Clinical Training and Schedule
We aim to provide our fellows with a broad base of training in clinical pediatric infectious disease, giving them all the skills they would need to function independently in a tertiary care academic setting. The UCSF Benioff Children’s Hospital receives referrals from throughout northern California and offers a full spectrum of pediatric subspecialty care, including critical care, cardiothoracic surgery, as well as liver, kidney and bone marrow transplant services. The 1st year of fellowship focuses on clinical training, beginning with a didactic lecture series on coordination with the adult infectious disease fellows. For nine months, the 1st year fellow serves on the inpatient consult service, with a team that includes 0-2 medical students, 0-2 residents, and at times a fellow in adult infectious disease. The 1st year fellow also attends a ½ day a week in our outpatient clinic, seeing new consults and follow-up visits from recent admissions. In the 2nd year, fellows staff one of the division’s outpatient clinics with an attending, and no other team members, allowing the fellow to gain greater autonomy as a pediatric infectious disease consultant. In the 3rd year, fellows complete a series of subspecialty rotations with the UCSF Pediatric Immunology program, our Pediatric HIV Clinic, the National Clinicians Consultation Center, the San Francisco Department of Public Health City Clinic, and the Tuberculosis Clinic at San Francisco Department of Public Health Tuberculosis Clinic.
Other curricular activities
In addition to training in the context of clinical service, we offer a comprehensive curriculum of conferences and activities that spans all 3 fellow training years. This includes a lecture series of core topics, a weekly clinical conference that is run by the on-service fellow and attending, journal club, remote attendance of the adult ID grand rounds, and twice monthly rounds with the microbiology laboratory. Each fellow completes short rotations with the antibiotic stewardship and infection control programs, as well as one quality improvement project over the entire 3 years of fellowship.
As of 2018, we offer a specialized tract designed to prepare a trainee for a career in Antibiotic Stewardship. This new program includes a curriculum of didactic coursework, attendance to stewardship related national meetings, involvement and mentorship in our hospital’s stewardship operations, and a research project focused on stewardship related topics.
Our program focuses the clinical training in the first year, protecting time in the 2nd and 3rd years for research and additional training. The 1st year fellow spends nine months on the inpatient service, two weeks of intensive training, two additional weeks rotating in the microbiology lab, with call two weekends a month. Four weeks is protected for the 1st year fellow to meet with his or her mentor, prepare grant applications and/or begin research activities. The senior fellows attend ~½ day a week of outpatient clinic, 4-6 weeks of weekday inpatient service each, and ~ 1 weekend a month of call. All fellows get 4 weeks of vacation, in addition to University holidays.