Clinical requirements and specific objectives

The fellowship program's clinical requirements are based on the ACGME requirements to become board eligible in infectious diseases. Additional time can be spent in the microbiology laboratory, pediatric infectious diseases and hospital infection control.

View the UNC Infectious Diseases Training Program General Curriculum

View the UNC Infectious Diseases Training Program Rotations and Competencies

 

UNC Hospitals Inpatient Consult Rotation (32 weeks)

  • Provide care to a broad spectrum of in-patients with infectious complications including bacterial, viral, fungal, parasitic infections or fever of unknown origin
  • Develop diagnostic and therapeutic skills as related to the infectious complications of patients who have solid organ transplants, HIV/AIDS, neutropenia, hepatitis, foreign travel, malignancies, dialysis or other immunocompromising conditions
  • Develop skill selecting and prescribing antimicrobial agents, with special emphasis on pharmacology
  • Gain consultative skill through “first-call”, interacting with all other hospital staff and outside referring physicians
  • Develop skills in clinical and diagnostic microbiology through daily “plate rounds”
  • Develop administrative and management skills through supervision of house-staff and students
  • Develop teaching skills through organization, presentation and discussion in clinical case conferences.

(view curriculum)

 

Durham County Health Department (4 to 8 weeks*)

  • Gain exposure to diagnosis and management of tuberculosis and latent TB infections
  • Develop experience in management of STDs, including recognition of common genitourinary syndromes, and diagnosis and treatment, education and prevention of these infections
  • Obtain exposure to communicable disease management at a local health department.

(view curriculum)

 

First Health Moore Regional Hospital (4 weeks)

  • Learn how to provide first-line ID care in a community hospital
  • Manage patients receiving out-patient antibiotics
  • Receive focused training on infections in the elderly, with further emphasis on infected joint replacement

(view curriculum)

 

Bone Marrow Transplant/Leukemia/Lymphoma Service (Optional, 3 weeks* – replaces 3 weeks Durham County Health Department):

  • Understand the diagnosis, time course, treatment, prevention and management of infectious complications of allograft recipients
  • Understand the diagnosis, time course, treatment, prevention and management of infectious complications of patients with leukemia/lymphoma

(view curriculum)

 

Malawi HIV Clinic (optional up to 6 months continuity clinic)

  • Manage continuous care of more than 20 HIV patients over six months and become familiar with antiretroviral therapy (ART), resistance mutations, complications of ART, metabolic complications of HIV, prophylaxis of opportunistic infections and health maintenance of HIV infected patients
  • Learn WHO treatment guidelines and apply them

(view curriculum)

Infectious Diseases Clinic (1/2 day per week for 2 years)
NOTE: UNC has permission for fellows to complete their final 6 months of continuity clinic in Malawi)

  • Manage continuous care of 50-100 HIV patients per year and become familiar with HAART
  • Learn ACP guidelines for adult vaccination and immunization and apply them
  • Manage patients receiving out-patient antibiotics
  • Provide necessary care to consult patients requiring on-going follow-up
  • See new outpatient consults across all specialties including those with post-op wound infections, joint infections, and fever of unknown origin

(view curriculum)

Clinical Microbiology Laboratory (2 weeks)

Through a combination of didactic lectures and hands on experience at the various laboratory stations: including bacteriology mycology and mycobacteriology, parasitology, virology and serology throughout the year fellows learn how to identify various infectious diseases pathogens and conduct resistance studies.

  • Learn culture and identification techniques in bacteriology, mycology and mycobacteriology
  • Learn identification techniques in parasitology
  • Learn how to perform serology assays and PCR to identify pathogens
  • Learn how to perform antibiotic resistance assays for viruses, fungi and bacteria

Hospital Epidemiology (1 week)

All fellows are required either to take the UNC Statewide Program for Infection Control and Epidemiology course which is a 5-day course offered twice per year or the online course offered by the Society for Healthcare Epidemiology of America which consists of a pre-test, 12.5 hours of lectures and a post-test. There is no cost to trainees for either course.

  • Learn how to conduct an investigation of an outbreak
  • Learn what are the current reporting guidelines
  • Learn what the guidelines are for handling various contagious diseases including resistant bacteria, tuberculosis, C difficile, chicken pox, and bacterial and viral meningitis

 

In-service exam: All fellows are required to take the IDSA administered in-service exam annually until they pass their boards.
The fee is paid for by the ID division.