The Scholar track constitutes an individualized two-year training program based on a specific area of interest. This track includes additional selected hospital clinical rotations and/or expanded ambulatory experiences (HIV, transplant infectious disease, etc.), extended electives in special areas (e.g. Infection Control, Clinical Microbiology) and scholarly activity leading to publication. Additional infectious diseases rotations at specialty centers, in particular areas of infectious diseases (e.g. sexually transmitted diseases, pediatrics) can be arranged. A focused clinical research project, either a retrospective or prospective study, or a quality assurance exercise is required as part of this track.
Immunocompromised Host Service
The Immunocompromised Host Infectious Diseases Service at Beth Israel Deaconess Medical Center provides world-class care to hospitalized and non-hospitalized patients with a broad range of infectious diseases issues related to immunosuppression. Furthermore, we lead cutting edge clinical and translational research focusing on microbiology and immunology of immunosuppressed hosts. We teach medical students, residents, and fellows the complexity of caring for such patients.
We have active basic science investigations, clinical research, and clinical trials within our program. Carolyn Alonso’s research focuses on the epidemiology and outcomes of C. difficile infection among transplanted patients with the ultimate goal of developing novel preventative and curative therapies for C.difficile. Dr. Alonso has several open clinical trials in C. difficile research as well as an investigator-initiated grant to study C. difficile within cord blood transplant recipients. Sabrina Tan’s laboratory investigates the immune response to BK virus in renal transplant patients and novel therapies for treatment of BK virus. Dr. Tan has an open clinical trial on novel treatment of parainfluenza virus. Michael Wong has participated nationally in studies evaluating transplantation of HIV positive patients. Stephen Walsh’s laboratory studies immune responses induced by a novel smallpox vaccine and has clinical trials evaluating novel treatments for RSV infection in stem cell transplant recipients.
During the second year, fellows interested in developing an expertise in microbiology can do a one-year Committee on Postgraduate Educational Programs (CPEP)-approved fellowship by working in the microbiology lab under the supervision of Drs. James Kirby (read more), Qinfang Qian, and Ramy Arnaout (read more). The goal of the program is to:
- Train fellows to assume leadership roles in academic, tertiary care, and public health microbiology laboratories through hands-on instruction in:
- Microbiological methods
- The consultative and administrative activities of the microbiology laboratory
- The activities of the infectious diseases, pharmacy, and infection control/hospital epidemiology departments.
- Fellows will also rotate at Children's Hospital Boston and the Massachusetts State Laboratory to gain a comprehensive education experience that includes adult, pediatric, and public health microbiology.
- For fellows who desire additional training beyond this, and want to qualify to sit for board certification in medical and public health microbiology, they can continue their medical microbiology training for a second year, after which may take the American Board of Medical Microbiology (ABMM) credentialing exam. However, at this time, additional sources of funding would be needed for fellows wishing to pursue a second year of microbiology training.
- During training fellows are highly encouraged to participate in scholarly projects related to infectious disease diagnostics.
ID fellows looking to develop an expertise in hepatology will develop the skills needed to treat HBV and HCV mono and co-infected patients. Under the mentorship of Dr. Rachel Baden fellows will participate in an active outpatient experience. Fellows will:
- Participate in a weekly HIV/HCV co-infection clinic
- Participate in a weekly clinic for HBV/HCV mono-infected individuals in conjunction with the Hepatology Division at BIDMC
- Participate in a weekly HCV clinic at a community health care center in the Boston area
- Participate in a telemedicine program where fellows will learn to work with providers outside of BIDMC who care for HCV infected individuals
- Participate in the pre-transplant evaluation and post-operative management of HCV mono and co-infected patients undergoing liver transplantation
- Develop and conduct a focused research or QI project focused on HCV/HBV infection and will present their findings at a national conference or publish their findings in a peer reviewed journal.
- Present at divisional teaching conferences
Fellows interested in developing an expertise in HPV and high resolution anoscopy (HRA) will work under the direction of Dr. Lori Panther to develop the clinical skills needed to evaluate patients at risk for significant disease due to anogenital HPV infection, and obtain training to perform HRA in the clinical setting. Fellows will:
- Take the American Society for Colposcopy and Cervical Pathology ( ASCCP) - accredited certification course in HRA
- Participate in 3 HRA clinics a week with Dr. Panther or Dr. Multani at BIDMC or Fenway Health
- Participate in an STI clinic at Fenway Health on a monthly basis
- Develop and conduct a research or QI project focused on HPV or anal dysplasia and will present their findings at a national conference or publish their findings in a peer-reviewed journal.
- Present at teaching conferences both BIDMC and Fenway Community Health
Fellows interested in developing an expertise in medical education in anticipation of possible clinician-educator career track will identify an area of clinical focus in ID. Previous fellows have focused on clinical HIV care, though this is not a required clinical focus. Under the mentorship of Dr. Wendy Stead (read more), fellows will engage in continuing clinical and medical education scholarly activities during their second year of fellowship:
- 2-3 clinics per week
- ID continuity clinic
- Specialty clinics to be determined based on fellow's clinical interest and available clinic opportunities
- Additional 6 weeks of ID inpatient consult service time
- At least 2 of these weeks as "supervising" fellow
- The junior fellows present cases to supervising fellow for teaching/guidance under the supervision of service attending
- Medical education fellow will be expected to provide advanced level teaching to junior fellows and will receive formal feedback by supervising attending
Medical Education Scholarly Activities
- Develop and conduct a focused medical education project in a designated area of interest with plans to disseminate findings at a national meeting and/or in a peer-reviewed journal
- Complete an ID education curriculum development project
- Develop and lead at least four lectures for ID fellow clinical conferences with post-lecture formal feedback on teaching skills
- Apply for membership in BIDMC Academy of Medical Educators and participate regularly in medical education symposia and lectures