ID Fellowship Clinical Training Description

Training requirements for board eligibility in Infectious Diseases include a 12 month core clinical curriculum which includes inpatient consults, continuity clinic (with at least 20 HIV patients maintained over 24 months), clinical microbiology, hospital epidemiology, STD training, and conferences. Fellows provide inpatient clinical consultation at Bellevue Hospital, NYU Langone Medical Center and the New York Campus of the Veterans Affairs New York Harbor Healthcare System.

An intensive two month didactic summer core curriculum begins in July to provide first-year fellows with the knowledge needed to act as proficient infectious disease consultants. Daily didactic sessions are held with one faculty expert in key areas of infectious disease and are exclusively for fellows to promote optimal learning at the level of subspecialty trainees. Additional conferences continue during the remainder of the academic year.

Bellevue Hospital Center

Our mission is to provide the highest quality of care to New York's population and to deliver health care to every patient with dignity, cultural sensitivity and compassion, regardless of ability to pay. —Bellevue Hospital Center

As a public municipal hospital, Bellevue is committed to caring for New York’s diverse communities regardless of ability to pay. It is also a major academic medical institution that provides state-of-the art care. Bellevue serves a large immigrant population of diverse national origin, a high proportion of indigent patients, and patients referred for complex management from other New York City public hospitals. It includes an isolation unit for the care of people with highly contagious infectious diseases such as viral hemorrhagic fevers, a dedicated TB ward, and a prison ward. Inpatient consultation is provided for medical and surgical patients on the wards and Intensive Care Units, persons living with HIV, an oncology subspecialty unit and a large psychiatric unit. Bellevue is the referral hospital for several long-term care facilities, and as such, is host to a significant number of highly resistant gram negative infections often imported from these facilities. Antimicrobial stewardship is integrated into inpatient service, and involves daily rounds with a PharmD as well as frequent communication with the Bellevue Director of Infection Control.

Bellevue Hospital Center in the oldest continually operating hospital in the United States. It opened in 1736 as an almshouse with support for six beds; today, it accommodates 800.

Bellevue is also the site of two different ID clinics: a busy Virology (HIV) outpatient clinic and a General ID/viral hepatitis clinic. Half of the fellows have their continuity clinic at the Bellevue Virology clinic. The clinic provides comprehensive care, with dedicated counselors, mental health specialists, addiction medicine specialists and social workers. There is a weekly HIV clinic conference for discussion of challenging diagnostic and management problems. The General ID/viral hepatitis clinic serves patients with acute and chronic infectious diseases other than HIV. This clinic serves a large population of people with chronic viral hepatitis, provides post-discharge follow up for patients with infectious diseases, and 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 may participate in this clinic during their second year and beyond.

NYU Langone Medical Center

The NYU Langone Medical Center, formerly New York University Hospital, is an acute-care general and referral hospital of 726 beds that annually admits approximately 25,000 patients. During the rotations at the NYU Langone Medical Center, fellows perform infectious disease inpatient consultations under the supervision of the teaching faculty of the NYULMC Infectious Disease Faculty Practice Group. Consults are provided for medical and surgical patients, including recent travelers, people with HIV, and patients treated with targeted immunotherapies. Clinical training at NYU Langone Medical Center integrates antimicrobial stewardship and infection control into the inpatient service, and involves daily rounds with a PharmD. Training also provides exposure to the NYU Molecular Outbreak Center, which provides real-time data on the genetic epidemiology of microbial isolates within the hospital in order to trace transmission and determine potential outbreaks in the hospital or in the community.

Transplant Infectious Diseases (NYU Langone Medical Center)

The Transplant Infectious Diseases rotation provides comprehensive training experience in the diagnosis and management of infections in patients with neoplastic diseases (particularly hematologic malignancies), patients with severe treatment or cancer therapy-associated neutropenia, those with end stage kidney or liver disease awaiting transplantation and patient undergoing solid-organ or hematopoietic stem cell transplantation. Fellows provide inpatient consultation supervised by dedicated Transplant Infectious Disease faculty. During daily inpatient rounds that include a PharmD. and weekly case management conferences, in depth discussion focuses on issues related to diagnostic strategies for both common and less frequently observed infections, optimum antimicrobial prophylaxis and treatment of diseases due to pathogenic and opportunistic infections. Infections are discussed in the context of typical and atypical clinical syndromes associated with viral, bacterial, fungal, mycobacterial, and parasitic infections. Noninfectious disease and conditions that may mimic infection remain an important component of routine evaluation of these patients. Public health issues facing these susceptible patients including immunization, physical and psychological isolation, infection outbreaks, and graft-transmitted infections are also important elements of this rotation.

New York Campus of the Veterans Administration New York Harbor Healthcare System (VA )

The New York VA Hospital is a 210-bed acute care facility. The inpatient consultation service at the VA provides fellows with a broad range of experience in evaluation and management of acute infectious diseases, supported by the full-time clinical faculty. As the New York VA serves as a referral center for the New York metropolitan area VA system in cardiology, cardiovascular surgery and neurosurgery, fellows gain particular experience in managing infections associated with such patients.

The Infectious Diseases Division staff and fellows provide primary care for the largest cohort of HIV-infected patients within the nationwide VA system. Half of the fellows have their continuity clinics at the VA. Fellows spend one clinic session weekly at the VA, where they are supported by a staff of dedicated pharmacists, social workers and a nurse case manager.

Clinical Microbiology

All infectious disease fellows have a one-month rotation in the diagnostic microbiology laboratories at Bellevue and the NYU Langone Medical Center. These laboratories have complementary strengths, and fellows gain direct experience with diagnostic bacteriology, mycology, mycobacteriology, parasitology, and virology. In addition, they gain facility with antimicrobial susceptibility testing and molecular diagnostic assays.