Fellows provide care for a variety of inpatients on the pediatric infectious diseases consultation service. Inpatient rotations are primarily at the American Family Children’s Hospital, with some consultation services also provided to nearby community hospitals. In concert with the philosophy of graduated responsibility with increasing experience, first-year fellows engage in consultation services and provide supervision of patient care by the pediatric residents, with close supervision by the attending faculty. In the second year of training, the fellow takes a more primary role in supervision of patient care during times on service. The attending physician is involved daily in decision making and is available for ongoing supervision and input. In the third year of training, the fellow generally assumes responsibility for the management of inpatients, and consults with the attending faculty on complex cases.
The fellow is expected to take primary responsibility for the care of patients whom he or she sees during inpatient consultations in the outpatient clinic, as well as seeing new outpatient consults. Given that there are limited patients who are followed by the pediatric infectious diseases service for chronic diseases, developing a longitudinal relationship with a selected group of patients and families is a critical part of training. As with inpatient experiences, a philosophy of graduated responsibility is followed.
In the first year of fellowship, the fellow explores areas of research or scholarly interest that would be of interest. The fellow then commits to an individualized project and there is substantial protected time in the second and third years for the fellow to complete the their project. Potential research projects are available both within the pediatric infectious diseases division and in collaboration with other divisions. Current research topics within our division are:
- Molecular Pathogenesis of blastomycosis
- Defending against systemic mycoses
- Regulation of vaccine anti-fungal TH17 cells
- Antimicrobial therapy for acute bacterial sinusitis in children
- Clinical features of human meta pneumovirus (hMPV) infection of the lower respiratory tract in children at high risk for severe disease
- Prophylactic antimicrobials in children with vesicoureteral reflux
- Surveillance for rates of pertussis disease
- Outcomes and risk factors of RSV infection among premature infants
- Discovery of natural product-based drugs from bacterial symbionts of insects
- Vaccine clinical trials
Pediatric Infectious Disease fellows enhance the teaching program of the department by their interactions with medical students and residents on the wards, in conferences and in the clinics. The fellows present lectures within the pediatrics and infectious diseases conference schedules, and they are invited to present lectures to other divisions. A pediatric grand rounds presentation is required in the third year of fellowship.