Curriculum

Clinical training

Mayo Clinic's Infectious Diseases Fellowship in Jacksonville, Florida, provides a well-rounded educational experience through a careful balance of didactic instruction and direct patient care. The training program is two years long.

The program provides fellows with a comprehensive knowledge base that prepares them to independently care for patients with infectious diseases caused by various pathogens. The well-organized, effective curriculum also provides direct clinical experience and progressive responsibility for patient management.

Fellows rotate through two inpatient hospital services and three outpatient clinics, in addition to tuberculosis and antimicrobial stewardship rotations.

Rotation schedule

Rotation descriptions

Clinical microbiology

Within the first three months of training, fellows spend one month studying basic clinical microbiology, gaining hands-on experience in:

  • Antimicrobial assay techniques
  • Antimicrobial susceptibility testing
  • Diagnostic serologic tests
  • General and anaerobic bacteriology, including blood culturing, antibiotic susceptibility testing, antibiotic assay methods, and immunofluorescent diagnostic studies
  • Molecular biology techniques, including polymerase chain reaction and DNA probing
  • Performance of Gram stains and other stain techniques on selected specimens
  • Setup of biological specimens for cultures
  • Techniques used in the virology, mycology, mycobacteriology, and parasitology laboratories

Explore the services, including clinical microbiology, that Department of Laboratory Medicine and Pathology staff provides for both Mayo Clinic patients and referred samples. You can also learn more about Mayo Clinic Laboratories, which is Mayo's reference laboratory.

General infectious diseases service

The general infectious diseases service provides consultation to all Mayo Clinic inpatient medical and surgical services.

Infectious diseases fellows gain experience in the diagnosis and management of:

  • Community-acquired and nosocomial infection
  • Endocarditis
  • Surgical infections and other communicable infections
  • More unusual conditions or infections, such as fever of unknown origin, parasitic infections, and endemic mycoses
  • Bone marrow transplant patients
  • Intensive care unit patients
  • Hematology/oncology diseases
  • Orthopedic infectious diseases

Electives

Infectious diseases fellows may spend elective time gaining additional research and clinical experiences in:

Transplant infectious diseases

Specialists at Mayo Clinic Transplant Center perform about 1,000 transplants each year. Mayo's transplant program is one of the largest in the U.S. and ranks among the best in terms of survival rates of patients and organs.

The transplant program at Mayo Clinic integrates services for patients and brings the collective knowledge of all Mayo specialists to bear on the most difficult transplant problems. Mayo's transplant infectious diseases service is an integral member of a multidisciplinary team caring for all solid-organ and bone marrow transplant patients.

Infectious diseases fellows develop skills in evaluating the febrile transplant patient, treating and preventing opportunistic infections, and using various means for preventing infection in this patient population.

Outpatient clinic and infection control

Fellows rotate for four weeks at Mayo Clinic's campus in Rochester, Minnesota, in the Travel and Tropical Medicine Clinic to learn about pre-travel management and post-travel evaluation in travelers who return ill.

Fellows also receive infection control and antimicrobial stewardship didactic and hands-on experience during these four weeks and are expected to complete the Infectious Diseases Society of America's online Infection Control Course during this time.

Continuity clinic

During the two-year fellowship, trainees participate in regular continuity clinics in the ambulatory setting, including:

  • Regular outpatient infectious diseases consultations
  • Ongoing care of patients so that you can learn the natural history of infection

HIV Clinic

Fellowship training includes extensive experience in the medical, psychological, and social aspects of infection with HIV and AIDS. Fellows learn to manage the longitudinal changes of AIDS.

Didactic training

Infectious diseases fellows participate in various individual conferences each year, including:

  • Bimonthly journal club alternately focusing on HIV and general infectious diseases topics with an emphasis on critical evaluation of recent literature
  • Weekly clinical case conferences involving current inpatient and outpatient cases
  • Monthly Mayo multi-site case teleconference
  • HIV lecture series
  • Monthly infectious diseases research conference
  • Fundamentals of Clinical and Translational Science (FunCaTS) Program, with all fellows completing the FunCaTS Program during their microbiology month

Research training

Fellows are encouraged to participate in research projects under the mentorship of Mayo consulting staff. Research opportunities at Mayo Clinic are diverse and outstanding, and they include opportunities for clinical studies and laboratory-based projects.

Fellows may participate in clinical research by using the extensive electronic medical record and clinical databases that are available. The microbiology laboratory offers research opportunities using in vitro techniques.

Find out more about research in the Division of Infectious Diseases.

Fellowship protocols are reviewed and approved by the Division of Infectious Diseases Research Committee and the Mayo Clinic Institutional Review Board. Fellows are encouraged to present research results at national infectious diseases meetings and publish them in peer-reviewed journals.

Learn more about research resources at Mayo Clinic.

Call frequency

The call schedule varies by rotation. Mayo Clinic complies fully with Accreditation Council for Graduate Medical Education rules.

Evaluation

Performance of all fellows is monitored carefully during the entire course of the Infectious Diseases Fellowship. Fellows are formally evaluated using a number of sources, including multisource evaluations, Simulation Center and in-training examinations, which are reviewed by the program director as well as the clinical competency committee. Fellows also evaluate the faculty to ensure that their educational needs are being met.

The Infectious Diseases Fellowship undergoes an annual internal evaluation by Mayo Clinic School of Graduate Medical Education. Faculty development is monitored, and all faculty members are encouraged to participate in development programs that would enhance their ability to teach, mentor, and provide feedback.

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