The Infectious Diseases Fellowship has a strong clinical emphasis built into its two-year curriculum. You rotate on two hospital services — General Infectious Diseases and Transplant Infectious Diseases — at Mayo Clinic's campus in Phoenix, Arizona. You travel to Mayo Clinic's campus in Rochester, Minnesota, for the rotations in clinical microbiology, the Travel and Tropical Medicine Clinic, and infection control and hospital epidemiology.
Other valuable experiences include the sexually transmitted diseases and tuberculosis clinic through the Maricopa County Department of Public Health and pediatric infectious diseases at Phoenix Children's Hospital. Two elective rotations provide opportunities for you to structure these blocks to match your interests and long-term goals.
During both years of the fellowship, your continuity clinic experiences take place at these locations:
- McDowell Healthcare Center. This is a comprehensive clinic for the management of HIV-infected persons in downtown Phoenix.
- Infectious Diseases Continuity Clinic (IDCC). Located on the Mayo Clinic campus, IDCC provides exposure to patients with HIV infection, solid-organ and stem cell transplant recipients, coccidioidomycosis, fecal microbiota transplantation, and all aspects of general infectious diseases. You also evaluate post-discharge follow-up patients in this clinic.
- Continuity clinic. Takes place on Tuesday afternoons for two years, alternating between McDowell Healthcare Center (comprehensive HIV clinic, downtown Phoenix) and IDCC (Mayo Clinic).
|Inpatient general infectious diseases service||5.5 blocks|
|Inpatient transplant infectious diseases service||3 blocks|
|Clinical microbiology||1 block (2 two-week rotations)|
|Plastic surgery-wound clinic||0.5 block|
|Epidemiology-Department of health||0.5 block|
|*Based on a 13 block schedule|
|Inpatient general infectious diseases service||4.5 blocks|
|Inpatient transplant infectious diseases service||3.5 blocks|
|Sexually transmitted diseases and tuberculosis clinic||0.5 block|
|Pediatric infectious diseases||0.5 block|
|Travel and Tropical Medicine Clinic||0.5 block|
|Infection control and hospital epidemiology||0.5 block|
|*Based on a 13 block schedule|
You take call during all your rotations, except during elective months and off-campus rotations. In any given month with assigned call, you will round on inpatients and evaluate new consults during two of the four weekends. You have the remaining two weekends off.
During weekdays, one fellow is on call by pager between 5 p.m. and 8 a.m. Call is taken from home for both the general infectious diseases and transplant infectious diseases services. There is no in-house call.
Fellow meeting with fellowship director HR Vikram, M.D., FACP, FIDSA
The Infectious Diseases Fellowship incorporates a strong didactic component in its curriculum. Seminars, small discussion groups, one-on-one instruction, case-based and patient-focused teaching during rounds, and "chalk talks" are conducted on a regular basis, in addition to regularly scheduled conferences. Microbiology rounds also are conducted weekly to review patient cultures and smears.
A partial list of additional learning opportunities during your fellowship:
- Courses in clinical research: introduction to clinical research, introduction to clinical epidemiology, statistics in clinical research, how to write a scientific paper, writing winning grants, and responsible conduct of research
- Fundamentals of Clinical and Translational Science (FunCaTS) Program, a combination of online modules to improve patient safety and knowledge about clinical and translational research
- Orientation to Mayo Clinic Libraries, including learning about available resources and services provided
- Computer-based courses to learn Microsoft Office products, EndNote and statistical software
- Writing for Biomedical Publication annual workshop
- American Academy of HIV Medicine (AAHIVM) credentialing exam during the second year
- Infectious Diseases Society of America (IDSA) online Infection Control Course
- IDSA in-training exam once a year
- IDSA practice exam in preparation for infectious diseases boards
- IDSA hepatitis C core curriculum
- IDSA Hepatitis C Knowledge Network, which offers a monthly one-hour webinar to educate practitioners about advances in hepatitis C therapy
- Centers for Disease Control and Prevention TB 101 for Health Care Workers, an online tuberculosis course
This list has both local and regional conferences:
- ID Education Conference — includes journal club, morbidity and mortality, case discussion, research updates, and other presentations (weekly)
- HIV preclinic lecture at McDowell Healthcare Center (weekly)
- Fellows' case conference at Minnesota campus — viewable archived video file (weekly)
- Three-campus Mayo Clinic infectious diseases videoconference (monthly)
- Infectious diseases morbidity and mortality case conference (quarterly)
- Core curriculum lecture series (weekly)
- ID Case Conference (1st and 4th Thursday of each month)
- Academic Excellence Day — venue for presenting research projects to other Mayo Clinic trainees and faculty in Arizona (poster or oral presentation, awards)
- Arizona Chapter of the American College of Physicians — research presentation (poster, oral)
- Arizona Infectious Diseases Society meeting —case or research presentation (Spring each year)
- Transplant Grand Rounds — attend infectious diseases-related lectures (every Monday)
- Internal Medicine Grand Rounds (weekly)
- Infectious Diseases Fellows' Forum — annual meeting of infectious diseases fellows that is organized by and held at Mayo Clinic's campus in Rochester (fellows participate in oral or poster presentations, share challenging cases, and attend lectures on pertinent infectious disease topics by key faculty)
- IDSA Clinical Fellows Meeting — annual meeting designed for fellows who are interested in pursuing a career in the clinical practice of infectious diseases (first-year fellows can attend)
You also have the opportunity to attend national meetings, such as IDWeek or ASM Microbe (formerly ICAAC). You are expected to present in at least one national or international meeting during your fellowship.
You have the ability to view several additional conferences held at Mayo Clinic's campus in Rochester online at your convenience; these include weekly case conferences, HIV lecture series and guest lectures. You also participate in periodic morbidity and mortality conferences through the Division of Infectious Diseases and the Department of Internal Medicine.
Our fellowship provides five months of protected time and additional resources to conduct clinical research. You will identify your research mentor(s) within the first three months of your fellowship and present a research proposal to the members of the Division of Infectious Diseases. The goal is to present your research findings in at least one national or international meeting and submit at least two manuscripts before fellowship completion.
You will also participate in a quality improvement project during your fellowship and secure bronze certification in safety and quality improvement offered by the Mayo Clinic Quality Academy. Certain projects will qualify for silver certification.
Mayo Clinic offers several unique services and opportunities to assist trainees in research, including:
- Ease of collaboration with other department and divisions and across the three Mayo Clinic campuses
- Access to patient medical records throughout Mayo Clinic
- A single Institutional Review Board approval for all of Mayo Clinic
- Outstanding library and statistical assistance
- Services through the Academic Support Office, such as editing, modifying, and submitting manuscripts and preparing posters and presentations
You have ample opportunities to enhance your teaching skills during this program. Through bedside instruction, case-based discussions and didactic lectures, you can educate and guide internal medicine and transitional year residents as well as medical students who rotate on the infectious diseases service.
You are invited to the Internal Medicine Morning Report by the chief residents on a periodic basis to render an expert opinion if an infectious diseases case is being discussed. You also have the opportunity to lead Medical Knowledge Self-Assessment Program (MKSAP)-based noon conferences for residents in which infectious disease questions are discussed with a rationale for arriving at the correct answer.
To ensure that you acquire adequate knowledge and develop the appropriate technical skills to meet program expectations, your performance is monitored carefully during the Infectious Diseases Fellowship. You are formally evaluated by supervising faculty members on a regular basis and meet with the program director to review these evaluations. In addition, you regularly evaluate the faculty to confirm that your educational needs are being met.