Clinician-Educator Pathway

The first-year is devoted to clinical training that provides both the didactic and clinical experience required to attain a superior level of clinical competency in infectious diseases practice. The second year of fellowship is individualized to the fellow’s clinical interest.

The fellow will have one half-day per week in the continuity clinic throughout both years of training. The ambulatory general ID clinics are located at the VA Pittsburgh Healthcare System and in the Falk Medical Building. The HIV/AIDS clinic is located in the Falk Medical Building. Fellows will also participate in the antimicrobial management and stewardship program throughout the 2 years of fellowship.

First Year Structure

Clinical Assignment Duration
General ID Service 18 weeks
VA Medical Center ID Service 6 weeks
Transplant ID Service 8 weeks
BMT/Hemonc ID Service 4 weeks
Surgical ID Service 4 weeks
Microbiology 4 weeks
Infection Control 3 weeks
Research 1 week
Ambulatory Experience 1 week
Vacation 3 weeks

 

Second Year Structure

Clinical Assignment Duration
Subspecialty Track + Scholarly Project 40+ weeks
Ambulatory Experience (PACT/HIV) 1/2 day per week
Vacation 3 weeks

 

Subspecialty Tracks

1.) Infection Prevention Track– This track is designed to provide comprehensive training in hospital epidemiology and infection prevention for fellows interested in a career in infection prevention.  The second year of fellowship will be structured as an “embedded” experience with the fellow primarily located in the UPMC Presbyterian Infection Prevention suite with additional learning activities at the Pittsburgh VA and UPMC Mercy.  The fellow will meet regularly with the Medical Director and/or Associate Medical Director of Infection Prevention for focused didactics on key infection prevention and quality improvement topics, participate in infection prevention team meetings, assist in conducting cluster and exposure investigations, and become knowledgeable in surveillance and reporting of healthcare-acquired infections.  The fellow will also complete a scholarly project on an infection prevention topic, with opportunities to publish their research findings.  Some examples of ongoing projects include understanding the impacts of changing contact precautions policies, impact of change in C. difficile testing, VRE acquisition and transmission, and improving adherence to chlorhexidine gluconate skin treatment.

2.) Innovative Antimicrobial Track– The Innovative Antimicrobial Therapy (IAT) Track offers a comprehensive training experience for fellows interested in a career path in antimicrobial resistance (AR) research. This track is working closely with the XDR Pathogen Laboratory and the Antimicrobial Management Program service. Faculty interests and expertise range from laboratory research to translational and clinical research in AR.

3.) Antimicrobial Stewardship Track– The Antimicrobial Stewardship Track offers a robust training experience for the ID fellow interested in a career path that includes antimicrobial stewardship. The overarching goal of this track is to provide a range of both executive level and operational experiences to the fellow so that on graduation, s/he has the confidence and competency to establish, grow, and direct an antimicrobial stewardship program within an acute care facility. Interested fellows would work with our Antibiotic Management Program (AMP) group to achieve these objectives. Examples include intervention and/or education of health care teams to enhance antimicrobial therapy, treatment guideline review, updates and recommendations, surveillance of antimicrobial utilization, and resistance trends. This track provides experiences with the medical and pharmacy director of the stewardship program at UPMC Presbyterian, an established program with a record of commitment to stewardship and associated patient care since 2002. Fellows are required to participate in monthly stewardship meetings and have the opportunity to conduct stewardship oriented scholarly projects and/or direct a quality improvement initiative with subsequent recommendations for practice.

4.) Transplant Infectious Disease Track– A transplant infectious diseases track is offered during the second year of training to those fellows interested in transplant related infections. Similar in structure to the TID fellowship, this track allows the fellow to spend more clinical time on both of the TID services (abdominal and cardiothoracic) as well as on the bone marrow transplant service, and will rotate on the TID outpatient clinic. The fellow will also have at least 6 months of protected time for a scholarly project. This track is ideal for fellows interested in becoming experts in treating transplant related infections, without having to complete a third year of specialized training in transplant infectious diseases.

Contact Information

 
Rima Abdel-Massih, MD

ID Fellowship Program Director
Email: 
abdelmassihr@upmc.edu

Sarah Glenn
GME Senior Manager
Phone: (412) 648-6406
E-mail:
glennse@upmc.edu

Division of Infectious Diseases
Academic Administrative Office

818 Scaife Hall
3550 Terrace Street
Pittsburgh, PA 15261
412-383-7963

Center for Care of Infectious Diseases

Falk Medical Building
3601 Fifth Avenue
Pittsburgh, PA 15213
Patient Appointments: 412-647-7228