Infectious Diseases - Fellowship Program
Alpert Medical School's Infectious Disease Division offers a fellowship encompassing all the Brown University based teaching hospitals. Dr. Curt Beckwith is the Director of the Fellowship Program. The spectrum of activities in clinical infectious diseases extends from evaluation of the patient with newly diagnosed HIV infection or an STD, to care of the ICU patient with nosocomial pneumonia, to management of complicated infections in the transplant patient. The advent of virologic and bacteriologic resistance throughout our health care systems poses increasing challenges.
The cornerstone of the fellowship program is exposure to the full array of infectious diseases in both the inpatient consultation service and in the busy outpatient ambulatory arena. There are specific rotations in an active comprehensive TB clinic and a travel medicine clinic. All fellows participate in both an outpatient consultative clinic and a longitudinal ambulatory experience. In all these areas, one-on-one teaching is provided by faculty members experienced in infectious diseases and committed to the education of fellows, residents and medical students. The clinical training program is complimented by a didactic program reviewing clinically relevant topics in Infectious Diseases, teaching "literature analysis" and exposing trainees to new areas of investigation.
The Infectious Diseases Fellowship Program at Brown University is a multi-hospital training program based at The Miriam Hospital (TMH), Rhode Island Hospital (RIH), Memorial Hospital (Mem), and the Veterans Administration Hospital (VAH). The fellowship is a two year program with opportunities for additional clinical or lab-based research training.
Clinical training is the focus of the first year of the fellowship and consists of inpatient consultation rotations at TMH, RIH, and Mem. A one month ambulatory block provides the opportunity to rotate through the TB service, travel medicine clinic, hepatitis C clinic, and additional HIV clinic experiences. Fellows also receive training in the clinical microbiology lab during Year 1. Throughout the 2 year fellowship, fellows have a longitudinal/ambulatory clinic one half day a week based at the Immunology Center of The Miriam Hospital. This is a Ryan White funded HIV clinic with approximately 1500 active patients. Fellows also care for patients seen by the inpatient consultation services who were recently discharged from the hospital. This includes the management of patients with osteomyelitis, endocarditis, and other infections that require long-term IV antibiotics
Scholarly research is a major focus in the second year of the fellowship. Faculty mentors are selected by the fellows to work with them on clinical and laboratory research projects and to provide training and guidance during the course of the study. The project gives the fellows in-depth knowledge in specific areas of infectious diseases which hopefully will yield worthwhile findings for presentation and publication. During Year 2, fellows also complete a rotation in transplant infectious diseases at RIH and spend time at the VAH on the clinical service.
Conferences are scheduled throughout the week. They include a weekly infectious diseases conference with infectious diseases faculty from all of the hospitals in Providence attending. Fellows and faculty present cases, research, and various topics of interest. Guest speakers are also invited on a regular basis. In addition, there are weekly fellow-oriented case conferences and didactic sessions on HIV and general infectious diseases topics. There is a monthly journal club and a monthly research conference dedicated to the fellowship which also includes the Pediatric Infectious Diseases program from Hasbro Children's Hospital. First year fellows attend the SHEA/CDC Course in Hospital Epidemiology held in Baltimore, MD. Weekly grand rounds and morbidity and mortality conferences are held by the Department of Medicine and fellows are encouraged to attend.
Teaching infectious diseases to interns, residents and medical students is an important facet of the fellows' training and this involves working with trainees on the consultation services and providing formal lectures to residents and medical students during the infectious disease elective. The fellows on-call schedule is typically 1 in 5 week nights (taken at home) and 1 in 5 weekends where the on-call fellow takes new consults from 1-2 specifically assigned hospitals. The fellows work closely with attending physicians while on-call at all of the hospitals.
Benefits to fellows include four weeks of vacation per year, health and dental insurance (individual or family), disability insurance, and life insurance. The institutionally required contribution to selected benefits plans are payroll deducted. Details can be obtained through the Rhode Island Hospital Graduate Medical Education office.
IDWeek in San Diego was well-represented by our fellowship program. Four of our fellows presented posters:
- Dr. Rusty McCulloh (4th year Med/Peds ID fellow) presented "Continuous versus intermittent pulse oximetry monitoring of children hospitalized with bronchiolitis".
- Dr. Rebecca Reece (2nd year fellow) presented "Pertussis Outbreak in a Rhode Island Community: Public Health Response and Outcomes".
- Dr. Marjorie Janvier (2nd year fellow) presented "Detection of Neisseria gonorrhoeae and Chlamydia trachomatis involving extra-genital sites".
- Dr. Brian Chow (3rd year Med/Peds ID fellow) presented "The role of expressed breast milk in the colonization of neonates with Candida species".
Fellowship applications are being accepted through the ERAS system at www.aamc.org/eras. Completion of three years of residency in internal medicine is a prerequisite for the infectious disease fellowship. For difficulties or to request additional information please contact our Program Coordinator, Elaine DiLorenzo at firstname.lastname@example.org or 401-793-4765.