The Infectious Diseases Fellowship at OHSU combines intensive clinical rotations with protected professional development and scholarly activity. You will also complete one or more mentored scholarly projects and follow a training pathway aligned with your career goals.

Over two years, you will: 

• Rotate through inpatient ID consultation services
• Run a weekly HIV continuity clinic
• Train in subspecialty clinics
• Complete elective experiences

Find out what to expect in each year of the fellowship: 

• Year 1 curriculum
• Year 2 curriculum

Clinical training sites

You will provide inpatient and outpatient care across three primary sites:

• OHSU Hospital: A quaternary care academic medical center
• Portland VA Medical Center: A veterans’ hospital with complex chronic infections
• Hillsboro Medical Center: A community hospital

In your second year, you can also choose elective rotations at:

• OHSU Doernbecher Children’s Hospital: Pediatric infectious diseases
• Providence Portland Medical Center: Community hospital practice
• Kaiser Permanente: Managed care infectious diseases practice
• St. Charles Health, Bend: Rural/regional infectious diseases practice

These varied settings expose you to a wide array of patient populations and practice environments.

Professional development, scholarship and pathways

All fellows dedicate at least 11 months over the two years of the fellowship to professional development and scholarly activity. Early in the first year, you are matched with one or more faculty mentors.

You will:

• Design and carry out one or more scholarly or quality improvement projects
• Receive funding to attend at least one national scientific meeting each year
• Present your work at regional or national conferences
• Receive support to submit your work for peer‑reviewed publication

You will also choose a training pathway that shapes your professional development time.

Didactics, mentorship and wellness

Throughout both years you will take part in:

• Infectious diseases grand rounds
• Case conferences and multidisciplinary discussions
• Journal clubs and topic‑based seminars
• Board review and exam preparation sessions

You will work with a primary clinical mentor, a scholarly mentor and pathway‑specific mentors, along with fellowship leadership. The program intentionally spreads inpatient rotations across two years and protects time for professional development to support wellness and work-life balance.

Research and academic collaborations

Fellows have access to collaborative opportunities with:

• Department of Molecular Microbiology and Immunology
• Vaccine and Gene Therapy Institute
• OHSU-PSU School of Public Health
• Center for Infectious Disease Studies
• Oregon Health Authority
• Multnomah County Health Department
• Human Investigations Program

Conferences and educational opportunities

Fellows participate in a robust educational curriculum, including: 

• Academic half day (Thursdays, 3-5 p.m.): Protected time for interactive learning covering general ID, immunocompromised host ID, HIV medicine, antimicrobial stewardship, and quality improvement
• Board review preparation (Wednesdays, 8 a.m.): Facilitated question review with program leadership covering ID board content and test-taking strategies
• General ID case conference (Wednesdays, 8:15 a.m.): Presentations and discussions challenging active cases with faculty and fellows
• Transplant ID case conference (Mondays, 1 p.m., optional): Reviewing complex transplant ID cases
• Portland citywide ID conference (Thursdays at noon): Case-based conference rotating among Portland metropolitan area clinical sites
• Journal club (2nd Wednesday monthly, 12:30 p.m.): Fellow-led critical review of key and practice-changing ID literature
• Faculty seminar (4th Wednesday monthly, 12:30 p.m.): Presentations highlighting faculty scholarly work
• Medicine grand rounds (Tuesdays, 8 a.m., optional): Department-wide academic presentations

Micro Month (July)

Your fellowship begins with Micro Month, a four‑week immersion in bench and molecular microbiology before clinical rotations start in August. During Micro Month, you will:

• Work in the microbiology laboratory to understand how cultures, susceptibilities and molecular tests are performed
• Learn how to interpret microbiology results for clinical decision making
• Attend teaching sessions led by infectious diseases and microbiology faculty
• Review core infectious diseases concepts and common clinical scenarios
• Start weekly HIV continuity clinic
• Do one weekend on service to ease you in before you start a full consult service in August

This foundation supports your work on the consult services.

Inpatient consultation (7 months)

You will complete five months on the general ID consult service and two months on the transplant ID consult service in your first year.

General ID consult service

On general ID, you will:

• Perform 3–6 new consults daily
• Manage a census of 10–18 patients per team
• Work with ID faculty, pharmacists and internal medicine and pharmacy learners
• Lead or co‑lead interdisciplinary rounds
• Make diagnostic and therapeutic recommendations for complex infections
• Coordinate with the OPAT team for patients needing prolonged IV antibiotics

You will learn to manage patients across all divisions and departments and gain experience with: 

• Endovascular infections
• Bone and joint infections
• Fever in travelers
• Complex surgical infections

Transplant ID consult service

On transplant ID, you will:

• Perform 2–5 new consults daily
• Manage a census of 10–15 patients
• Work directly with transplant ID faculty
• Care for solid organ and hematopoietic stem cell transplant recipients
• Address opportunistic infections and post‑transplant complications
• Participate in weekly transplant ID conferences and infection control meetings

You will learn to manage immunosuppressed patients, drug interactions and complex diagnostic questions unique to transplant medicine.

OPAT collaboration

Across services, you will work closely with the Outpatient Parenteral Antibiotic Therapy program to:

• Identify patients appropriate for OPAT
• Plan safe discharges and follow‑up
• Monitor patients transitioning back to home or skilled care

Outpatient HIV continuity clinic

Throughout the two years of fellowship, you will attend a weekly HIV continuity clinic. In this clinic, you will:

• Serve as primary care provider for a panel of patients living with HIV
• Prescribe and monitor antiretroviral therapy
• Provide preventive care and opportunistic infection prophylaxis
• Manage general infectious diseases issues in your panel
• Follow OPAT patients after discharge

Most fellows have their continuity clinic at the Portland VA Medical Center. Fellows in the HIV medicine pathway have continuity clinic at the OHSU HIV clinic.

Professional development blocks (4 months)

You will have four months of professional development time in your first year. These blocks are spread across the year and allow you to:

• Explore potential training pathways
• Work with mentors to design scholarly projects
• Participate in infection prevention and control and antibiotic stewardship activities
• Begin quality improvement or education projects
• Attend divisional conferences, journal clubs and educational sessions

• July: Micro Month
• August: General ID
• September: General ID
• October: Professional development, infection prevention and control
• November: Professional development, infection prevention and control
• December: General ID
• January: General ID
• February: Transplant ID
• March: Professional development, infection prevention and control
• April: Transplant ID
• May: General ID
• June: Professional development, infection prevention and control

Inpatient consultation

In your second year, you will return to the general ID and transplant ID consult services with greater autonomy. You will:

• Lead consultations with attending supervision
• Mentor residents and students on the team
• Take on more complex diagnostic and management decisions

Subspecialty clinics

You will spend time in several subspecialty clinics:

• Transplant ID clinic: Longitudinal post‑transplant care and prevention strategies
• Mycobacterial diseases clinic: Diagnosis and management of tuberculosis and nontuberculous mycobacterial infections, with county TB program collaboration
• STI clinic: Care at the Oregon Health Authority’s Multnomah County clinic, with emphasis on public health approaches, partner notification and surveillance

Continuity clinic and professional development

Your HIV continuity clinic continues in the second year. The remainder of your time is devoted to professional development activities within your chosen training pathway.

Medical education pathway: For fellows interested in academic careers focused on teaching and curriculum.

You will:

• Complete OHSU’s Education Scholars Program
• Attend Educators’ Collaborative Education Grand Rounds
• Participate in the OHSU Symposium on Education Excellence
• Lead medical student small groups and simulation sessions
• Direct journal clubs and teach antibiotic stewardship in medical student courses
• Conduct mentored education scholarship with ID Division education faculty

Transplant and immunocompromised host ID pathway: For fellows pursuing careers in transplant infectious diseases.

You will:

• Spend additional time on transplant ID inpatient service and clinic
• Attend weekly transplant ID clinical conferences and infection control meetings
• Participate in transplant‑related scholarship and quality improvement
• Use professional development time for transplant‑focused projects
• Have the option of a third year of advanced transplant ID training supported by the Division of Infectious Diseases

Mycobacterial diseases pathway: For fellows focusing on TB and nontuberculous mycobacterial infections.

You will:

• Spend additional time in the regional mycobacterial referral clinic
• Participate in mycobacterial disease-focused didactics
• Join active clinical trials and research efforts
• Work with the OHSU-PSU School of Public Health’s Center for Infectious Diseases Studies
• Comanage active TB cases with county TB programs

Clinical ID practice pathway: For fellows planning primarily clinical ID careers in community, managed care or health system settings.

You will:

• Focus professional development time on clinical and systems‑based practice
• Lead or participate in quality improvement projects
• Join division and health system working groups
• Complete two elective rotations instead of one to broaden your clinical experience
• Prepare to lead antibiotic stewardship, infection prevention and OPAT programs

Basic science pathway: For fellows pursuing research‑intensive academic careers.

You will:

• Be matched early with a basic science mentor
• Have protected professional development time for research
• Join an active lab or research group
• Develop a portfolio suitable for future grant applications
• Extend training with a third year or more of funded research

Year 2 sample schedule

• July: General ID
• August: Professional Development Block
• September: Professional Development Block
• October: Professional Development Block
• November: Transplant ID
• December: Professional Development Block
• January: Professional Development Block
• February: General ID
• March: Professional Development Block
• April: Professional Development Block
• May: General ID
• June: Professional Development Block