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Department of Medicine

Department of Medicine

   Division of Infectious Diseases

Education and Training


FELLOWSHIP

Clinician-Educator Pathway and Subspecialty Tracks

Physician-Scientist Pathway


Clinician-Educator Pathway

The first-year is devoted to clinical training that provides both the didactic and clinical experience required to attain a superior level of clinical competency in infectious diseases practice. The second year of fellowship is individualized to the fellow's clinical interest.

The fellow will have one half-day per week in the continuity clinic throughout both years of training. The ambulatory general ID clinics are located at the VA Pittsburgh Healthcare System and in the Falk Medical Building. The HIV/AIDS clinic is located in the Falk Medical Building. Fellows will also participate in the antimicrobial management and stewardship program throughout the 2 years of fellowship.

First Year Structure

Clinical Assignment

Duration

General ID Service

20 weeks

VA Medical Center ID Service

6 weeks

Transplant ID Service

8 weeks

BMT/Hemonc ID Service

4 weeks

Surgical ID Service

4 weeks

Microbiology/Infection Control

4 weeks

Research

3 weeks

Vacation

3 weeks

Ambulatory Experience

1/2 day per week


Second Year Structure

Our novel second year structure is customized to the fellows' clinical interests and career goals. This has distinguished our program as now the second year is devoted exclusively to meet the specific learning experiences of the fellows as opposed to following a built in structure. Each fellow is mentored closely by the program leadership and the division chief all of whom will help the fellow structure their second year in order to maximize his or her training experiences and help them become experts in the specific fields they choose.

Subspecialty Tracks

1. Infection Prevention Track - Fellows interested in a comprehensive experience in the field of Infection Prevention (IP) may choose to pursue dedicated training within the IP track during their second year. Participation in this track entails completion of a scholarly project designed to investigate HAIs. Recent examples include analysis of factors that impact employee hand hygiene compliance and time series analysis of an initiative to reduce surgical site infections. In addition, fellows in the IP track participate in weekly departmental working group meetings as well as monthly hospital infection control forums – two important venues where interdepartmental collaboration is directed at the reduction of HAIs.

2. Innovative Antimicrobial Track – The Innovative Antimicrobial Therapy (IAT) Track offers a comprehensive training experience for fellows interested in a career path in antimicrobial resistance (AR) research. This track is working closely with the XDR Pathogen Laboratory and the Antimicrobial Management Program service. Faculty interests and expertise range from laboratory research to translational and clinical research in AR. Examples of potential research projects include elucidation of emerging tolerance and/or resistance mechanisms using genomic, proteomic and biochemical approaches, inhibitor-based drug discovery using high-throughput screening, and clinical studies to identify the best management approaches for patients with drug-resistant infections.

3. Antimicrobial Stewardship Track – The Antimicrobial Stewardship Track offers a robust training experience for the Infectious Diseases fellow interested in a career path that includes antimicrobial stewardship. The overarching goal of this track is to provide a range of both executive level and operational experiences to the fellow so that on graduation, s/he has the confidence and competency to establish, grow, and direct an antimicrobial stewardship program within an acute care facility. Examples include intervention and/or education of health care teams to enhance antimicrobial therapy, treatment guideline review, updates and recommendations, surveillance of antimicrobial utilization, and resistance trends. This track provides experiences with the medical and pharmacy director of the stewardship program at UPMC Presbyterian, an established program with a record of commitment to stewardship and associated patient care since 2002. Fellows are required to participate in monthly stewardship meetings and have the opportunity to conduct stewardship oriented scholarly projects and/or direct a quality improvement initiative with subsequent recommendations for practice. 

4. Transplant Infectious Disease Track – A transplant infectious diseases track is offered during the second year of training to those fellows interested in transplant related infections. Similar in structure to the TID fellowship this track allows the fellow to spend more clinical time on both TID services, rotations at the TID outpatient experience as well as rounding time on the bone marrow transplant service. The fellow will also have at least 6 months of protected time for a scholarly project. This track is ideal for fellows interested in becoming experts in treating transplant related infections. Without having to complete a third year of specialized training in transplant infectious diseases.