Pediatrics

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Pediatric Infectious Diseases Fellowship Program

The Pediatric Infectious Diseases and Global Health Fellowship is a three-year program for physicians interested in a career in academic pediatric infectious disease. Training includes approximately one year of clinical training and two years of research. The educational program covers diverse topics relevant to infectious diseases including microbiology, immunology, epidemiology, clinical pharmacology, infection prevention and antimicrobial stewardship. A strong emphasis is placed on education during clinical rotations, with fellows participating in the educational program for residents and students. Research opportunities exist with faculty in The Ryan White Center for Pediatric Infectious Disease and Global Health, Herman B Wells Center for Pediatric Research, and the departments of Medicine and Microbiology and Immunology at IU School of Medicine.

This fellowship at IU School of Medicine is committed to training leaders in global pediatric infectious disease research. The fellowship offers outstanding clinical training and exposure to a wide variety of clinical infectious diseases and research opportunities in on of the nation’s leading research programs in pediatric global infectious disease. Up to two fellows are accepted into the program each year.

Curriculum

The fellowship curriculum is structured to give trainees a solid foundation of knowledge in clinical pediatric infectious disease and maximize scholarly productivity to prepare the fellow for a career in academic medicine. Fellows spend the majority of the first year learning clinical infectious disease with much of the second and third years devoted to research.

Clinical Experience

The infectious diseases clinical service at Riley Hospital for Children provides care for children with a broad range of infectious diseases in both inpatient and outpatient settings. The Ryan White Center for Pediatric Infectious Disease and Global Health sees an average of 3600 patients annually at Riley Hospital, including approximately 2400 inpatient visits.

FIRST YEAR BLOCK

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SECOND YEAR BLOCK

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THIRD YEAR BLOCK

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14
Number of clinical months
19
Number of research months
3
Number of vacation months

Fellows are first call for all inpatients at Riley Hospital each weekday from 7 am to 5 pm. There are two nights of overnight call per week and one weekend call per month. Overnight call is 5 pm to 7 am and may be done from home.

The bulk of the clinical experience in fellowship is the inpatient rotations. The fellow is the leader of a large team of residents and students. The team provides care to both a primary pediatric infectious disease service as well as a consultation service. Patients with suspected and known infections are seen on general pediatric wards, subspecialty wards, the emergency department, and the pediatric and neonatal ICUs. Patients are admitted from the Riley Emergency Department or transferred from external facilities. While on the inpatient rotation, the fellow runs the service and provides education to the learners in the form of bedside teaching and formal didactics.

(Thursday afternoons, weekly) Fellows run a weekly half- day clinic where they see new referrals and hospital follow-ups. Every effort is made to allow the fellows to see a diverse set of diagnoses throughout their training. Student and resident learners often rotate in the clinic, and the fellows provide bedside and formal teaching.

(Tuesday mornings, monthly) Fellows spend one half day per month in HIV clinic where they accrue a panel of HIV patients to whom they provide longitudinal care. Didactic sessions on HIV topics are given by faculty members at each session.

(Wednesday mornings, monthly) In the first year of fellowship, fellows spend one half day per month in immunology clinic at Riley Hospital. The focus is on the evaluation of the child with suspected primary immunodeficiency. The fellow works directly with the immunology attending and extensive teaching is provided.

Education Conferences

(Tuesdays, 12:00 – 1:00 pm) This is the section’s main weekly meeting. A diversity of topics is presented, including teaching cases, literature reviews, and research works in progress. Journal club and morbidity and mortality presentations are incorporated in this conference. Fellows and faculty participate in this conference.

(Tuesdays, 4:00 – 5:00 pm) Infectious Disease fellows from IU School of Medicine internal medicine fellowship program present interesting clinical cases with short didactics. Pediatric Infectious Disease fellows present at this conference twice yearly.

(Thursdays, 12:00 – 1:00 pm) This is the weekly case conference. On “Treat Yourself Thursdays,” food trucks from Indianapolis come to Riley Hospital and donate a portion of their proceeds to the Riley Children’s Foundation. Fellows and faculty can grab lunch and present interesting and challenging cases to each other. The focus of the meeting is for fellows to develop detailed differential diagnoses and management plans.

(Fridays, 12:00 – 1:00 pm) Faculty and fellows lead these review sessions of selected chapters from Principles and Practice of Pediatric Infectious Diseases, 4th edition (Long, Pickering, & Prober). Key principles from each chapter are highlighted with a specific focus on board exam objectives. Faculty and fellows share cases relevant to the chapter being discussed and incorporate additional educational material when applicable, including sample test questions for board review. The entirety of the textbook will be reviewed every three years.

(Wednesdays, 8:00 – 9:00 am) This conference incorporates a wide range of topics in pediatrics. Experts from institutions throughout the country are invited to present the latest in pediatric research, education and clinical care.

(Daily Except Wednesdays, 12:00 – 1:15 pm) Resident teams rotate presenting cases, followed by didactic sessions given by fellows and faculty. The Infectious Disease fellows are expected to present at this conference at least twice yearly.

(Thursdays, 12:00 -1:00 pm) Presentations from global leaders in their fields on a variety of pediatric research topics.

(Tuesdays, 11:00 am -12:00 pm; Thursdays, 9:00 – 10:00 am) These conferences are led by faculty in clinical pathology and provide case-based examples to highlight the diagnostic workup important in the microbiology laboratory. Fellows are required to attend these sessions during their two months on microbiology rotation and are encouraged to attend while on other rotations.

Research

The second and third years of the fellowship program are primarily devoted to a research topic of choice. The Infectious Diseases and Global Health faculty are dedicated to training the next generation of physician-scientists in pediatric infectious disease. The majority of the time in fellowship is committed to scholarly activities, and fellows have the opportunity to be involved in cutting-edge research projects.

Fellows may work with faculty in the Ryan White Center for Pediatric Infectious Disease and Global Health, the Herman B Wells Center for Pediatric Research, or with other faculty from the Department of Pediatrics, Department of Medicine or Department of Microbiology and Immunology at IU School of Medicine.

Research Opportunities

Fellows have a wide variety of research opportunities with nationally recognized researchers in clinical, translational and basic science research in malaria, HIV, Toxoplasma, Coxiella, sexually transmitted infections, urinary tract infections, infectious disease pathogenesis, drug resistance, the host immune response to infection, and other infection-related areas.

Outside the infectious disease division, fellows can seek basic science, translational, and clinical research projects in other specialties in Pediatrics as well as with Clinical Microbiology.

While independent funding is not required during fellowship, fellows are strongly encouraged to apply for research grants during fellowship to support their scholarly pursuits and prepare them for careers in academic medicine. We expect fellows with an interest in global health and sexually transmitted infections to apply for funding through the T32 research training grant. Additionally the Morris Green Physician Scientist Development Program can provide fellows with research mentorship for a career in academic pediatrics.