The clinical training program is structured around the following rotations
- Adult Infectious Diseases In-patient Consultative Services at the University of Illinois Hospital (UIH)
- Adult Infectious Diseases In-patient Consultative Services at the Jesse Brown Veteran's Hospital
- ID transplant service at UIH
There is an additional one month rotation through a Pediatric ID Service and a one month rotation in Clinical Microbiology. Teaching rounds are held Monday through Friday for the consultation services, which provide about 150-200 consultations a month. Fellows also receive training in outpatient management of Infectious Diseases, including outpatient consultations for unusual or difficult to manage infections, as well as advice for travelers. Fellows are assigned to one half day per week of a continuity clinic at one of the clinical sites for two years in order to get experience with longitudinal care of patients with chronic disorders, such as HIV infection. There is an additional half-day clinic a week in the HIV/HCV co-infection clinic while rotating through the clinical service at the Veteran's Hospital.
Virtually every aspect of modern medical care is represented in this training program. Fellows gain clinical experience in private and public institutions and gain experience in common infectious disease problems, as well as the more specialized problems of infections in bone marrow and solid organ transplant recipients. Our AIDS population is also substantial, but HIV infection in no way monopolizes the clinical activities or educational experiences of the trainees. There is a growing program for the diagnosis and care of patients with difficult-to-manage mycobacterial infections referred from across the country. Chicago is certainly not a tropical region, but imported cases of tropical disease are also seen due to the large number of immigrants and travelers for whom these hospitals provide services. Furthermore, our trainees have the option of rotating through our affiliated institutions in the Dominican Republic. We are currently working on creating a funded International Elective in the Dominican Republic with a target start date of 2007-2008.
In addition to their experience on the clinical consultative services, fellows receive clinical and didactic training in medical microbiology, immunology, and in the science and art of infection control and hospital epidemiology. In this last area we have made considerable improvements creating an Infection Control (IC) on call schedule for our senior fellows. During the time assigned to Infection Control they interact with the IC practitioner staff, participate in IC committee meetings, investigate outbreaks and review sentinel events with the attending staff.
During the second year and beyond our fellows have protected time to complete their mentored research projects.