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Department of Internal Medicine
Infectious Diseases and International Travel Health


Infectious Diseases




Curriculum & Schedule

In-Patient Consultation Rotation

The fellow will be a key member of the Infectious Diseases consultation service for Vidant Greenville Hospital, a 900 plus-bed, tertiary care, teaching facility.  Each year of their training, fellows will rotate in patient consult service for six months. This will be a one month block rotation spaced throughout the year. The consult service sees 70-100 inpatient consults per month.  Consultations include patients with sepsis syndrome, community-acquired pneumonia, hospital-acquired pnuemonia, complicated urinary tract infections, HIV infection, tuberculosis, cellulitis, endocarditis, meningitis, fever in neutropenic patients, surgical infections, and fever in renal transplant.

Outpatient Clinic Rotation

OCR includes continuity HIV care, General ID outpatient care, International Travel Clinic and HCV clinic.

  1. The HIV clinic is a continuity clinic of one half a day per week and continues through the two year training period. The clinic is a Ryan White funded clinic which follows over 1000 HIV patients. On average fellows will follow 60-80 patients through their training time.

  2. Each fellow will rotate in Gen- ID clinic for three months each year. There will be two half a day Gen ID clinics and one half a day HCV clinic per week in this month long block rotation. In this clinic fellows will see infectious diseases referrals from within ECU and the outside community. Spectrum of patients includes tuberculosis, FUO, osteomyelitis, infective endocarditis, Lyme diseases, complicated pneumonias, UTI, STD and many more. Additionally, this is the clinic where hospital consults are being followed. Here patients with long term antibiotics like osteomyelitis, surgical wound infections, prosthetic joint infections, infective endocarditis, and cellulitis will be followed. Fellows will also have an opportunity to interact with social workers and home health agencies regarding follow-up and care of patients who are on home antibiotics.  Supervision will be by one of the infectious diseases faculty who will be on site at each of these clinic experiences.

  3. Fellows will have two week long Travel Clinic rotation during their training. Here they will have opportunity to work with faculty on pre-travel preparation and post travel clinic followups.

Microbiology

Fellows will spend two weeks in the microbiology laboratory at Vidant Greenville Hospital.  During this period of time, the fellow will learn clinical microbiology techniques, including routine gram staining methods, fungal staining methods, stains for acid-fast organisms, culture of specimens for clinically significant viruses, including Herpes simplex, varicella, cytomegalovirus, influenza virus, and adenovirus.Culture methods for fungi and acid-fast bacilli will be discussed as well as hands-on experience with these methods.

In addition to the one month rotation, every day, hospital consultation services start at microbiology laboratory. In this 45min microbiology round, cultures and pathology specimens of patients on the consult service are reviewed together with the microbiologist.

Infection Control

While in training, fellows are expected to acquire sound knowledge and expertise on infection control. The expectation is that after they graduate they should be able to lead infection control committees and programs in their practice.

They will be learning about Infection Control Practices during their inpatient and outpatient services but in addition to that they will have a dedicated 2 weeks rotation with infection control team 

Antibiotics stewardship

Antibiotics stewardship is integral part of our Infectious Diseases training. Fellows will rotate with the team for two weeks. In addition, Antibiotics stewardship team gives didactic lectures, case based discussions throughout the year. Rationale for antibiotics restriction are always discussed and debated. Fellows are members of the committee and attend the monthly meeting.

Research Rotation

It is crucial for practicing Infectious Disease physicians to stay abreast of new developments in the field.Understanding how to critically read literature and perform studies properly is necessary for optimal patient care. Additionally, fellows are required to participate in scholarly activity.Fellows will have 1-2 month during their first year and up to three months during their second year protected research time to complete at least one solid research project.

 

Ample educational opportunities are offered through weekly clinical case conferences and lectures, monthly journal club and research conferences, and daily rounds.  Additionally, fellows have the opportunity to pursue a Masters of Public Health (MPH) at the Brody School of Medicine at East Carolina University.  Further information can be found at www.ecu.edu/mph.