The Infectious Diseases Fellowship Training Program at the Beth Israel Deaconess Medical Center (BIDMC), Harvard Medical School is a fully ACGME accredited program that offers comprehensive Infectious Diseases clinical training and education and many different research opportunities. Trainees joining our Fellowship Program will participate in the primary and consultative care for a diverse population of patients at BIDMC.
The following represents a snapshot of BIDMC's clinical services:
- 621 licensed beds, including 419 medical/surgical beds
- 77 critical care beds and 60 OB/GYN beds
- Medicare-certified active Bone Marrow Transplant and Solid Organ Transplantation programs
- A comprehensive Cardiovascular Center
- The Women's Center, with over 5,000 births annually
- Level One trauma center and roof-top heliport
- Emergency Department that provides over 54,000 patient contacts per year, and features 42 patient stations and a unique 8 bed Critical Decision Unit
- A multi-specialty and multi-disciplinary program for the care of patients with AIDS and other HIV-related complications, providing care for more than 1500 HIV+ patients in the region
- Close collaboration with institutions such as the Joslin Diabetes Center, and Boston Children's Hospital provide opportunities to manage infections associated with these special populations
- BIDMC is noted for a truly state-of-the-art, wireless and paperless Online Medical Record system.
Activities within the Division of Infectious Diseases at BIDMC pertinent to Fellowship training include:
Two active concurrent inpatient consultation services. Each service includes two Infectious Diseases Fellows and an Attending Infectious Diseases faculty member. One consultative team focused on immunocompromised patients averages 2 consults a day and the second consultative team averages 3 consults per day.
An active Infectious Diseases outpatient clinic, in which Fellows and their Faculty mentors and Faculty alone provide care.
Travel Clinic - an active clinic that provides Fellows with opportunities to learn travel medicine
OPAT - Outpatient Parenteral Antibiotic Therapy - with nursing support, a Clinic to facilitate follow-up of inpatients discharged on antibiotic regimens. Support is available to Fellows in helping manage their post-discharge patients.
Urgent Care Clinic - Fellows participate in the walk-in evaluation and care of patients with infectious diseases issues.
An antibiotic stewardship program. Fellows learn issues related to appropriate use and approval of antibiotics. Two dedicated PharmDs manage the program by day and join Infectious Diseases rounds to provide education and advice.
For the two years of ACGME-accredited Infectious Diseases Fellowship training, full salary support is provided for both years by the BIDMC.
Shared Harvard-Wide Activities:
The BIDMC Infectious Diseases Fellowship program collaboratively interacts with the other Harvard Medical School-affiliated Infectious Diseases Fellowship programs at Boston Children's Hospital and at Brigham and Women's Hospital/Massachusetts General Hospital. Common efforts amongst the Infectious Diseases programs include a weekly conference that in the early months is focused on didactic educational offerings by senior faculty from the several programs and is followed thereafter by Fellow presented case conferences. The BIDMC Infectious Diseases program also shares a weekly immunocompromised focused conference with Children's Hospital, Brigham and Women's Hospital and the Dana-Farber Cancer Center. We also participate in Harvard Medical School-wide Centers for Aids Research (CFAR) conferences.
BIDMC Infectious Diseases Conferences:
The BIDMC Infectious Diseases program has a weekly conference schedule that includes: a case-conference (with a focus on teaching and involvement by faculty from Infectious Diseases, the clinical microbiology program, antibiotic pharmacy PharmDs, and other case-specific disciplines), a journal club/research in progress conference, and a dedicated fellow-focused educational conference, a multidisciplinary HIV conference with the primary care division and microbiology plate rounds.
Peter F. Weller, MD, Division Chief
Wendy Stead, MD, Fellowship Program Director
Christopher F. Rowley, M.D., Associate Program Director
Fellowship Program and Options:
YEAR ONE: The first year of ID Fellowship is focused primarily on the inpatient ID consult experience where Fellows encounter diverse general Infectious Disease related problems on the medical and surgical services, as well as work with immunocompromised hosts (bone marrow and solid organ transplant), and patients on the OB-GYN service. In addition, Fellows will rotate through the outpatient Urgent Care ID Clinic at BIDMC, the Clinical Microbiology Laboratory, and Boston Children's Hospital (for inpatient pediatric ID). Throughout the ACGME portion of their Fellowship, all Fellows spend one-half day per week seeing patients in their continuity clinic where they follow up patients that were seen on the inpatient service, see new outpatient referrals, and provide longitudinal care of HIV-infected individuals. Each Fellow is assigned a single Faculty member who works with them throughout their continuity clinic experience.
YEAR TWO: In year two, Fellows continue to have their required outpatient continuity clinics and have limited inpatient ID consultation coverage. Fellows have a variety of choices with two and three (or more) year training options. Two year tracks provide focused training in specific areas such as transplant ID, hepatitis, microbiology, medical education and infection control. In addition to gaining broader clinical training, Fellows will develop and complete and a scholarly project. For those interested in a more focused research experience, there are options in clinical HIV related research, basic science and translational research and Hospital Epidemiology. Fellows choosing to pursue a career in clinical or translational research will be able to apply to a variety of educational opportunities (the "Clinical Effectiveness" course at the Harvard School of Public Health, The Scholars and CITP program through the Harvard Catalyst Program). Funding for these programs will depend on resources that are available through a variety of grants that Fellows may apply for throughout their Fellowship.
To make the transition to second year, Fellows will work with a Faculty advisor. This advisor will be chosen based on your area of interest, and will work with you to help identify the best track and mentor for your career development. Once identified, Fellows will work with this designated mentor throughout the remainder of their training. For those in the two year tracks this mentor will help devise a training plan that incorporates the clinical and scholarly activities. For those interested in the research tracks, this mentor will supervise your development into an independent investigator which includes the development and implementation of research projects, publications, and grant submissions that will be used to obtain funding for project support and salary support in the non-ACGME years.