Medical Microbiology Fellowship

This one-year Medical Microbiology Fellowship Program accredited by the ACGME is designed to prepare a pathologist, infectious diseases physician, or other qualified physicians for a career in the subspecialty of clinical microbiology.

Experience will be gained by clinical rotations in the microbiology laboratories of Parkland Health and Hospital System, UT Southwestern University Hospitals, Children’s Medical Center and Dallas County Health and Human Services. There will also be rotations on infection control, and interactions with the Division of Infectious Disease at UT Southwestern.

The Fellowship Program would also prepare the participant for the certification examination in the subspecialty of Medical Microbiology administered by the American Board of Pathology. 

Requirements

Physicians must have an M.D. or D.O. degree (or equivalent, e.g., M.B.ChB.), and have successfully completed an accredited pathology residency program or fellowship in adult or pediatric infectious diseases. Physicians must be eligible for a Texas Institutional Permit.

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Educational Goals

The program is designed to provide extensive, outstanding training in medical microbiology to prepare the applicant to practice as a subspecialty expert in all aspects of medical microbiology pathology.

Fellow Responsibilities

  • Patient care: Under the direct supervision of the Medical Microbiology Faculty, the Fellow, in a graduated fashion, is responsible for
    • All medical microbiology related issues at Parkland, St Paul and Zale Lipshy University Hospitals, Children’s Medical Center and the Ambulatory Clinics associated with each facility. The Fellow will be responsible for all requests for bacteriological and virological interpretation, both in-patient and out-patient. Fellow will have ample hands-on experience from performing lab techniques to generating the final report.
    • Clinical Rounds on these patients along with residents/medical students and attending faculty.
    • The fellow works closely with and serves as a formal or informal consultant to the various clinical services in the departments of the affiliated institutions.
  • Academic aspects: Fellow works with the Infectious Diseases fellows and staff and presents interesting laboratory findings at weekly Infectious Diseases meetings. Fellow presents case discussions at Clinical Pathology Rounds approximately once per quarter. Fellow also serves as a consultant to and teacher of pathology residents and medical students who rotate on the medical microbiology service during the year.
    • Fellow attends all infection control and epidemiology meetings and is involved in the assessment and monitoring of resistant strains of organisms, or any unusual or unexpected increases in certain infections.
    • Fellow is encouraged to participate in research projects of a clinical nature leading to the presentation of data at local, regional or national pathology, microbiology or infectious diseases meetings. Ideally the data from research projects will lead to publications in peer reviewed journals.
    • Possesses the skills and desire to effectively impart this knowledge in a teaching and presentation related environment.

 

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Computer Resources

Fellows participate in data acquisition, storage, and retrieval (Medical Informatics) in accordance with HIPAA, including the routine use of the hospital information system (HIS) database of patient demographics, laboratory information system (LIS) databases of patients’ clinical and anatomic pathology test results, and interhospital online access computer information system (OACIS and EPIC) containing an electronic medical record of all patients registered at any of the medical treatment facilities that constitute UT Southwestern Medical Center.

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Rotations

The fellow rotates through the various laboratory areas with ample hands-on experience to triage specimen adequacy, properly set up cultures, workup isolates to the degree necessary based on specimen source, set up appropriate antimicrobial susceptibility studies, understand principles of biochemical (and/or other) identification tests, troubleshoot equipment, perform appropriate quality control procedures. Also learn how to plan for and set up a laboratory and/or make changes in an existing laboratory.

  • The fellow's experience and responsibilities in the mycology, mycobacteriology, and parasitology laboratories include the following:
    • Understand morphologic characteristics for identification
    • Media needed for isolation and identification
    • Various staining techniques used for detection and identification
    • Immunological and nucleic acid techniques for identification
    • Guide clinicians in the proper utilization of the lab.
  • The fellow's experience and responsibilities in virology include the following:
    • Gain a working knowledge of cell culture, serologic and molecular techniques
    • Know the typical CPE for important viruses
    • Guide clinicians in the proper utilization of the lab.

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Conferences

Name of ConferenceFrequencyGroup Responsible
Infectious Disease Didactic Conference Weekly Infectious Disease
Clinical Pathology Rounds Weekly Clinical Pathology
Citywide Infectious Disease Conference Bi-Monthly Infectious Disease
Medical Microbiology Lab rounds and sign-out Daily Medical Microbiology faculty
Clinical Pathology Lecture Series Various Clinical Pathology faculty
Infectious Disease Fellows Core Lecture Series Weekly Infectious Disease faculty and invited guests
Infectious Disease Visiting Lectures 6x/year Invited guest lecturers
Infectious Disease Clinical Conference Weekly Infectious Disease faculty
Plate Rounds with Infectious Disease personnel Weekly Clinical Microbiology faculty
Teleconferences of ASM, ASCP, etc. Periodic Laboratory staff

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