ID Rotations, Clinics, and Conferences

Inpatient Rotations

First year 

• 26 weeks of Temple General Infectious Diseases inpatient consult service 
• 10 weeks of Transplant Infectious Diseases inpatient consult service 
• 2 weeks of Microbiology 
• 10 weeks of research, conferences and outpatient clinics 
• 4 weeks paid time off (including vacation, personal days, CME and sick time) 

Second year 

• 12 weeks of Temple General Infectious Diseases inpatient consult service 
• 4 weeks of inpatient consult service at Fox Chase Cancer Center and Jeanes Bone Marrow Transplantation unit 
• 4 weeks of Transplant Infectious Diseases inpatient consult service • 2 weeks of TB clinic at the Philadelphia Health Department (2 afternoons perCommented [SS26]: "afternoons" has a link, but doesn't link to anything - remove week) and the National Jewish TB course 
• 26 weeks of research, conferences and outpatient clinics 
• 4 weeks paid time off (including vacation, personal days, CME and sick time) 

There are two general ID consult services at Temple. The first, called “ID 1&2,” is composed of 2 fellows and 1 attending. This is our main teaching service and will typically have internal medicine residents, medical students, pharmacy residents and students, and occasionally podiatry residents and physician assistant students. The second general ID service is called “ID3” and is typically 1 fellow with 1 attending without additional learners. This allows for more one-on-one time with the attending and more flexibility throughout the day. When rounding on the general ID teams, fellows generally see follow-up cases in the morning and round on new consults in the afternoon. Each fellow sees an average of 3-4 new consults per day and follows 8-12 patients at a time. 

The Transplant ID service is comprised of 1 fellow and 1 attending and occasionally an internal medicine resident or 4th year medical student. Patients on this service include solid organ transplant recipients (lung, heart, kidney, kidney, and liver), those undergoing transplant evaluation, and patients with ventricular assist devices (VADs). Temple performs the highest volume of lung transplants in the country, making this a great learning opportunity! Fellows on transplant ID see an average of 2-3 new consults per day and follow an average of 8-12 patients at a time. 

First year fellows have a dedicated rotation to introduce them to the microbiology lab within their first 2 months of fellowship. During this time, they meet the laboratory staff and learn how various tests and cultures are performed. 

The Fox Chase Cancer Center/Jeanes BMT rotation is an oncologic ID and BMT experience for second-year fellows. This experience includes rounding with the Jeanes BMT service to learn more about hematopoietic stem-cell transplantation and other advanced therapies like CAR-T cell therapy. Fellows will see ID consults at both Fox Chase Cancer Center and in the Jeanes BMT unit. This rotation is another opportunity to work one-on-one with the ID attending. 

The TB rotation is a public health experience for second-year fellows and involves seeing patients with active and latent tuberculosis at the Philadelphia Department of Public Health with the directorof the city’s TB control program. Fellows spend 2 afternoons per week for 3 weeks in the TB clinic. Through this experience, fellows learn about the nuances of TB testing, treatment, and contact tracing. The fellowship program alsoalso provides funding for fellows to take the National Jewish TB Course to complement this experience. 

Nights and Weekends 

Fellows are responsible for responding to phone calls overnight but generally do not come into the hospital. The ID3 fellow covers night call one day per week. The rest of the nights are split between the two fellows on the ID 1&2 team. 

Weekends are split between the two fellows on the ID 1&2 team. One fellow and one attending are present for the weekend and will see new consults and urgent follow-up cases. 

Clinics 

HIV clinic is a continuity clinic and includes not only patients with HIV, but also those with STIs, HCV, and those receiving PrEP. Fellows will be in HIV clinic every other Monday or Thursday morning, both while on service and off service. 

General ID clinic is scheduled for 4 half-days per week and is staffed by fellows who are off service. This clinic includes outpatient referrals and patients who need follow-up after hospitalization. Common reasons for referral include latent tuberculosis, recurrent urinary tract infections, and H. pylori infections. 

Transplant clinic is scheduled for every Thursday morning. In this clinic, fellows will see patients who are being evaluated for transplant to assess their infection risk, as well as see patients with infections after solid organ transplant. 

Travel clinic is scheduled for every Friday morning. The majority of this clinic is dedicated to pre-travel immunizations, prophylaxis, and counseling. Returning travelers with symptoms of infection are occasionally seen in this clinic as well. Travel clinic is currently staffed by the attending only, but fellows are encouraged to spend a few sessions here. 

Temple ID provides HIV care and HBV and HCV treatment to Pennsylvania state correctional facilities. Each facility has a telemedicine clinic once per month, staffed by the ID attendings. This is optional for fellows to gain experience providing care to incarcerated persons. 

• 1 half-day HIV continuity clinic for all fellows (Monday and Thursday AM) - Drs. Bettiker, Samuel and Schultz 
• 4 half-day ID clinics covered by off service fellows (Wednesday AM and PM; Thursday PM) - All faculty 
• 1 half-day transplant ID clinic covered by off-service fellows (Thursday AM) - Drs. Mishkin, Burnell, and Altneu 
• 1 half-day travel clinic – optional for off-service fellows (Friday AM) - Dr. Spivack 

Conferences 

Summer series by faculty covering basic ID principles - Tuesday, Wednesday and Friday at noon in July and August 

Educational conferences include lectures by faculty members including our microbiology and pharmacy colleagues, medical student presentations, and guest lectures. 

Fellow Friday is a weekly conference that is fellow-driven. It can be a journal club, morbidity, mortality, and improvement conference, or other topic. 

Monday 

• 8:30 AM - 9:30 AM - Antibiotic lecture by senior fellow to medical students 

Tuesday 

• 8:00 AM - 8:30 AM - HIV review (Drs. Bettiker, Schultz,Samuel, and Koren) 
• 8:30 AM - 9:30 AM - Educational conference 

Wednesday 

• 8:30 AM - 9:30 AM - Educational conference 
• 12:00 PM – 1:00 PM – Internal Medicine Grand Rounds 

Thursday 

• 8:30 AM - 9:30 AM - Antibiotic lecture by senior fellow to medical students 

Friday 

• 8:00 AM - 8:30 AM - Board Review (Dr. Samuel) 
• 8:30 AM - 9:30 AM - Fellow Friday