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The fellowship is based at Children's Hospital
of The King's Daughters (CHKD) in Norfolk, Virginia. CHKD is the
only full-service pediatric tertiary care facility in
Southeastern Virginia, and serves a referral population in
excess of 1.5 million. Thus, the institution provides a broad
range of primary, secondary and tertiary care services to a
variety of patients.
Overview
Goals
Description
Curriculum
Training
Sites
Overview
The Pediatric Infectious Disease Service has
approximately 175-200 inpatient admissions/year, provides
approximately 300-325 inpatient consults/year, and has
approximately 2000 outpatient visits/year.
The Pediatric Infectious Disease Service
actively participates in the education of Eastern Virginia
Medical School students through both instruction in the basic
Pediatrics rotation and student electives on the clinical and
outpatient services. CHKD residents also receive education in
Pediatric Infectious Diseases through care of the patients on
the Infectious Disease Service and through either inpatient or
outpatient electives. Supervision of students, residents and
fellows is provided by full-time Pediatric Infectious Disease
faculty. Research experience is provided through the Center for
Pediatric Research.
Goals
The goals of the Pediatric Infectious Disease
Fellowship Training Program are:
- to provide pediatric infectious diseases fellows with
the background knowledge, clinical and research experience
necessary to allow them to deliver optimal care to children
with infectious diseases,
- to qualify pediatric infectious disease fellows
infectious disease subspecialty board certification by the
American Board of Pediatrics, and
- to prepare pediatric infectious disease fellows for a
career in academic pediatric medicine.
Description
The Pediatric Infectious Disease Fellowship
Training Program is 3 year program designed to provide balanced,
organized and progressive exposure to clinical infectious
disease practice and clinical and basic biomedical research
through clinical care, consultative and research experiences
under the direction of the program faculty.
The first year is primarily devoted to gaining
clinical experience and training through patient care. The
second and third years focus on development of research skills.
Supervised clinical experience (5 months inpatient, 5 months
outpatient in the first year, ½ month inpatient and ½ month
outpatient in each of the 2nd and 3rd years) in both the
outpatient/ambulatory and inpatient environments is included.
Research training and experience are emphasized
for 22 months during the second and third fellowship years to
develop effective pediatric physician-scientists. Diagnosis and
management of pediatric infectious diseases is emphasized
through direct patient care and consultative services.
Curriculum
Clinical Training and Experience
Clinical training under supervision of Program faculty is
the major emphasis of the first year. With increasing
experience, the fellow is given more responsibility for clinical
evaluation, diagnosis and management in both direct patient care
and consultation services. Fellow competency in areas of patient
care, medical knowledge, practice-based learning and
improvement, interpersonal and communication skills,
professionalism and systems based practice is the objective of
this clinical training.
Teaching Training
Through the duration of the fellowship, didactic instruction
in basic concepts of microbiologic diagnosis, infectious disease
management, infectious disease therapeutics, infectious disease
prevention, immunology/host defense related to infectious
diseases, infection control, epidemiology and statistics are
given. Both weekly (Tidewater Infectious Disease Conference,
Pediatric Infectious Disease Divisional meeting and Pediatric
Grand Rounds) and monthly (CHKD Resident Research Conference
series) conferences are the major components of the didactic
teaching program. Fellow attendance at these conferences is
mandatory.
Fellows are also involved in the education of
housestaff and students through presentation of cases at the
weekly Tidewater Infectious Disease Conference, presentation of
didactic lectures to residents and students on selected
pediatric infectious disease topics, teaching of residents and
students at the patient's bedside, and participation in the
Clinical Correlate Session presented to MSII students as part of
the EVMS Microbiology & Immunology Course.
Fellows are also encouraged to participate
annually in the Department of Pediatrics "Research Day" Grand
Rounds which provides an opportunity for oral presentation of
research results to Department and Community pediatric faculty,
pediatric residents and students.
Research Training and Experience
During the second and third years, each fellow initiates one
or more research project under the mentorship and supervision of
a Training Program faculty member. Research projects may be
basic research, clinical research or public-health related
research. Each fellow is expected to deliver at least one
presentation at a national meeting and publish at least one
peer-reviewed manuscript describing the results of their
research activities.
For each project, the fellow is responsible for
developing a 3-5 page written research plan that includes
sections that state the Hypothesis, Specific Aims, provide an
Introduction and Background, Planned Methods and Anticipated
Results. Over the course of the proposed project, each fellow
will be responsible for its implementation and performance, data
analysis and abstract/manuscript preparation under the guidance
of their faculty mentor/supervisor. All program faculty members
are available for consultation on a fellow's research projects.
Training Sites
The primary clinical training site for the
Program is Children's Hospital of The King's Daughters (CHKD), a
165 bed capacity, free-standing tertiary care pediatric
hospital located immediately adjacent to the Eastern Virginia
Medical School campus. All major pediatric subspecialties with
their required clinical environments (including a Level III
NICU, a pediatric Emergency Department and pediatric Intensive
Care Unit) are present within CHKD.
The secondary clinical training site is Sentara
Norfolk General Hospital (SNGH), located adjacent to CHKD and
physically connected to it by 2nd, 3rd and 4th floor walkways.
The Level I and II nurseries are located on the 4th floor of
SNGH and are staffed by the EVMS/CHKD Department of Pediatrics.
The research training site is
located in E.V. Williams Hall, which is located 1/8 mile south
of CHKD on the South Campus of Eastern Virginia Medical School.
This facility encompasses 27,000 sq. ft. in two buildings,
including a 17,000 sq. ft. laboratory facility. The remaining
Williams Hall facilities
include office space, patient examination rooms, conference room
space and laboratory support facilities (walk-in cold rooms,
tissue culture rooms, heavy equipment rooms). |
