The scope of the consultation experience is broad, with a mix of community-acquired and hospital-acquired infections. Immune suppressed hosts provide a wealth of clinical experience and include patients on the oncology wards, the transplantation programs, the intensive care units and the University's trauma center.
Both hospitals have comprehensive HIV/AIDS programs, with expert faculty devoted to the care of this patient population. There are roughly 700 HIV positive patients who receive their care at either the University or the Portland Veterans Administration Medical Center. At both sites, there is an emphasis on the multidisciplinary team approach to comprehensive care. The ID consult service coordinates inpatient care for an additional 800 patients with HIV cared for by the Multnomah County HIV Program. The Research and Education Group, a federally-funded community-based non-profit research consortium, is closely affiliated with our centers, providing a channel for clinical trial enrollment.
The inpatient activities are complemented by ambulatory infectious disease specialty clinics, with a range of patient populations (HIV/AIDS, General Infectious Diseases, Outpatient Parenteral Antimicrobial Therapy, Transplant Infectious Diseases, etc.). Fellows' clinics are ½ day per week. Clinics are staffed by multidisciplinary teams and vary in workload, with the average clinic experience for fellows consisting of 4-5 patients per session. Separate clinics for HIV infection are conducted at both institutions, with fellows typically following a panel of at least 10 HIV-seropositive patients by the end of year one of training. A weekly HIV conference series convenes prior to each clinic session, offering a didactic series/journal club and drawing on the expertise of the supervising faculty.