Peds Infectious Diseases for Global Practitioners Clinical MD Fellow

Benefits

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New pathogens, threats such as COVID-19 and influenza pandemics, and emerging antimicrobial resistance over the past 2 decades have dramatically increased the need for pediatricians with subspecialty training in Pediatric Infectious Diseases. Currently there are few or no Infectious Diseases practitioners in many countries, in part because of limited numbers of training programs outside of the United States and Canada, and in part because of barriers to participation in North American training programs. The latter include a relatively lengthy duration of training (3 years), which may significantly disrupt personal and professional life, an emphasis on training in scholarly activities, and, in some cases, the inability or unwillingness to accept international medical graduates. Accordingly, there is a need to expand and reshape training for global practitioners to allow them to gain special expertise in the management and prevention of infections in children and adolescents. The St. Jude Children's Research Hospital Department of Infectious Diseases Fellowship training program in Pediatric Infectious Diseases for Global Practitioners was inaugurated in 2023. The training program is 1 year in duration. During their training, the ID residents participate in a formal didactic experience and direct patient care experiences, including antimicrobial stewardship, infection prevention and global pediatric medicine. Eligibility Prerequisites for training include: a.) Satisfactory completion of 3 years of postdoctoral training in pediatrics in an Accreditation Council for Graduate Medical Education (ACGME)-accredited pediatric residency program, an RCPSC-accredited or CFPC-accredited pediatric residency program located in Canada, or the local equivalent. The St. Jude Children's Research Hospital and University of Tennessee Graduate Medical Education Committees (UT GMEC) and/or a Subcommittee of these must review and approve applications. b.) All residents must have passed USMLE Step 1, 2CK and Step 3 examinations or equivalent examinations (COMLEX- USA or MCCQE). Educational Program (Basic Curriculum) Clinical and research components. Inpatient rotations are performed at St. Jude Children's Research Hospital, Le Bonheur Children's Hospital, and the University of Tennessee Health Sciences Center. Outpatient consultation is provided in patients' primary care clinics or dedicated Infectious Diseases and Solid Organ Transplant clinics. The outpatient clinic also provides longitudinal continuity care for patients with chronic infectious diseases and allows residents to observe the course of illness and the effects of therapy. Antimicrobial stewardship experiences include opportunities to observe and participate in stewardship activities in the inpatient and ambulatory setting and to participate in committee meetings and educational activities. During Infection prevention rotations, fellows may observe Infection Control and Prevention teams, manage patients with exposure to communicable disease or who are colonized or infected with organisms of epidemiological concern, assist in outbreak investigation, participate in Infection Control and Prevention Committee meetings, and contribute to policy development and educational efforts. There is no research component of training. Trainee's supervisory and patient care responsibilities. Trainees are mentored and supervised at all times by attending physicians. Residents take home call while on the clinical service, sharing call with residents participating in the traditional pediatric infectious diseases residency. The program adheres strictly to ACGME clinical experience and education hours standards. Trainees can teach medical staff, junior subspecialty residents, general pediatric residents and medical students and interact with a wide variety of health care providers in departments outside of Infectious Diseases. Didactic sessions and teaching methods used to ensure program goals and objectives are met. Fellows participate in several conferences, including: Clinical Case Conference - Presentation of clinical cases followed by a review of medical literature pertaining to specific questions raised by the case. Infectious Diseases Research Seminar - Results of recent research. Journal Club - Presentation of a research article followed by a review of study design and statistical issues raised by the case. ID Board Review - Monthly didactic lecture series Pediatric Grand Rounds St. Jude Grand Rounds Kiosk of Cases - Weekly case-based learning Support is provided for trainees to attend a scientific meeting (typically IDWeek or the Pediatric Academic Societies Annual Meeting) during their residency. Encouragement to participate in the St. Jude/PIDS conference as this has a Global Health component. Supervision and Evaluation Each patient has an identifiable, appropriately credentialed and privileged attending physician who is ultimately responsible for that patient's care. Fello