OHSU Hospital and the Portland VA Medical Center have a combined total of more than 700 beds and serve a diverse patient population from a broad geographic catchment area in the Pacific Northwest. The ID Division operates three inpatient consult teams – General ID Team A, General ID Team B and Transplant ID. The General ID teams are staffed by ID faculty, a fellow, medical resident(s) & student(s) and follow a census of roughly 10-12 patients, with an average of 3 to 5 new consultations per day. The Transplant ID team is typically staffed by Transplant ID faculty & a fellow and follows a census of roughly 10 patients, with an average of 2 new consultations per day. The scope of consultation is broad, with a mix of community-acquired and healthcare-associated infections, immunocompromised host/cancer infection, complicated surgical/implant & trauma and obstetric ID cases. Both hospitals have comprehensive HIV/AIDS programs. There are roughly 1,400 HIV-positive patients who receive their care at either OHSU or the Portland VA Medical Center. Additionally, the ID consult service coordinates inpatient care for a large number of patients with HIV cared for by the Multnomah County HIV Program. Elective inpatient consult rotations in year two at Doernbecher Children's Hospital, Providence Portland Medical Center and Kaiser Permanente provide exposure to infectious diseases in the pediatric population and the community practice setting, respectively.
Sample Schedule, Yr 1
*Microbiology is a key of the foundations of infectious diseases. To ensure our fellows have thorough and clear working knowledge of bench and molecular microbiology, our first-year fellows spend the first month of fellowship on focused microbiology education. This experience includes a practical experience in the laboratory accompanied by a series of learning sessions with core infectious diseases and microbiology teaching faculty.
Sample Schedule, Yr 2
The inpatient activities are complemented by a diversity of ambulatory ID specialty clinic experiences. There is a dedicated fellows' clinic at both sites, allowing fellows to play an instrumental role in new consultation, follow-up and longitudinal outpatient care. Under the clinical mentorship of ID faculty, our fellows act as the primary care provider for a cohort of HIV-positive patients in a longitudinal outpatient clinic (one-half day per week). The outpatient clinic experience also includes care of General ID patients and patients receiving OPAT. In the second year of training, additional subspecialty clinic rotations under the close guidance of faculty with relevant expertise allow our fellows to participate in the outpatient care of Transplant ID patients, patient with NTM infection and patients with hepatitis C virus infection.
Conferences and other educational opportunities
View the monthly ID conference schedule here.
The weekly Monday noon conference includes a comprehensive core lecture series that incorporates principles of active learning, guest speakers, basic science topics, infection control experiential exercises, and other learning activities. "Bench rounds" occurs every other week throughout the year at the Portland VA Medical Center microbiology laboratory, drawing on the rich clinical caseload and the expertise of our faculty.
Transplant ID and General ID case conferences are clinically-oriented, spirited conferences that allow our fellows and faculty the opportunity to share challenging and interesting cases.
Journal club is held monthly and led by two fellows, with an emphasis on critical review of the literature and presentation of key ID papers.
Citywide conference is a case-based conference that is hosted at rotating sites on a weekly basis. Cases and short discussions are presented, with lively participation from colleagues throughout the Portland metropolitan area.
The pre-clinic HIV conference is a weekly didactic series that comprehensively covers important HIV topics.
Our ID Pharmacist, Jim Lewis, leads a wildly popular 12-session Antimicrobial Tutorial Series each year. This series is a high-impact, practical and fun interactive review of the major antimicrobial drugs and classes.
Our fellows participate in an Antimicrobial Stewardship Curriculum consisting of one week of didactic and small group learnings from our stewardship faculty and ID Pharmacists, followed by a week of mentored practical experience in antimicrobial stewardship.