or the VA NY Harbor Healthcare System’s infectious diseases clinic. During the outpatient experience, fellows manage hospital follow-ups and gain expertise in providing continuity care for people who have HIV.
During the first year, fellows assigned to Bellevue clinics rotate on alternate weeks between the Bellevue Virology and General Infectious Diseases Clinic. The general infectious diseases clinic serves a large population of people with chronic viral hepatitis and provides post-discharge follow-up for patients on outpatient parenteral antibiotic therapy. This clinic also cares for an increasing number of patients referred for diagnosis, management, and prevention of general and tropical infectious diseases, including travelers and recent immigrants.
Fellows assigned to the VA NY Harbor Healthcare System attend the same clinic each week. During the second year, fellows continue their HIV continuity clinic experience, but clinician–educator fellows may opt for an additional clinic session per week at either Bellevue or the VA NY Harbor Healthcare System, or at another appropriate site. Second-year fellows also participate in a sexually transmitted disease clinic rotation at Bellevue. An outpatient elective is also available with the New York City Department of Health and Mental Hygiene Tuberculosis Chest Centers.