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Rotations and Objectives

Our facilities comprise two main hospitals, Palmetto Health Richland, one of the largest, and busiest hospitals in the area, and the William Jennings Bryan Dorn Veterans Hospital, our largest veterans hospital in the area. In both hospitals, inpatient consultations will be performed under the supervision of the attending physician with the total time of inpatient consultations during the two-year Fellowship comprising at least one year.

Educational Purpose and Goals

The purpose of this rotation is to allow the fellow to develop an in depth understanding of the pathophysiology of infectious diseases problems in hospitalized patients, skill as a consultant, and to independently diagnose and manage inpatients with a broad range of infectious diseases problems over the course of the program.

At the end of the program all fellows will be able to provide Infectious Diseases related care to patients with fever, upper respiratory, pleuropulmonary, and bronchial infections, urinary tract infections, peritonitis and other intra abdominal infections, cardiovascular infections, central nervous system infections, skin and soft tissue infections, prosthetic device infections, infections related to trauma and bites, gastrointestinal infections, bone and joint infections, infections of the reproductive organs, viral hepatitis, sepsis syndromes, nosocomial infections, HIV related opportunistic infections, infections in immunocompromised or neutropenic patients, infections in patients with leukemia or lymphoma, infections in geriatric patients, and infections in parenteral drug abusers. A key goal is diagnostic accuracy, appropriate utilization of radiographic and laboratory testing, and appropriate cost effective therapy. Additional goals include understanding disease pathophysiology, prevention, epidemiology, pharmacology, and the moral and ethical aspects of medicine as they relate to the infectious diseases inpatients.

In the outpatient setting we have two main clinics, the first one is the Midlands Care Consortium Clinic, our main Ryan White clinic, with more than 1200 patients currently enrolled. With about 25 new patients every month, it is the largest HIV clinic in the region, and is staffed by the Ryan White administration with social services, compliance clinic, mental health and substance abuse on-site. It also has a dedicated pregnancy and HIV clinic and serves a diverse community, with a diverse ethnic and social background. The fellows are expected to build up their own patient list over the time, facilitating patient follow-up and rapport.

The purpose of this rotation is to allow the fellow to develop an in depth understanding of the basic and clinical science aspects of HIV disease and chronic hepatitis, and understand appropriate therapeutics, prevention, epidemiology, humanistic, moral and ethical aspects of these diseases.

A private fellow’s clinic is also available, where you will be able to follow-up patients that you saw as an inpatient consultation in the hospitals, as well as having referrals from physicians in the community.

The purpose of this rotation is to allow the fellow to develop an in depth understanding of the basic and clinical science aspects of ambulatory infectious diseases, therapeutics, prevention, epidemiology, humanistic, moral and ethical aspects of medicine as they relate to the infectious diseases outpatient, skill as a consultant, and to independently diagnose and manage outpatients with a broad range of ambulatory infectious diseases problems over the course of the program.

All the above activities will be closely monitored by an attending physician, and during your Fellowship you will be expected to have at least one project of clinical performance improvement, as well as, one presentation at a national meeting, or a published research.

Don't worry, if it sounds overwhelming, remember that you will be mentored every step of the way, early in the course of your Fellowship you will choose a personal Mentor, that will serve as an advisor and guide throughout your Fellowship. Moreover, the program director and assistance program director will be available at all times, for any questions or concerns regarding the Fellowship.

At the end, I have no doubt our Fellowship will offer you an incredible personal and professional growth opportunity together with close attention to your educational and personal needs.

Another overall objective of the Fellowship is to groom a professional both competent and compassionate, comfortable working in a diverse environment, both in clinical practice, and research.

ID Fellowship First Year Rotation Schedule

First Year
3 months Palmetto Health Richland Hospital
3 months Dorn VA Medical Center
2 months Fellows' Clinic
2 months HIV Clinic with emphasis on Research
1 month Elective and clinic
1 month Microbiology