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Infectious Diseases Fellowship Columbia - Infectious Diseases/Critical Care Medicine Track

Fostering academic clinicians

Our goal is to train a diverse group of fellows to become academic clinicians in infectious diseases (ID) and critical care medicine (CCM), by fostering a life-long commitment to clinical care, education, leadership and scholarly pursuits.

By the end of the second year of the program, all fellows will be able to provide ID consultative care to a diverse group of patients regardless of gender, race, age or socioeconomic status in both the inpatient and outpatient settings.

Goals include understanding disease pathophysiology, prevention, epidemiology, pharmacology, and the moral and ethical aspects of medicine as they relate to the infectious diseases.

At the end of the third year of the program, all fellows will be able to provide care of the critically ill patient in different settings (MICU, CCU, CVICU, NSICU, and STICU). A key goal is diagnostic accuracy, appropriate utilization of radiographic and laboratory testing, and appropriate cost-effective therapy. 

Curriculum description

The curriculum consists of six major components:

  1. Inpatient Infectious Disease Consult Services.
  2. Critical Care Medicine blocks (ICU).
  3. Ambulatory Infectious Disease Clinics.
  4. Series (ID/CCM Didactic and Case Conference).
  5. Research and Scholarly Activities.
  6. Specialty Rotations (Pediatric Infectious Disease, Microbiology, Antimicrobial Stewardship, Transplant Infectious Disease/CCM, Travel medicine, Pulmonary, POCUS, Anesthesia and Public Health).

Description of rotations

  1. Inpatient ID consult services:
    • Training occurs at two sites, Columbia VA and PHR, inpatient consult service.
    • 10–12 months over the 3 years.
    • A minimum of 250 consults.
    • To promote autonomy over the course of fellowship through training, mentoring, and clinical experience.
  2. ICU rotations:
    • ​​Devoted to the care of the critically ill patients include medical, neurosurgical, cardiac ICU, Cardiovascular surgery, surgical and trauma in a multidisciplinary environment.
    • Two sites, Columbia VA and PHR.
    • Four 2-week blocks of CCM during first and second years each. The third year is primarily spent in CCM.
    • Goal: In addition to autonomous practice in the CCM setting, fellows will develop their teaching and leadership skills through presentations, conferences and mentorship.​
  3. Ambulatory infectious disease clinic: 
    • 1–2 half day sessions per week in the combined on-site Ryan White HIV and infectious disease clinic
      • Will see an average of 4–8 patients per clinic.
      • Throughout the ambulatory experience fellows will follow a minimum of 25 HIV patients.
      • Patient mix will be diverse with a variety of ID problems (complex surgical and orthopedic infections, OPAT, HIV prevention, STI, Hepatitis C, tropical/travel medicine, and zoonosis to general infectious diseases) and LGBTQIA+ care.
    • Interdisciplinary care team consisting of mental health, case management and ID pharmacist.
    • Goal: To promote fellows’ progression towards autonomous outpatient practice through training, mentoring, and clinical experience in general ambulatory infectious disease/OPAT.
  4. Conference series (didactic and case conference):​
    • ID conferences on Wednesday and Friday, 8–9 a.m.
    • ID board review on Monday, 8–9 a.m.
    • CCM conferences on Tuesday, Wednesday and Thursday at noon.
    • Attendance:
      • On ID consults the fellow will attend ID core conferences; CCM core conference attendance strongly encouraged.
      • On CCM blocks, the fellow will attend CCM core conferences; ID core conference attendance strongly encouraged.
      • While on research and elective blocks, the fellow is required to attend both CCM and ID core conferences.
    • Please refer to the general ID conference page »
  5. ​Research and scholarly activities:
    • ​​Fellows are expected to participate in 1 research and 1 quality improvement project.
    • The main research project can be a shared ID/CCM topic.
    • Demonstration of scholarly activity either through publications in a peer reviewed journal or presentation at a regional or national meeting is required.
    • Goal: To advance the fellow’s knowledge of the basic principles of research through the monthly Research Lecture Series, Journal Club and research mentoring. 
  6. Specialty rotations
    • Each fellow is expected to complete a one-month rotation in:
      • Additional electives and training can be arranged based on the fellow’s interest: public health, hyperbaric oxygen treatment, burns, transplant CCM, travel medicine, international rotations and M. Tuberculosis training.
      • 2 weeks anesthesia (year one).
      • 2–4 weeks antimicrobial stewardship (year one or two) and infection prevention.
      • Transplant infectious disease (year two).
      • Pediatric infectious disease (year one) and microbiology (year one).

Block schedule

Combined training in ID/CCM is 3 years in length. Fellows will be eligible for ABIM certification in both disciplines.

  • 10 clinical months of inpatient ID (Y1= PH3,VA2; Y2= PH2,VA2; Y3=PH1); the other 2 months will be transplant/peds/ASP ( A total of 24 months in ID).
  • 12 clinical months of CCM.