Inpatient Infectious Diseases Consult Services
The inpatient consult services form one of the core clinical training experiences of the fellowship. Each year fellows spend between six and nine months on these inpatient services during which time they will gain extensive experience in performing infectious disease consultations in a variety of settings. There are four independent consult services:
- Two Hahnemann University Hospital general infectious disease consult services
- An immunosuppressed host consult service (transplant and HIV)
- A general ID consult service at Abington Memorial Hospital
Hahnemann University Hospital Infectious Disease Consult Services
These are the core teaching consultation services of the Division of Infectious Diseases. Each service consists of an infectious diseases faculty attending, an infectious diseases fellow, and often an internal medicine resident on elective, and fourth-year medical students on electives.
Abington Memorial Hospital Infectious Disease Consult Service
Abington Associates in Infectious Disease is an eight-member private practice that provides infectious disease consultative services at Abington Memorial Hospital. While on this service fellows round with a teaching attending from the Abington practice, seeing new consults daily and rounding on follow-up patients.
Immunosuppressed Host Consult Service
Hahnemann University Hospital maintains active liver, kidney and heart transplant programs. This service provides infectious disease consultation on all patients that have had solid organ transplantation. During this rotation fellows will also have the opportunity to attend the outpatient transplant infectious diseases clinic. This service also serves as the consult service for all HIV positive patients admitted to Hahnemann University Hospital. The clinical volume on this service is expected to be lighter than the Hahnemann University Hospital general infectious diseases consult service with one to two new consults per day, allowing more time for self-directed study of transplant related ID topics.
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Ambulatory Care Experience
Over the course of the two-year fellowship, fellows spend a half-day per week in the Partnership Comprehensive Care Clinic, which focuses on long-term care of adult patients with HIV infection. In addition, the fellows regularly participate in clinics at Drexel Infectious Disease Associates (a general infectious diseases clinic), the Drexel Travel Health Center, the City of Philadelphia STD Clinic, and the Flick Clinic (TB clinic). Elective experiences are also available in a hepatitis C clinic, the clinical microbiology lab, and infection control and hospital epidemiology.
HIV Continuity Clinic
Ambulatory care for HIV-infected patients is provided at the Partnership Comprehensive Care Clinic at 1427 Vine Street, which provides HIV specialty care to over 1,500 HIV-infected patients. The fellow, under the supervision of a faculty member, provides ongoing continuity care to a panel of 20 to 30 patients. Fellows work as part of a multi-disciplinary care team including, social workers, a clinical pharmacist, a behavioral health counselor, and a nutritionist.
General Infectious Diseases Clinic
This practice sees outpatients two to four half-days per week in the Drexel Medicine building across the street from Hahnemann University Hospital (219 N. Broad Street). Fellows are assigned to infectious diseases outpatient clinic during their ambulatory blocks, as well as at other times throughout the year. In this clinic, the fellows, under the supervision of an attending physician, see a wide array of outpatients referred for evaluation of disorders such as Lyme disease, fever of unknown origin, and chronic osteomyelitis. In addition, follow-up care is provided for previous inpatients requiring long term antibiotic treatment or follow-up with such diagnoses as endocarditis, tuberculosis, wound infections, and prosthetic joint infections.
Travel Health Clinic
The Drexel Travel Health Center clinic is held one afternoon each week and fellows are assigned the clinic for three months each per year. Under the direction of a travel health certified faculty member fellows evaluate prospective travelers and make recommendations for appropriate vaccination and prophylactic measures. Fellows counsel travelers on safe food and water, prevention of mosquito and insect bites, travelers' diarrhea, and safety precautions for sexual and recreational activities.
During the second year ambulatory rotation fellows spend two weeks seeing patients at the Lawrence Flick Memorial Clinic, the clinical site for the Philadelphia Department of Public Health's Tuberculosis Control Program.
Sexually Transmitted Diseases (STD) Clinic
The main STD Clinic of the Philadelphia Department of Public Health, located in Center City, less than one mile from Hahnemann University Hospital, serves approximately 19,000 outpatients each year. Fellows gain experience in the diagnosis and management of a variety of STDs, vaginitis, and STD-related dermatology.
Hepatitis C Clinic
Located at the same site as the Partnership HIV clinic, this clinic allows fellows to gain experience in the treatment of hepatitis C.
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Conferences and Educational Opportunities
Formal education is an important part of the training program. This includes didactic and participatory conferences and seminars.
Summer Introductory Lecture Series
A schedule of one hour lectures on core infectious diseases topics given by the Infectious Diseases Division faculty two to three days/week throughout July and August. Primarily designed to give first-year fellows an intensive introduction to infectious diseases, these talks also serve as a useful review for second-year fellows.
A weekly, fellow-driven conference in which cases chosen by the infectious diseases fellows are presented and discussed. Each week two fellows are scheduled to present a case along with a specific clinical question and the literature they have reviewed to try to answer that question.
HIV management conference
Infectious Diseases Research & Clinical Topics Conference
Lectures in clinical infectious diseases and clinical and basic science research, given by both Drexel University College of Medicine faculty and visiting faculty, held monthly.
Critical review of current articles pertinent to infectious diseases by the fellows, held once a month.
Clinical Microbiology Conferences
Held weekly, directed by Christopher Emery, M.D., director of clinical microbiology laboratories at Hahnemann University Hospital.
Citywide Infectious Diseases Conference
A combined monthly case conference for members of the infectious disease divisions of the medical schools and major hospitals in the greater Philadelphia area.
ID Morbidity & Mortality Conference
An interdisciplinary conference attended by both the members of the Division of Infectious Diseases and the Department of Pathology and Laboratory Medicine.
Medical Grand Rounds and Subspecialty Conferences
Fellow attendance is encouraged.
Additional Educational Components
Antimicrobial Management Program (AMP)
A faculty member of the Division of Infectious Diseases along with an infectious disease-trained pharmacist oversee a prior authorization based antimicrobial management program in which the fellows serve a major role. Fellows gain enhanced knowledge of antimicrobials and develop a rational approach to their use while participating in this program.
Infection Control and Hospital Epidemiology
In addition to formal and informal training throughout the fellowship, support is provided for the fellows complete an online training course in hospital epidemiology, organized by the Society for Healthcare Epidemiology of America (SHEA).
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