The first year of fellowship is dedicated to acquiring clinical proficiency in both inpatient and outpatient aspects of Pediatric Infectious Disease. Children’s Hospital Colorado is a freestanding, 564-bed tertiary care hospital serving a multi-state geographic area and a very broad demographic population. The hospital is home to all pediatric medical and surgical subspecialties, which provides experience caring for children with common and very rare conditions. The hospital is part of the Anschutz Medical Campus, which also is home to the University of Colorado Hospital (adult and maternal-fetal), three multi-story research complexes, and CU SOM.
We have more than 20 Pediatric Infectious Diseases subspecialists, who are all part of the teaching faculty. Our fellows emerge with a very high degree of clinical competency in Pediatric Infectious Diseases care and are able to address ID issues in the previously well child to the most medically complicated child. The Pediatric Infectious Diseases consult service consults is one of the busiest consult services in the hospital and sees hundreds of inpatients and acute outpatients per year in various settings.
The first-year fellow covers approximately 6 months of the inpatient service, with the additional months covered by the second and third year fellows. While on the consult service, the fellow sees all in-hospital and acute outpatient consultations under the supervision and mentorship of the Attending Pediatric Infectious Diseases physician. Emphasis is placed on developing an accurate differential diagnosis, learning the methods of evaluating and treating the child, and taking care of the family's needs. The fellow will be exposed to a full range of infectious disease issues in a diverse patient setting. We also have a very active and successful antimicrobial stewardship program, a strong hospital infection control and epidemiology program and transplant infectious disease specialists.
All fellows also share a rich outpatient experience with half-day Pediatric Infectious Diseases and HIV clinics. The outpatient Pediatric Infectious Diseases clinic has over 1000 visits per year. The CU SOM has an active HIV program for children, youth and women called the Children’s Hospital Immunodeficiency Program (CHIP) that provides care to over 300 HIV infected persons with regular continuity and follow-up.
Additionally, during the first year, the fellow will rotate through the microbiology and virology laboratories at the University of Colorado Hospital and will complete a microbiology mini-course at Children’s Hospital Colorado. Fellows also have 3 weeks each year of concentrated time spent in stewardship, HIV/transplant/immunocompromised, global health, epidemiology and infection control, additional outpatient experience, and additional training of their choice.
Fellows can choose to receive additional clinical training by participating in one or more of several electives offered by the fellowship. Electives include rotations in: hospital epidemiology and infection control, tuberculosis, the Infectious Diseases consultative service at Denver Health Medical Center, HIV, travel medicine, immunology, rheumatology, adult infectious diseases, or an elective of their own design.
Global Health Experience
Fellows will participate in at least 1 week of the UC Denver Pediatric Global Health and Disaster Course during their fellowship. The fellowship core curriculum also includes time in the Travel Clinic and the clinical consult service sees several patients every year with tropical infections in returning travelers. Fellows can also choose to participate in a clinical elective overseas. Our program has an established practice agreement at various sites in Guatemala where a fellow may rotate for a clinical experience or perform research. Fellows may also design their own international experiences in consultation with the fellowship director. Fellows who are interested in global health as a career will find several faculty from the Departments of Pediatric Infectious Diseases and Adult Infectious Diseases, and faculty at the School of Public Health as potential mentors.
Weekend call for fellows is divided among the fellows and averages every fourth weekend. Weeknight coverage of the pager is covered by the inpatient fellow. Fellows are supervised by a designated Infectious Disease attending at all times.