Clinical Training
Our clinical training is centered at four major teaching sites: Parkland Health and Infectious Diseases Clinic, UT Southwestern University Hospitals and clinics, Dallas VA Medical Center and outpatient clinics, and the ACCESS HIV clinic. Each offers a unique blend of diverse patient populations and clinical pathology across the breadth of the disciplines within ID.
Combined, this clinical exposure provides an unparalleled richness of clinical ID training that equips trainees for any future career. The experience is enriched by close working relationships with our outstanding faculty on teaching rounds.
ID Team on COVID Wards with Dr. Mamta Jain and Dr. Julie Trivedi
Unparalleled Clinical Training
- COVID-19 & Emerging Pathogens
- UTSW has been at the forefront of the SARS-CoV-2 pandemic response in the DFW region
- UTSW has been engaged in over 250 research projects related to COVID-19 in drug therapy, epidemiology, clinical trials, and studying the effects of COVID-19 on healthcare workers
- The infectious disease division, in collaboration with the department of health have been leaders of modeling and predicting the future waves of this pandemic
- Our division also was at the forefront of organizing the COVID-19 response in our hospitals, developing a telemedicine critical care rounding model, and recruiting hundreds of patients to COVID-19 therapeutics clinical trials with our close relationship with research and infection control and prevention
- Extensive exposure to tropical ID in returning travelers or immigrants including tuberculosis, malaria, neurocysticercosis, leishmaniasis, leprosy, and many others
- Transplant Infectious Diseases
- In 2020, UTSW performed 416 solid organ transplants, the busiest transplant center in North Texas
- Fellows will round on the transplant ID consult service, seeing solid and stem-cell transplant patients with invasive fungal diseases, CNS infection, disseminated strongyloides, and tuberculosis
- HIV and Sexually Transmitted Diseases
- In July 2020, a patient at UTSW received the first HIV positive to HIV positive organ transplant in Texas
- The ACCESS clinic is the largest outpatient provider of HIV care in the Dallas region, caring for more than 5,000 patients
- Inpatient HIV consult service providing care for advanced HIV patients with variety of opportunistic infections and malignancies including disseminated fungal and mycobacterial infections, pneumocystis, toxoplasmosis, Kaposi’s sarcoma, primary CNS lymphoma and a host of other conditions
- Outpatient Parenteral Antimicrobial Therapy, Special Units
- The OPAT clinic was awarded the 2016 Gage Award for quality in care delivery and highlighted for its innovation by New England Journal of Medicine Catalyst
- Bone and Joint service for multidisciplinary and specialized care of patients with osteomyelitis, diabetic associated infections, prosthetic joint infections
- Large burn intensive care unit to provide extensive experience with management of MDRO infections
- Elective rotations are available at the Dallas County Jail, where Dr. Ank Nijhawan, the APD practices and does research
- Healthcare Epidemiology, Antimicrobial Stewardship, & Infection Prevention
- Extensive experiences and exposure to the fields of Health Care Epidemiology, Infection Prevention, and Antimicrobial Stewardship with nationally recognized faculty leaders and mentors
- Opportunity to do research and round with the ASP and IP teams
- Faculty are leaders in hospital-wide stewardship and infection prevention, as well as regional leaders in epidemiology and disease management
Rotation Schedule
| Rotation | 1st Year (Month blocks) | 2nd Year (Month Blocks) |
|---|---|---|
| Parkland General Consults | 2 | 1 |
| Parkland HIV consults | 1 | 1 |
| Clements General Consults | 1 | 1 |
| Clements Transplant Consults | 1 | 1 |
| VA Consults | 2 | 0 |
| Microbiology | 1 | 0 |
| Health Care Epidemiology/ Infection Control | 1 | 1 |
| Research Electives/ Ambulatory Clinics | 2 | 7 |
Rotation Summaries
- First year Month 1: in-depth microbiology didactics and lab time, general ID didactics, ample personal time to study for internal medicine board exams, overlap of consult service with second year fellow to orient to UTSW, Parkland and VA systems
- Parkland General Consults: Provide inpatient ID consultation at Parkland Hospital. Service consists of one faculty attending, one fellow, two to three residents, and one to three students.
- Parkland HIV Consults: Provide inpatient HIV consultation at Parkland Hospital. Service consists of one faculty attending, one fellow, one to two midlevel providers, and one to two students or residents.
- Clements General Consults: Provide inpatient ID consultation at William P. Clements Jr. University Hospital and Zale Lipshy Pavilion—William P. Clements Jr. University Hospital. Service consists of one faculty attending, one fellow, one to two midlevel providers, and one to three residents and/or students.
- Clements Transplant Consults: Provide inpatient transplant ID consultation primarily at Clements University Hospital. Service consists of one faculty attending, one fellow, and possibly a rotating resident on elective.
- VA Consults: Provide inpatient ID consultation at Dallas VA Medical center and attend two half-days of VA combined ID/HIV clinics. Service consists of one faculty attending, one fellow, and one to three medical or PA students.
- Microbiology: Non-clinical, non-call rotation in clinical microbiology. See curriculum and conferences for more details.
- Health Care Epidemiology/Infection Prevention and Control and Antimicrobial Stewardship—Non-clinical, non-call rotation in health care epidemiology and infection control. Antimicrobial Stewardship is part of the clinical care and additional training is available. See curriculum and conferences for more details.
- Research Elective: Engage in one or more projects with the support of a faculty mentor. Examples may include basic science investigational research, patient-oriented or clinical outcomes research, continuous QI projects, case reports, review articles, or educational curriculum projects.
- Ambulatory Clinics:During the second year of fellowship, all fellows will do one half-day of clinic per week in the Parkland combined ID/OPAT clinic to broaden the outpatient ID training experience (in addition to the half-day of HIV continuity clinic). Additionally, fellows may pursue elective clinical or educational experiences in other areas of ID including: musculoskeletal infections; outpatient clinics in Hepatitis C, sexual health or transplant ID; outpatient parenteral antimicrobial therapy; infection prevention and health care epidemiology; antimicrobial stewardship; medical education; or diagnostic microbiology.
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