The fellowship program in the Division of Infectious Diseases is designed to provide the fellow with a comprehensive experience in clinical care of infectious diseases. Teaching medical students and residents is an integral part of the fellowship, as is fellow participation in regular conferences. Fellows attend Medical Grand Rounds and other Department of Medicine major conferences. The Infectious Disease Division has a close relationship with the routine and special diagnostic microbiology laboratories at the VA Medical Center, resulting in opportunities for specialized training.
Several conferences and courses are held as a regular part of the training program:
City-Wide Infectious Disease Conference
A weekly conference attended by 30 to 40 adult and pediatric infectious disease specialists, epidemiologists, and clinical microbiologists from around the Portland metropolitan area, which rotates between the University, VA, and four affiliated teaching hospitals. A case presentation discussion style of teaching is effectively used as the basis for these fascinating conferences.
Microbiology Bench Rounds
Bench rounds are held monthly at the VA microbiology laboratory, drawing on the rich clinical caseload and the expertise of our faculty, a number of whom have additional training in microbiology. The first month of the fellowship is spent in an educationally intense clinical microbiology block.
Monday Didactic Conference Series/Journal Club
Each Monday, from 12pm to 1pm, a conference topic is presented by either ID Division faculty, a faculty member in a related/relevant discipline from OHSU, a visiting lecturer, or a fellow. The topics areas include but are not limited to clinical teaching, basic science presentations, and epidemiology. The first Monday of each month is reserved for Journal Club, with an emphasis on critical review of the literature, along with presentation of key ID papers.
Core Lecture Series
A 2-day core lecture series is provided early in training to our first year fellows. Important foundations in infectious diseases are covered in a didactic/case-based learning format, with hopes of providing a firm foundation for growth and development.
Each Friday, from 8am to 8:45M, a topic in HIV is presented as part of a pre-clinic conference. HIV Journal Club is incorporated in this conference, held the first Friday of each month.
Wednesday Morning Case Conference
One of our most popular conferences, the Wednesday morning Case Conference (8am to 8:30am each Wednesday) is a forum for informal and spirited discussion of challenging cases on the active consult service.
During the first few months of training, one-on-one fellow/faculty tutorials on anti-infective therapy are held in 15 one-hour sessions. The format is directed reading and discussion, with an emphasis on anti-infective mechanisms of action and spectrum of activity.
Infection Control/Quality Assurance
Infection control and quality assurance are an essential aspect of the specialty of infectious diseases. The Division provides funding for each fellow to complete the Infectious Diseases Society of America/Society of Healthcare Epidemiology of America 20-hour web-based module on key infection control principles. Fellows participate in each hospital's infection control activities, receiving practical experience to supplement didactic sessions in infection control and hospital epidemiology.
Quality improvement is emphasized and incorporated in the conferences and by way of the clinical service. A bimonthly peer review case-based conference provides a forum for division-wide discussion of systems approaches to quality improvement.
Fellows are encouraged to attend the annual meeting of the Infectious Diseases Society of America, or another national meeting (eg., the Interscience Conference on Antimicrobial Agents and Chemotherapy). Funding support for conference attendance is provided by the Division.