Trainees will receive ample inpatient clinical exposure. All inpatient clinical responsibilities take place at University Hospitals Rainbow Babies & Children’s Hospital main campus.
General Inpatient Infectious Disease Consult Service
The general service consult team consists of one fellow and one attending physician. The fellow oversees rotating medical students and residents that contribute as integral members of the team. The patient population is broad, including patients in the pediatric intensive care unit, neonatal intensive care unit, as well as renal and bone marrow transplant recipients, all cancer patients, surgical and general pediatrics units.
Additionally, the fellow will carry the general service pager, which receives questions from physicians throughout the system. The incoming questions are varied and can include vaccine inquiries, post-exposure management and more. Fielding these calls ensures that fellows are adept at answering common pediatric infectious disease issues and helps them establish an extensive knowledge of all available anti-infectives.
On-service fellows have a weekend day off during the week.
Outpatient Infectious Disease Clinic
Patients are seen on Tuesdays and Fridays in the Infectious Disease Outpatient Clinic, either at the main hospital or at our satellite clinics. Fellows see patients in clinic under the supervision of an infectious disease attending physician. Patients seen in the outpatient clinic include those referred by their primary care pediatricians for infectious disease consultation, as well as patients seen for follow up from inpatient hospitalizations.
Special Immunology Clinic
Patients exposed or infected with HIV are seen on Mondays in the John T. Carey Special Immunology Unit. Under the supervision of Grace A. McComsey, MD, fellows will see neonates exposed to HIV, as well as pediatric and adolescent patients infected with HIV. The John T. Carey Special Immunology Unit also now has an HIV Biomedical Prevention Clinic (PREP Clinic), which the fellows can also participate in.
Fellows will see patients in the Roe Green Center for Travel Medicine, which was the first travelers’ clinic established in the U.S. Under the supervision of Sahera Dirajlal-Fargo, MS, DO, fellows will see infants and children traveling overseas and will develop a knowledge of immunizations related to travel, prophylaxis, emerging infections and tropical medicine.
Fellow trainee will have the opportunity to complete a variety of elective weeks, including:
- Clinical microbiology laboratory (four weeks)
- Infection prevention and control
- Hematology/Oncology Clinic, Immunology Clinic, Rheumatology Clinic, Health Department Tuberculosis Clinic
The elective schedule is reasonably flexible.
In the first year, fellows spend approximately six months on service, with about 20 weeks in the outpatient clinic. Upper-year fellows typically have 12 weeks of service with about 40 weeks in the outpatient clinics.