Inpatient Consult Rotations
The goal of these rotations is for Infectious Disease fellows to gain experience in the diagnosis and management of infectious diseases that occur in normal and immunocompromised patients who are admitted to the hospital.
Training takes place in the UT Southwestern Medical Center-affiliated facilities listed below, which together expose the fellows to a wide variety of patient populations and infectious pathologies.
Fellows learn the appropriate and cost-effective use of antimicrobials and biologics, principles of infection control strategies for the management and prevention of nosocomial infections, and principles of diagnosis and management of a wide spectrum of infectious diseases in hospitalized patients. They become familiar with inpatient management of HIV-infected and other immunocompromised patients. Consult teams include medicine residents, clinical pharmacists, Infectious Disease attendings and fellows, and fourth-year medical students.
- Parkland Memorial Hospital – This hospital serves a large number of indigent patients and provides fellows with training in a wide variety of infectious diseases, including parasitic infections in immigrant populations, tuberculosis, fungal infections, AIDS, post-surgical infections, gynecologic infections, and infections in neutropenic hosts.
- Dallas Veterans Affairs Medical Center – At the VA Medical Center, fellows learn how to diagnose and manage infections in patients with acute and chronic illnesses, including HIV infection, fungal infections, post-surgical infections, urinary tract infections, and orthopaedic infections.
- Zale Lipshy University Hospital – This hospital primarily admits private, insured patients. This service is combined with the Parkland consult service.
Outpatient Clinical Training
The Amelia Court HIV Continuity Clinic – This clinic allows fellows the opportunity to care for HIV-infected outpatients by actively managing the care of 50-60 patients over the duration of their fellowship. They gain experience working within a multidisciplinary team at the Amelia Court Clinic to develop management plans, follow-up on data, respond to patients' questions, and provide continuity of care when their patients are admitted to the hospital.
Parkland Infectious Diseases Clinic
This clinic provides experience caring for patients with complex non-HIV infectious diseases in an outpatient setting. Fellows provide follow-up care of previously hospitalized patients with infectious diseases and see outpatient consultations and referrals.
Dallas Veterans Administration Clinic
While assigned to the inpatient Infectious Disease rotation at the VA Medical Center, the fellows will also participate in outpatient care. Here the fellows gain experience in managing immunocompetent and HIV-infected patients in a chronic care facility. Chronic complications of HIV are more prominent here than at Amelia Court Clinic, including metabolic abnormalities and chronic liver disease. This Clinic therefore complements the Amelia Court experience. Fellows will also manage general infectious disease referrals and follow-up of patients discharged from the hospital.
The goal of elective rotations is to obtain experience with infections in hosts not commonly seen on other rotations, for example, pediatric infectious disease at Children's Medical Center, bone marrow transplant, and solid organ transplant.
Electives also allow fellows to explore areas of interest in clinical or basic research such as infection control and epidemiology, molecular virology, the AIDS Clinical Trial Unit, and laboratories conducting basic science research in parasitology, virology, bacteriology, or immunology.
Teaching and feedback are provided by the Infectious Disease faculty member who supervises the elective rotation.