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ID Fellowships - Program

 

Clinical Experience

The Division of Allergy and Infectious Diseases provides care to patients with infectious diseases including HIV/AIDS, tropical diseases and travel related infections, and the entire spectrum of bacterial, viral, fungal, and parasitic infections. The Division staffs multiple inpatient and outpatient care sites in Seattle, Washington. Each site provides a unique opportunity for training in virtually every aspect of clinical infectious diseases. All fellows participate in approximately 12 months of inpatient consultative service at affiliated hospitals that includes exposure to general medical and surgical patients, pediatric infectious diseases, infections in the immunocompromised host, patients with HIV/AIDS, and patients with other sexually transmitted diseases.

Inpatient Care Sites

The University of Washington Medical Center (UWMC)

UWMC buildingThe University of Washington Medical Center (UWMC) is a 450 bed hospital that is one of the nation’s leading academic medical centers, providing highly specialized care. Patients travel from across Washington, Wyoming, Alaska, Montana and Idaho for these specialized services.

U.S. News & World Report’s 2009 America’s Best Hospitals ranked UW Medical Center twelfth in the nation and has named the hospital among the country’s best since the rankings began in 1993. The medical center also was named the nation’s first Magnet Hospital for excellence in nursing care by the American Nurses Credentialing Center, which has continued to honor UWMC with this award every four years since 1994.

There are three Infectious Disease consult services staffed by the Division at the UWMC, including the General ID Consult service, the Solid Organ Transplant service, and the Seattle Cancer Care Alliance/Fred Hutchinson Cancer Research Center service that cares for cancer patients with infectious diseases.


Harborview Medical Center (HMC)

HMC buildingHarborview Medical Center (HMC) is a 413 bed county hospital associated with UW and the only Level I adult and pediatric trauma and burn center serving Washington, Alaska, Montana and Idaho. The medical center offers highly specialized services, such as trauma and burn care.

Harborview received the 2007 Foster G. McGaw Prize for Excellence in Community Service in recognition of the important role Harborview plays in delivering high quality health care throughout the community. Harborview has a specific mission to care for the community’s most vulnerable patients, including immigrants and the indigent who are prone to myriad infectious diseases.


Seattle Veterans Affairs Hospital (VA Puget Sound Healthcare System)

va hospital buildingThe Seattle Veterans Affairs Hospital (VA Puget Sound Healthcare System) serves more than 70,000 veterans that live in the area. The Infectious Disease consult team cares for veterans with a variety of infectious diseases, including those acquired while overseas and more commonly encountered infections in medical and surgical patients.


Seattle Children’s Hospital

Seattle Children's HospitalSeattle Children’s Hospital is a 250 bed pediatric hospital that serves as a training site for adult ID Fellows. Fellows typically spend one month at the hospital caring for pediatric patients with infectious disease problems, thereby rounding out their training experience.


Fred Hutchinson Cancer Research Center / Seattle Cancer Care Alliance

FHCRC/SCCA campusThe Fred Hutchinson Cancer Research Center (affectionately called “The Hutch”) is a world-class research institution. Milestone achievements include a critical role in the pioneering of hematopoetic stem cell transplantation, and the work of three Nobel Laureates currently on staff. The prevention, diagnosis, and management of infectious diseases among immunocompromised patients is a fundamental mission at the Hutch.

The clinical arm of the Hutch is called the Seattle Cancer Care Alliance (SCCA), and includes outpatient clinics at the Hutch campus, as well as inpatient wards at UWMC and Seattle Children’s. Supervising faculty specialize in infections among this particular group of patients.

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Outpatient Care Sites

Several clinics are available for outpatient training in Infectious Diseases. Most fellows will work in one of the three HIV/AIDS clinics operated by the Division. This provides a long-term, continuity clinic and experience in managing HIV infected patients. Fellows will also participate in at least one other clinic rotation according to their interests and areas of research. Two years of weekly half-day outpatient clinics are completed during fellowship.

Sexually Transmitted Diseases Clinic

This clinic is an academically oriented comprehensive genitourinary medicine clinic operated jointly by the Seattle-King County Department of Public Health and the University of Washington and is located at Harborview Medical Center. The STD Clinic provides a focus for a number of research and training activities.
Website: http://uwmedicine.washington.edu/Patient-Care/Our-Services/Find-a-Clinic/Pages/clinic.aspx?clinicid=244

Virology Research Clinic

This clinic is located near Harborview Medical Center in the Ninth and Jefferson Building, the clinic was established over 35 years ago and serves as a research base (5,000 patient visits annually )to investigate the epidemiology, natural history, pathogenesis, immunology, and therapy of herpes simplex virus (HSV) and other herpes virus infections. Other areas of research include the interactions between HSV and HIV in dually infected persons, host and viral determinants of HSV severity, HHV-8 infection, human papillomavirus infection, hepatitis C virus, and other viral STD's. Website: http://depts.washington.edu/herpes

HMC Viral Hepatitis Clinic

This clinic focuses on hepatitis B and C, often managing HIV co-infection. Staffed by ID and GI attendings. Fellows learn comprehensive diagnosis and management of patients with hepatitis.

HIV Clinics

Outpatient facilities directed by the Infectious Diseases Division at Harborview Medical Center, the University of Washington Medical Center, and the Veterans Affairs Puget Sound Heath Care System currently serve approximately 3,500 patient visits annually. In addition to medical care, these clinics also provide substance abuse, nutritional, psychological, and social counseling services.
Website: http://depts.washington.edu/madclin/

Infectious Diseases & Tropical Medicine Clinic at UWMC

This clinic is located at University of Washington Medical Center and serves as a referral and primary clinic for general infectious diseases, tropical medicine, and travelers; the clinic currently handles approximately 1,000 patient visits per year. Services include Post-travel follow-up care, Follow-up care for tuberculosis (TB) exposure, Post-transplant infectious issues, Consultations about illnesses of an infectious nature, Follow-up consultation, including IV antibiotic management, for inpatients following discharge.
Website: http://uwmedicine.washington.edu/patient-care/our-services/find-a-clinic/pages/clinic.aspx?clinicid=391

Harborview Medical Center Infectious Diseases Clinic:

This clinic is a referral clinic for the evaluation and management of infectious disease problems other than HIV infection that can be managed in the outpatient setting.
Website: http://depts.washington.edu/idhmc/

Pediatric Infectious Disease Clinic

This clinic serves as a referral center for the WWAMI region. Fellows will perform consults on children presenting with a wide variety of unique pediatric infectious disease problems including the evaluation and management of children with recurrent fevers, persistent lymphadenopathy, non tuberculous mycobacterial infections and possible immunodeficiencies. In addition, fellows will see inpatients in follow up and consults solicited by Med Con calls. The focus of this rotation is to augment fellow's knowledge of infectious processes unique to children that they would not otherwise encounter.
Website: http://www.seattlechildrens.org/clinics-programs/infectious-diseases-virology/
See also Pediatric Infectious Diseases Fellowship program.

Solid-Organ Transplant Infectious Diseases Clinic

This newly created clinic is located at University of Washington Medical Center to serve as a specialty referral center for our growing solid organ transplant patient population. A broad range of infectious disease issues in immunosuppressed patients are seen, including: evaluation & mitigation of infectious disease risk prior to transplantation, post-hospital discharge follow-up care in patients requiring intravenous antimicrobial therapy, and outpatient management of complicated viral, fungal, and bacterial infections. Diverse SOT populations are seen, including heart, lung, kidney, kidney/pancreas, liver, and small bowel transplant patients.

MEDCON

WWAMI regionThe University of Washington serves as the referral center for five states: Washington, Wyoming, Montana, Alaska, and Idaho (WWAMI). By serving as a consultant by telephone for physicians from across the WWAMI region, the MEDCON system provides clinical fellows with exposure to a wide variety of infectious disease cases from hundreds or thousands of miles away. Most of these cases are handled exclusively by telephone, but complex or severe cases may warrant referral to our inpatient or outpatient practices.


Seattle VA ID Clinic

This clinic provides longitudinal care for approximately 250 HIV+ Veterans. Although the clinic also serves as the general ID clinic for the medical center, the role of the ID Fellow is focused on the care of patients with HIV. The ID Fellow is assigned a panel of approximately 50 patients, and also has the opportunity to see new patient referrals. The Fellow works under the close supervision of the clinic ID attendings. Other clinic resources include an HIV-pharmacist and an HIV-dermatologist and regular post-clinic conferences to review interesting/unusual cases and new developments in the care of patients with HIV.

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