Fellows perform consultations on patients with medical, surgical, OB/GYN, and pediatric infectious diseases. Significant time is spent in the critical care units, dialysis, hematology/oncology, and transplantation. When assigned to the I.D. inpatient consult service, fellows participate in the care of approximately 50 patients monthly while supervising one or two medical residents and frequently a fourth-year medical student. The fellows assume increasing responsibilities for the management of the consult service and for teaching residents and students during the course of training.
The I.D. program provides fellows with problem-specific outpatient experiences through the Baystate Medical Practices and other affiliated clinics. In the outpatient environment, fellows follow a cadre of patients longitudinally. Approximately 50% of the outpatients are HIV-infected and seen in an HIV-dedicated clinic. Additional outpatient experiences are through wound care, tuberculosis clinic, sexually-transmitted diseases clinic, liver clinic, travel medicine, and outpatient antibiotic therapy.
- Fellows take call from home and are on-call one week in three. During this week, night call rarely requires return to the hospital.
- Weekend call averages 6 hours/day.
- There is always an attending physician available to back-up the fellow.
- During the two year fellowship, fellows usually spend 11-12 months on the adult consultation service, 1-2 months on the pediatric consultation service, and 1 month on transplant medicine.
Teaching and Supervisory Roles
- The Baystate Medical Center and the I.D. Division consider teaching by fellows to be an integral part of the educational program. Fellows are expected to teach medical residents, students, and peers.
- Fellows spend approximately two months working in the clinical microbiology laboratory where they learn medical microbiology, mycology, mycobacteriology, serology, parasitology, and virology. Teaching slides are available.
- An infectious disease conference is held weekly. All I.D. specialists and other interested personnel participate. These conferences include case presentations, fellows' presentations, journal club, and HIV.
- Fellows also meet weekly with the fellowship director to discuss a clinical topic of interest and in microbiology for a hands-on conference.
- Fellows attend monthly meetings of the Committee on Infections. Parts of other months are devoted to working with members of the infection control team.
- Fellows are expected to participate in clinical research and to publish the results of their efforts. On average, fellows publish 1-3 papers during two years of training. These consist of prospective studies of patients at Baystate Medical Center, retrospective studies, case reports, and reviews of the literature.