The Fellowship Training Program at SUNY Downstate consists of a vibrant academic environment with progressive faculty with a dedication towards teaching. Our core public hospitals serve an urban population and provide a diverse and stimulating learning experience. Cases seen in the inpatient and outpatient setting will be remembered: treatment resistant HSV, ocular syphilis, leprosy, Gnathostoma, and Loa loa to name but a few. Educational activities include weekly ID/HIV Research Conference, Fellows’ lecture series, Microbiology “Plate Rounds” and Case Conference. Journal Clubs and Board Preparation Courses occur on a monthly basis.
Fellows may select one of three pathways for their training. Completion of the Laboratory/Clinical Investigator Pathway, Quality Improvement/Administrative Leadership Pathway, or Infectious Diseases + Critical Care Medicine Pathway will confer board eligibility in Infectious Diseases. Individuals in the Infectious Diseases + Critical Care Medicine Pathway will spend a third year in Critical Care Medicine, and will also become board-eligible in that subspecialty. Protected time in the first year will be provided in order to design and implement the track program. More significant protected time is a formal part of the second year during which track requirements will be fulfilled.
The Investigator Pathway will emphasize laboratory or clinical research during the fellowship training. Fellows will be expected to participate in IRB-approved projects that can be completed within the framework of the fellowship. Involvement in projects involving basic science research, epidemiology, and clinical trials are available. It is expected that investigations will result in presentations at national meetings and publications in peer-reviewed journals. Fellows choosing this track have been successful, with more than 10 first-author peer-reviewed publications in the past 5 years and more than 10 abstracts presented at national meetings.
The Quality Improvement/Administrative Leadership Pathway will emphasize skills essential for participation in health systems administration and quality improvement with an emphasis on Infectious Diseases related processes. Protected time will be dedicated to programs involving hospital epidemiology/infection control, public health, antimicrobial stewardship, and graduate medical education. Involvement in the development of teaching programs for students and residents is encouraged.
Candidates for this combined pathway will apply through the National Residency Matching Program. The first two years will be dedicated to the field of Infectious Diseases, with supplemental clinical rotations (including in Intensive Care Units). Pursuit of research investigations or quality improvement projects, with concentration in topics relevant to Critical Care Medicine (e.g., sepsis, catheter-related infections, treatment of multidrug-resistant pathogens), will be emphasized during the first two years. The third year will be dedicated to the field of Critical Care Medicine, conferring board eligibility to that subspecialty as well.
Most of the first year is dedicated to clinical training. In addition to the attending and fellow, the consult team typically consists of dedicated clinical ID pharmacists, medical residents, and senior medical students. The three core teaching hospitals complement the training and provide a varied and exciting learning environment. One half-day per week is spent in the continuity clinic that serves HIV-infected patients in our community. Approximately two months of the first year are spent off the inpatient consultative service. During this time fellows rotate in the state-of-the-art Microbiology Laboratory at University Hospital, participate in Antimicrobial Stewardship and Infection Control activities, and develop a research or Quality Improvement project that will carry over into the second year.
Most of the second year is protected time dedicated to scholarly activities- research or Quality Improvement projects. Project opportunities may include laboratory research, quality improvement studies and/or clinical trials. Prior research projects have involved topics involving hospital epidemiology, sexually transmitted diseases, HIV/AIDS, multidrug-resistant bacteria, and mechanisms of antibiotic resistance. Time is also reserved for Transplant Rotations at outside medical centers (Memorial Sloan Kettering and New York University). Approximately two months are spent on the inpatient consultation service, and fellows participate in the ID/STD clinics at Kings County Hospital Center and University Hospital.
University Hospital of Brooklyn
University Hospital of Brooklyn is a 376-bed tertiary care medical center. In addition to a state-of-the-art Microbiology Laboratory and progressive HIV clinic, surgical services include an active renal/pancreatic Transplant Service and Cardiovascular Surgery team. Patients with Hematologic/Oncologic, Cardiovascular, Orthopedic, or Transplant related problems are often followed by the Infectious Diseases Consult Team. University Hospital and the adjacent SUNY Downstate Medical Education Building are home for the lecture series, conferences, and research laboratories.
Kings County Hospital Center
Kings County is the largest municipal hospital in Brooklyn, with more than 600 inpatient beds. It is a Level 1 Trauma Facility and has active Neurosurgical and Thoracic Surgery teams. The large number of immigrant and underserved patients results in a diversity of pathology and exposes our residents to diverse socioeconomic and cultural backgrounds. Kings County is home of the busy STI and ID clinics and serves more HIV infection patients than any other municipal facility.
Brooklyn Harborview VA Hospital
The Brooklyn campus of the Veteran’s Administration New York Harbor Healthcare System is dedicated to provide quality health care services to our veterans. It is a primary and tertiary care facility with considerable education and research support.