Each fellow spends approximately eight months in the first year and four to six months in the second year on the Consult service. Under the supervision of an attending physician, the Consult team is involved in the care of patients from a variety of specialty and subspecialty services. Consults offer the clinical experience to understand and manage common and uncommon infectious disease problems in medical, surgical and immunocompromised patient populations.
Fellows see an average of 400 consults/year in the inpatient setting, which include the following:
Fellows are responsible for seeing their own outpatient HIV+ patients one day per week as well as new infectious disease referrals. Support staff includes a clinic nurse, social worker, and dedicated pharmacist. Fellow's Clinics consist of a 1st year and 2nd year Clinic. Attending physicians are assigned to each clinic on a rotating basis.
A weekly conference devoted to reviewing gram stains of various body fluids associated with interesting cases of the week. This is a chance to combine clinical history with microbiologic inspection and laboratory diagnosis.
Fellows act as preceptors for a variety of medical student courses, including Introduction to Clinical Medicine, Physician Development III, Clinical Analysis and Problem Solving, and Infectious Disease related small group tutorials. In addition, fellows make education a daily priority for medical students who rotate on the consult service.
Each fellow spends a one-month rotation observing the various workstations (general, blood, respiratory, urine, virology, mycology, and mycobacteriology) within the Microbiology Lab. This experience expands understanding of the process required in the identification of positive cultures and susceptibility testing.
Each first year fellow spends one month at the Columbus Public Health. There are twoomponents to the Public Health Rotation. The Sexual Health Clinic experience involves learning the examination techniques and tests involved in the diagnosis of the most common sexually transmitted diseases. Each patient interaction offers a distinctive opportunity for treatment intervention and patient education. The Tuberculosis Clinic rotation provides ID fellows with advanced level training in the diagnosis and management of latent tuberculosis infection and active tuberculosis.