Clinical Experience

Fellows complete 52 weeks of inpatient clinical service in the course of their fellowship. More than half of the 52 weeks are completed in the first year, and the remainder is split between second and third years of fellowship training.

Fellows take night call by phone from home while on inpatient service and cover one weekend of call per month. In the first year of fellowship is a one-month rotation in the clinical microbiology lab. Throughout the program, fellows attend an average of two half-day-clinics per month.

Inpatient Service

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. Unlike most pediatric programs, a primary Pediatric ID clinical service manages children with infections, including osteomyelitis, orbital cellulitis, and Kawasaki Disease.

Additionally, a Pediatric ID consult service provides guidance to subspecialties, including the Pediatric and Neonatal Intensive Care Units, Hematology/Oncology, and Transplant services. In 2018, the Ryan White Center for Pediatric Infectious Diseases and Global Health provided care for more than 4700 patient visits, including 3400 inpatient visits.

With an emphasis of active learning during clinical care of patients and bedside rounds, fellows lead clinical service rounds with the guidance of their supervising attending and provide teaching to the Pediatric infectious diseases team that includes residents, medical students and physician assistant trainees.

Outpatient Clinics

General Pediatric ID Clinic

Fellows learn outpatient management of pediatric infectious diseases in a general Pediatric ID clinic on Friday mornings. Fellows have clinic twice per month where, under the supervision of a faculty member, they manage a diverse set of diagnoses, including histoplasmosis, fever of unknown origin, and hospital follow up of osteomyelitis and Kawasaki Disease.

Pediatric HIV Clinic

Fellows spend one half day per month in HIV clinic, where they provide longitudinal care to children and adolescents with perinatally and behaviorally acquired HIV infection. They learn management of antiretroviral drugs and HIV-related comorbidities. A team of faculty specializing in HIV along with a pharmacist and social worker provide didactic teaching to fellows about the complexities of HIV care.

Immunology Clinic

Fellows spend six sessions in Immunology clinic at Riley Hospital for Children, focusing on evaluation of children with suspected immunodeficiency and management of patients with primary immunodeficiencies. Fellows work directly with the Pediatric Immunology attending faculty physician.