Infectious Disease Fellowship Overview
Three fellowship positions are available each year. Both clinical (2-year minimum) and academic (3-year minimum) tracks are available.
All fellows spend a minimum of 12 months in clinical training, consisting of:
- Clinical training
- Inpatient consultations
- Ambulatory infectious diseases (Continuity Clinic, Travel Clinic, STI Clinic)
- Clinical microbiology activities
Clinical track fellows are also encouraged to pursue additional rotations in:
- Pediatric infectious disease
- Hospital epidemiology/Infection control
- Antimicrobial stewardship
- Transplant infectious diseases
- Clinical education and teaching
The North Carolina Baptist Hospitals, Inc., with approximately 850 general ward and 150 intensive care beds, is the teaching facility for the Medical Center. The two infectious disease consulting services follow approximately 25-35 patients on a daily basis with 5-10 new consultations per day. The consultation experience is broad, with a mix of community-acquired infections and hospital-associated infections. Many of our consults are immunocompromised hosts from the renal, heart and bone marrow transplant programs, the cancer center, and the burn and trauma units. In addition, the hospital has a comprehensive HIV medicine program headed by a member of the Section on Infectious Diseases.
The inpatient activities are complemented by an ambulatory Infectious Diseases Specialty Clinic that meets 5 days per week. This clinic sees more than 2,000 patients with HIV and general infectious diseases per year. A team of attending physicians, fellows, residents, nurse practitioners, and medical students staff the clinic. There is also an International Travel Clinic that deals with the prevention, diagnosis and treatment of illness and infectious diseases in international travelers and an STI Clinic that focuses on non-HIV sexually transmitted infections.
Part of one's training experiences also occurs at the nearby Salisbury VA Hospital where both ambulatory patients, especially those with chronic HCV infections, and inpatients with ID problems are managed conjointly with the attending staff.
Electives are available in pediatric infectious diseases, medical microbiology, hospital epidemiology/infection control, antimicrobial stewardship, and sexually transmitted diseases/public health. International rotations through the Medical Center's Global Health Initiative are also available.
Conferences and Didactic Educational Opportunities
Fellows are responsible for preparing cases and focused clinical discussions at a weekly infectious disease conference that includes participating faculty from the Section on Infectious Diseases, Pediatric Infectious Diseases, Clinical Microbiology and the Department of Pharmacy. Fellows are also responsible for formal teaching exercises for internal medicine residents and medical students while on the inpatient consultation service.
In addition to the multidisciplinary ID case conference, there is a twice monthly journal club, a weekly HIV conference, and a monthly hospital epidemiology conference. Weekly didactic lectures for fellows given by faculty from a core curriculum and twice monthly Board Review lectures assist fellows in preparation for board certification.
Support is available for fellows to attend the meeting of the Infectious Diseases Society of America, the Interscience Conference on Antimicrobial Agents and Chemotherapy, the Society of Hospital Epidemiologists of America course in infection control or the semi-annual course in tuberculosis at National Jewish Hospital. Additional support is available for Fellows to attend meetings when they are making scientific presentations.
Research Training Opportunities
Our program has a major commitment to produce academic or clinical specialists in Infectious Diseases. For those committed to basic research, training will be through multidisciplinary research projects that transcend departmental lines and lead to expertise in molecular approaches to Infectious Diseases. We encourage you to explore these programs.
For those interested in further training in epidemiology, health care management, or population research, we encourage you to explore the Masters program in Clinical and Population Translational Sciences.
- Our ID Fellowship Training Program was established in 1974.
- More than 90 fellows have completed their training since that time.
- Approximately 40% of graduates have pursued academic careers whereas 60% have entered clinical practice.
- Over the past 6 years (2010-2015), 19 fellows have completed their training, 18 of the fellows have taken the ID Certification Examination, and 18 (100%) passed.
- 3 new positions are available each year via the Match with an average of 50-60 applicants being considered for those positions.
- For fellows completing the core 2 year clinical fellowship, 52 weeks will be spent in the clinical rotations and 52 weeks will be devoted to elective experiences and scholarly activities.
- Fellows are required to participate in a research project (clinical or basic) during their training.
- Opportunities exist for fellows to spend additional years in funded research projects or to obtain a Masters degree in Clinical and Population Translational Science.
- A one year Critical Care Fellowship is available on a competitive basis for fellows who envision a future career devoted to the practice of ID in the Intensive Care Unit environment.