The primary goal of our program is to train infectious disease specialists and
academic physician-scientists. Our fellows are trained at New York–Presbyterian
Hospital, Columbia University Medical Center, located in Upper Manhattan. The
medical center has 700 inpatient beds and includes an active 300-bed medical
service, a new Heart Center and several medical and subspecialty medical and
surgical intensive care units; a highly respected surgical service with a full
range of subspecialties; and dermatological, obstetrical/gynecological, and
psychiatric services. All services consult the Division of Infectious Diseases
on a regular basis, providing fellows with a broad range of clinical exposures.
A busy ID Transplant Consult service provides fellows with
experience with both solid-, organ-, and hematologic-transplant recipients, and
enables them to become familiar with the basic immunologic principles specific
to each organ transplant which relate to infectious disease risk or syndromes
which can mimic infections. The Neurological and Eye Institutes provide further
specialized training opportunities. Eight adult intensive-care units provide
fellows with a variety of exposures to infectious disease issues in the
critical-care setting. Interactions with the residents, attending physicians,
and medical students throughout the medical center enrich the fellows'
experience. In addition to the superb inpatient facilities at the medical
center, a large outpatient clinical service accommodates more than 850,000
outpatient visits per year.
Research opportunities, both basic and
clinical, are plentiful. The division maintains close ties with the Mailman
School of Public Health, providing fellows with the opportunity to pursue
training in the public health aspects of infectious diseases. Noteworthy among
the many facilities at the medical center are the Augustus C. Long Health
Sciences Library, one of the largest medical collections in the world, and the Irving Institute for
Clinical and Translational Research, where active clinical research
is conducted in a setting dedicated to patient care.
FIRST YEAR OF FELLOWSHIP
The first year
of fellowship is dedicated to clinical infectious disease training. For eight
months of the first year, fellows share primary responsibility for the
division's inpatient consultation service. In a setting
supervised by an attending physician, fellows gain direct practical experience
and see an impressive breadth of infectious diseases. Consultation rounds are
made daily and each fellow sees an average of 300 new patients each
In addition to the consult service, fellows engage in the following
- Four weeks of elective, an opportunity to work under the
guidance of mentor(s) on long-range projects and planning for post-clinical
year(s) of fellowship.
- Four weeks on the Transplant ID Service to become familiar
and gain experience with diagnosis,treatment and prevention of infections that
occur in in patients with organ transplants including heart, lung, kidney,
liver, bone marrow – stem cell.
- Two weeks on the Inpatient HIV/TB Service, a unit dedicated
to the management of the complications of HIV infection and the diagnosis and
management of tuberculosis. Fellows will be part of a team composed of medical
house staff and two attending physicians and will have the opportunity to
participate in teaching during daily rounds. The objectives of this rotation are
to gain experience in management of inpatient HIV, to increase knowledge of HIV
and the associated “opportunistic” infections, and to become more familiar with
antiretroviral treatment – including selection of appropriate initial regimens,
the indications for modification – in an inpatient setting. The fellows will
also learn about and participate in coordination of continuous care between the
inpatient and outpatient arenas.
- Two weeks of dedicated Clinical Microbiology Laboratory experience to become familiar with microorganisms associated with general
Infectious Diseases seen on the Consultation Service, on the Transplant Service,
on the Sexually Transmitted Disease rotation, on the inpatient HIV Service and
in the Clinic - including their nomenclature, virulence factors and diagnostic
methods by which they can be detected, isolated and identified
outpatient setting, fellows attend a clinic session that is designed to
complement the inpatient experience. A regularly scheduled half-day clinic
session provides fellows with the opportunity to follow patients seen on the
consultation service in an ambulatory setting once they have been discharged
from the hospital. This ongoing continuity clinic also permits
fellows to develop skills in the longitudinal management of HIV infection under
the direct supervision of an attending physician. Fellows continue their
outpatient clinic experience in the second and third years of fellowship.
Control and Hospital Epidemiology activities to become
knowledgeable about principles of healthcare-associated infection transmission
and prevention, device-associated infections, multi-drug-resistant-organisms
(MDROs), outbreak investigations, and exposure investigations.
SECOND AND THIRD YEAR OF FELLOWSHIP: CLINICAL
The second year of training is dedicated to a research
project of the fellow's choosing. Experiences in basic, translational, clinical,
and epidemiological research are readily available. In the second year of
training, there is also a specific educational requirement in hospital
epidemiology. Many of our fellows do coursework at the School of Public Health
towards a formal degree in epidemiology, biostatistics or public health (i.e.
The fellows engage in the following clinical activities:
An optional third year of training is available for fellows
engaged in funded, productive research projects.
- Weekly continuity care clinic
- Clinical rotation at the Sexually Transmitted Diseases Clinic of the New
York City Department of Health
- Clinical rotation on the Transplant ID Service or the inpatient HIV/TB
SECOND AND THIRD YEAR OF
FELLOWSHIP: RESEARCH TRAINING
During the second and third year of fellowship, trainees
focus on developing skills in the area of basic science or clinical research
investigation. Fellows choose from a wide range of mentored opportunities in
basic, translational, international, clinical, and epidemiological research.
Trainees have access to mentors who conduct research in the state of the art
research laboratory facilities at the Columbia University Medical Center Campus
in the Department of Medicine, Division of Infectious Diseases, The Mailman
School of Pubic Health, Department of Biomedical Informatics, Columbia Center
for Translational Immunology (CCTI), Center for Infection and Immunity, as well
the Department of Microbiology& Immunology. In addition, faculty in the
Division of Infectious Disease conduct NIH-funded research and serve as research
mentors and resource to the trainees.
Opportunities for mentored research include:
HIV Prevention: S. Hammer, M. Sobieszczyk, B.
Koblin, H. Tieu, MA Chiasson, L. Metch, J. Myers
- HIV Treatment and Epidemiology of HIV: S. Hammer, M.
Sobieszczyk, M. Yin, Peter Gordon, N. Shalev, S. Olender. E. Morrison, Matt
- Hepatitis C and HIV: M. Scherer
- Global Health Program: ICAP
- International Research: L. Kuhn, E. Abrams,
T. Ellman, J.
Justman, M. Yin, M. Sobieszczyk, K. Brudney
- Bacterial Pathogenesis: A. Prince, J. Dworkin, A.
- Staphylococcus aureus Research: F. Lowy, A-C. Uhlemann
- Molecular Epidemiology and Genomics
- Malaria: D. Fidock
- Transplant Infectious Diseases: M. Pereira, B.
- Hospital Epidemiology and Infection Prevention: E.Y.
Furuya, L. Saiman, C. Kubin, E. Larson, P. Stone
Depending on fellow’s specific interests and their
career trajectory, coursework at the School of Public Health in epidemiology,
biostatistics and bioinformatics is available to supplement research training.