Infectious Diseases and International Travel Health
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.
- 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.
- 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.
- 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.
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.
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 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.
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.
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.