The Pediatric Infectious Diseases Fellowship is funded by the National Institutes of Health Training Grant (T-32). This three year program focuses on applicants interested in the subspecialty of Pediatric Infectious Diseases who plan academic careers. It is an interdisciplinary program involving investigators-mentors in the Department of Pediatrics, as well as in the Departments of Microbiology, Anatomy, and Cell Biology, Epidemiology and Public Health, Physiology, Immunology, Molecular Biophysics, and Nursing. The goals and objectives of the Pediatric Infectious Diseases Fellowship are to have a progressive educational experience to enable the fellow to integrate research into the delivery of optimal care and consultation for pediatric patients with infectious diseases. This will be achieved by providing clinical training through progressive consultative experiences, teaching, and research. The program will include, but is not limited to, training in basic concepts on immunology, epidemiology, clinical pharmacology, and infection control as they relate to patient care and training in the prevention of infectious diseases.
Graduates of our fellowship have gone on to careers in academia, clinical care, and work with industry at highly respected pediatric centers in the country.
The fellows are trained at the Morgan Stanley Children's Hospital of New York and the Columbia University Medical Center, located in Upper Manhattan. The Morgan Stanley Children's Hospital of New York is a free standing children's hospital that is part of a large medical center, which has over 700 inpatient beds. The children's hospital itself has 203 pediatric inpatient beds, including 41 PICU and 66 NICU beds.
The Pediatric Infectious Diseases service has an active consultative service responsible for a wide range of individual ID and epidemiologic issues associated with a very busy tertiary care children's hospital. The team routinely is involved in the diagnosis and management of infections in children with complex underlying illnesses, such as stem cell and solid organ transplantation, complex congenital heart disease, and prematurity, as well as community-acquired infections in otherwise healthy children. The inpatient service team includes student and resident rotators participating in month-long electives. Frequent consultations for antibiotic management are requested as the hospital has an antibiotic control program which mandates approval for restricted antimicrobial agents. The service follows infections following organ transplantation, catheter-related sepsis, shunt infections, neonatal sepsis, sepsis in immunocompromised children, endocarditis, tuberculosis, osteomyelitis, pneumonia, AIDS, post-operative wound infections and congenital or neonatal viral infections. Drs. Foca and Neu have the major responsibility for consultations in Pediatric Infectious Diseases in affiliated hospitals including Nyack Hospital and St. Barnabas Hospital.
Clinical service time is divided into 4 to 6 week blocks. Fellows complete approximately 12 months of clinical service throughout the 3 years of the program. During the three years, it is expected that the fellow will gain progressive skills in the following areas: clinical skills, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism and systems-based practice. The following are examples of the skills that fellows are expected to acquire by year of training. Each subspecialty resident (fellow) will be required to complete a scholarly activity that results in a “work product”. Areas of research include basic, clinical, or translational research; health services; quality improvement; bioethics; education; and public policy that is consistent with ABP, ACGME, and departmental requirements. Residents will perform research projects under the guidance of a selected mentor. Each resident is assigned a scholarly oversight committee in accordance with ABP and Departmental guidelines.
During the 1st year, fellows should recognize presentations of various infectious diseases and modalities for diagnosis and treatment. Fellows should generate a differential diagnosis that is reflected in consultation notes and perform literature reviews as needed. Close supervision is provided by attending physicians for formal consults and all "curbside" phone calls and to assist with literature reviews as needed. Treatment plans will be described by the fellow to pediatric residents and families with attending input.
During the 2nd year, fellows should solidify the above skills and become progressively comfortable designing treatment plans, soliciting other subspecialty input, and coordinating follow-up plans for patients. Fellows should be aware of new developments in the field. Literature reviews are conducted independently. Continued supervision is provided by attending physicians. Treatment plans will be described by the fellow to pediatric residents and families with minimal attending input.
During the 3rd year, fellows are expected to carry out their clinical duties with minimal supervision and when appropriate, to apply new developments in the field. Treatment plans will be developed including implementation of subspecialty input and be described by the fellow to pediatric residents and families independent of attending input.
Off-service fellows continue to participate in clinical activities. Outpatients are seen 1/2 day per week in the general infectious disease, HIV, STD, or TB clinics. Fellows are responsible for medical follow up of these outpatients, which includes coordination of care with other sub-specialties. These clinical practices are supervised by the Pediatric Infectious Diseases faculty.
Other clinical and training opportunities that are available during the 3 year program include the following: Clinical Microbiology, Hospital Epidemiology and Infection Control, Clinical Trials, Quality Assurance and Improvement, and the STD training course offered by the NYS DOH. Additional opportunities include attendance at a Society for Healthcare Epidemiology of America/CDC Training Course (Healthcare Epidemiology course, www.shea-online.org), immunology and vaccinology training courses, and the possibility to obtain a MS or MPH in Public Health. We are in the process of developing our international HIV experience. We currently have clinical and research collaborations in Ethiopia, Vietnam and South Africa.
We use ERAS (Electronic Residency Application Service for Pediatric Infectious Disease Fellowship applications. Two interview dates are usually offered in December and January per application year.
Dr. Natalie Neu
Please Note: We cannot consider applications from HB-1 and J-1 Visa holders