The traditional two-year program is designed to offer the fellow comprehensive clinical training experiences and flexible research opportunities. Within the two-year experience, the fellow will spend:
- four months on the Mount Sinai General ID consultation service
- four months on the Elmhurst ID consultation service
- three months on the Mount Sinai Transplant ID consultation service
- one month on the Mount Sinai inpatient HIV service.
Each fellow has a weekly continuity clinic at either Mount Sinai or Elmhurst Hospital for the entirety of the two-year fellowship. In addition, each fellow will receive four weeks of formal microbiology training and two weeks of dedicated hospital epidemiology/infection control training. The remainder of the fellowship is dedicated to research. Fellows can also elect to spend two to four weeks on the Pediatric Infectious Diseases or Private Practice rotations.
- The General ID Consultation Service provides the fellow with extensive experience in the diagnosis and management of infections in patients on a variety of services including internal medicine, neurology, surgery, and obstetrics and gynecology. In addition, there is extensive exposure to the management of infections in critically ill patients (MICU, CCU, SICU, and NSICU).
- The Transplant ID Consultation Service provides the fellow with extensive experience in the diagnosis and management of infections in transplant patients. Mount Sinai is one of the largest transplantation programs in the country with programs in liver, kidney, pancreas, intestine, heart, lung, and bone marrow transplantation. In addition, experience in the management of infections in other immunocompromised hosts is gained by consultation of patients with hematologic and solid tumors.
- The Elmhurst ID Consultation Service at the Elmhurst Hospital Center, a city hospital located in Elmhurst, Queens that provides care to the nation's most internationally diverse community, is a truly unique experience. Patients served by this hospital are predominantly immigrants from all over the world including Central and South America, the Mediterranean basin, Asia, and Africa. As a result, fellows gain extensive experience in a broad range of international and tropical infections such as tuberculosis, malaria, typhoid fever, and other parasitic diseases. The Elmhurst teaching faculty are highly regarded, and the experience is highly valued by our fellows.
- The Inpatient HIV Rotation provides the fellow with direct experience in the management of hospitalized HIV patients. It is expected that the fellow will gain expertise in the management of routine and opportunistic infections as well as complications of antiretroviral therapy or related comorbid conditions.
Research and Scholarly Experience: All fellows are expected to participate in a research project during the two-year program. A variety of opportunities are available in both basic science and clinical investigation. Some areas of particular interest at Mount Sinai are molecular pathogenesis of HIV and other viruses, clinical management of viral hepatitis, barriers to care in HIV and HCV, hospital epidemiology of resistant nosocomial pathogens, and the prevention and management of viral infections in transplant recipients.
In the fall of the first year, a research fair is held to introduce the ongoing research opportunities to the fellows. It is expected that the fellow will identify a research interest and mentor and initiate preliminary work (i.e. IRB approval) on the project during the first year. The primary focus of the second year is completing the research project under the supervision of the mentor. Fellows who are interested in pursuing additional years of research training should discuss this option with their mentor and program director during the first year.
Before the end of the second year of fellowship, fellows are expected to submit research abstracts to a major infectious diseases meeting as well as present their work at our divisional grand rounds and our departmental research day. Ultimately, the research performed during fellowship should result in a manuscript for submission to a peer-reviewed journal.
Fellows with an interest in clinical investigation can pursue a Master of Science in Clinical Research through the Clinical Research Training Program. Mount Sinai also has a Master of Public Health Program.
- Viral Hepatitis Curriculum: Viral hepatitis training is emphasized during the second year of fellowship with a mandatory series of monthly didactic lectures and discussions that are organized by Dawn Fishbein, M.D. The curriculum includes the epidemiology, pathology, and clinical management of hepatitis B and C. Additionally, fellows can elect to participate in a weekly clinic session focusing on the management of viral hepatitis.
- Training in Microbiology: Fellows will participate in a formal four-week microbiology rotation under the supervision of the Director of Clinical Microbiology, Vincent LaBombardi, M.D. In addition, weekly microbiology rounds are held at both Mount Sinai and Elmhurst to review the relevant microbiology of the cases currently being managed by the fellows on the consult services. We are also fortunate to have on faculty an internationally recognized expert in diagnostic clinical microbiology, Edward Bottone, Ph.D., who enthusiastically provides consultative services on any case and provides support for both case presentations and other scholarly activities.
- Training in Infection Control: Although infection control is taught at both sites throughout all rotations, fellows are provided basic training during a formal two-week rotation that is supervised by Fran Wallach, MD, Interim Director of Infection Control at Mount Sinai and George Alonso, Director of Infection Control at Elmhurst Hospital. It is anticipated that the fellow will participate in the routine activities of the infection control program including patient isolation, needle stick injury, outbreak investigation, and formal infection control meetings. Additional didactic sessions complement the practical experience.
- Continuity Clinic: Each fellow is assigned a weekly continuity of care clinic at either Mount Sinai or Elmhurst. The fellow will be responsible for attending this clinic throughout the two years, and participation in the clinic takes priority over all other activities. The clinic population at each site varies somewhat, with primary emphasis on the outpatient management of HIV and other chronic infections. Fellows are precepted at both sites by a faculty member (Shirish Huprikar, M.D. at Mount Sinai and Carlos Salama, M.D. at Elmhurst Hospital) who is dedicated to fellow teaching and supervision of the clinical care provided by the fellows.
- International Health: Fellows interested in international health can explore opportunities available through The Icahn School of Medicine Global Health Program and The Mount Sinai-NY State-Argentina HIV Prevention Program.
Coordinator, Infectious Diseases Fellowship
Department of Medicine
Icahn School of Medicine
One Gustave L. Levy Place
New York, NY 10029