Philadelphia University + Thomas Jefferson University
Sidney Kimmel Medical College
Department of Medicine

Infectious Diseases Fellowship

The Division of Infectious Diseases of the Sidney Kimmel Medical College offers an Infectious Diseases Fellowship based at Thomas Jefferson University Hospital.  Our division is dedicated to training physicians to become leaders in the field of Infectious Diseases.  We accept 2 fellows/year to our program.  Our fellows see patients at Thomas Jefferson University Hospital as well as several other locations for a well-rounded clinical experience.  Our fellows work alongside our 10-faculty members of the Medical College and actively manage patients on our general consult, solid organs transplant, bone marrow transplant, and neurological/neurosurgical subspecialty consult services.  In addition to this clinical experience, our fellows are also on the forefront of educating other learners including medical students, residents, and pharmacy students.

We pride ourselves on being a largely clinically-focused program.  There is, however, plenty of opportunity to present unique cases, dive into research projects, and partake in our Division's Antimicrobial Stewardship and/or Infection Control Committee.

Goals of the Fellowship Program

Fellows are expected to develop the following skills during their training in infectious diseases:

  • Clinical competence in the practice of both inpatient and outpatient infectious diseases consultations
  • Familiarity with and proficiency in interpreting the current medical literature in infectious diseases
  • Familiarity with academic research in both basic and clinical areas and the ability to initiate independent investigations in either of those areas
  • Competence in teaching house staff and medical students
  • Competence in the practice of hospital infection control

Components of the Fellowship Program

Clinical Schedule

First Year
  • Inpatient consult service - 38 weeks
  • Research - 8 weeks
  • Microbiology lab - 2 weeks
  • Vacation - 4 weeks

Second Year

  • Inpatient consult service - 14 weeks
  • Transplant consult service - 6 weeks
  • Outpatient ID clinic - 8 weeks
  • Subspecialty clinic - 4 weeks
  • Microbiology lab - 2 weeks
  • Research - 8 weeks
  • Infection Control/Antimicrobial Stewarship - 4 weeks
  • Vacation - 4 weeks

Inpatient Rotations

Thomas Jefferson University Hospital

Thomas Jefferson University is an 800-bed university teaching hospital based in Center City Philadelphia with a broad referral base from the Pennsylvania-New Jersey-Delaware tri-state area.  Fellows rotate on several consult services including: general teaching service, solid organ transplant service, bone marrow transplant service, and neurological/neurosurgical service.  Fellows will mentor other trainees, but will also have the opportunity to work on-on-one with faculty on specialty services.

Lankenau Medical Center

Lankenau Medical Center is a 500-bed community teaching hospital with a strong academic tradition.  Fellows rotate on both inpatient and outpatient services with the Infectious Diseases physicians of the Delaware Valley ID Associates (https://www.delvalid.com), including unique rotations in travel clinic consultation and exposure to private practice.  Parking is free for fellows.

Wills Eye Hospital

Wills Eye Hospital is a free-standing eye hospital that has an affiliation with Thomas Jefferson University as its Department of Ophthalmology.  The hospital includes an Emergency Department and 4-inpatient beds that fellows may visit while on the neurological/neurosurgical consult service.

Outpatient Rotations

  • HIV clinic half day per week for all fellows with our HIV specialists.
  • General ID clinic half day per month when off inpatient service with rotating faculty.
  • Lankenau outpatient clinic (includes follow ups, new referrals, HIV, Hep C, Travel, miscellaneous) 2nd year of fellowship.

Conferences

  • Weekly Case Management Conference
  • Weekly Board Review
  • Weekly Core Curriculum lectures by faculty
  • Weekly Microbiology Rounds
  • Monthly HIV Conference
  • Monthly Journal Club
  • Monthly City-Wide Conference amongst Philadelphia Training Programs
  • Quarterly Pulmonary-ID Conference

Examples of past Managment Conferences:

  • Rhinocerebral mucormycosis
  • HIV-associated lymphoma
  • Lyme optic neuritis
  • CRE Klebsiella pneumoniae infections
  • Varicella zoster meningitis
  • Disseminated tuberculosis
  • CMV in solid organ transplant recipient
  • CNS histoplasmosis
  • Recurrent Clostridium difficile infection
  • Cryptococcal meningitis in non-HIV patients
  • Chagas disease
  • Leptospirosis
  • Prosthetic valve endocarditis

Opportunity for One-Year Critical Care Fellowship

Fellows interested in pursing careers combining infectious diseases and critical care medicine may apply for an additional one-year fellowship in critical care.  The program is administered through the Department of Medicine and is open to candidates who have completed an internal medicine subspecialty training in another field (e.g. infectious diseases, nephrology, cardiology, etc.). Upon completion of the critical care fellowship, trainees will be eligible for board certification in Critical Care Medicine and fully qualified to practice as medical intensivits.

Applications for the critical care fellowship are separate from other subspecialty applications and acceptance cannot be guranteed prior to matching in another subspecialty at Jefferson. Interested applicants can apply after their first ID fellowship year.  Preference to qualified internal candidates (those already at Jefferson for other subspecialty training) will be shown.  Applicants interviewing for infectious diseases fellowships at Jefferson can request to speak to the critical care fellowship director on their interview day to hear more about the program.

Post-graduation Careers

2019: JL Pettis Memorial VA Medical Center-CA

2019: Infectious Disease Center of NJ, Saint Barnbas Medical Center-NJ

2018: Montrose Clinic-TX

2018: Delaware Valley Infectious Diseases Associates-PA

2017: Robert Wood Johnson, Barnabas Health-NJ

2017: Christiana Care Health System-DE

2016: Albert Einstein Medical Center-PA

2016: Transplant Fellowship-Cleveland Clinic, OH; Louisiana State University-LA

2015: Orlando Health Infectious Diseases-FL

2015: Pinnacle Health Infectious Associates-PA

2014 Raleigh Infectious Diseases Associates-NC

2014: Lehigh Valley Health Network-PA

2013: Santa Clara Valley Medical Center-CA

2013: Transplant Fellowship-Mayo Clinic-MN; Samitivej Hosptial-Thailand

2012: Lehigh Valley Health Network-PA

2012: Thomas Jefferson University-PA

 

Fellows Research Endeavors

A compliation of works published and presented by our Infectious Diseases fellows from 2017-present.  Fellows names in bold

  1. Akram R, DeSimone JA Jr. "What's in the Pipeline? A look at up-and-coming HIV drugs in development". Contagion. Accepted for publication 2019.
  2. Hannon M, Zachariah S. Etherington N, Govind, A, Weber, D and Hess B.  "When and Infected Meniscus Portends a Perforated Viscus". Infectious Diseases in Clinical Practice. Accepted for publication 2019.
  3. Akram R, Benjamin C, Mwamuka K, and Belden KA. Fever in the Neurosurgical Patient. In: Rene Daniels and Catriona Harrop, eds. Medical Management of Neurosurgical Patients. Oxford University Press, in press, 2019.
  4. Chen L, Silibovsky R and Belden KA. Antibiotic Management in the Treatment of Prosthetic Joint Infection-Experience from the USA. In: Kunzheng Wang and Xiaolong Zhang, eds. Chinese Periprosthetic Joint Infection Society Management of PJI. In press, 2019.
  5. Bekker T, Govind A, and Weber D. "A Case of Polymicrobial, Gram-Negative Pulmonic Valve Endocarditis," Case Reports in Infectious Diseases, vol. 2019, Article ID 6439390, 3 pages, 2019. https://doi.org/10.1155/2019/6439390
  6. Sedlock C, Chen L, Vasquez G, and Weber D. "A case of Chagas cardiomyopathy presenting as syncope and left ventricular apical aneurysm". Infectious Diseases & Tropical Medicine. 2018; 4 (4): e501.
  7. Chen L, Pettengill M, Hess B, DeSimone JA Jr. Increased Diagnosis of Varicella Zoster Virus Infection of the Central Nervous System with the BioFire FilmArray Meningitis/Encephalitis Pane (#866).  Presented at IDWeek 2018. 2018 San Francisco, CA .
  8. Ghusson N and Vasquez, G. "Successfully Treated Norovirus-and Sapovirus-Associated Diarrhea in Three Renal Transplant Patients." Case Reports in Infectious Diseases, vol. 2018, Article ID 6846873, 4 pages, 2018 https://doi.org/10.1155/2018/6846873
  9. Govind A, L'Etoile N, and Vasquez G.  "The First Reported Case of Majocchi's Granuloma with Malbranchea sp. in an Immunocompetent Patient." Case Reports in Infectious Diseases, vol 2017, Article ID 9196528, https://doi.org/10.1155/2017/9196528
  10. Kemp DM, Govind A, Kang J, Brugger CC, and Kauh YC. "Sporotrichoid-Like Spread of Cutaneous Mycobacterium chelonae in an Immunocompromised Patient." Case Reports in Dermatological Medicine, vol 2017, Article ID 8219841, https://doi.org/10.1155/2017/8219841
  11. Wang S, Kotler D, and Sternlieb M. "A Rare Infectious Cause of Optic Neuritis." The Medicine Forum. Vol. 18 2016-2017. http://jdc.jefferson.edu/tmf/vol18/iss1/17/
  12. Belden KA, Mascarenhas R, Hendricks T, Merkow D, Chen A. Does skin disease predispose to infection of the musculoskeletal system? Presented at the American Academy of Orthopedic Surgery 2018 Annual Meeting, New Orleans, Louisiana, March 6-10.
  13. Mascarenhas T, Silibovsky R, Singh P and Belden KA. "Tickborne Illness after Transplantation: case and review." Transplant Infectious Disease. December 2017. PMID: 29277955
  14. Nambiar P, Daza AD, and Livornese LL Jr. Vaccine Design: Methods and Protocols. Textbook chapter: Clinical Impact of Vaccine Development. http://www.springer.com/us/book/9781493933853
  15. Nambiar P, Daza AD, Livornese LL Jr. Clinical Impact of Vaccine Development. Methods Mol Biol. 2016; 1403: 3-39. PMID: 27076123.
  16. Nambiar P, Belden KA, MD: Roslund B, Silibovsky, R. "Sustained Clostridium tertium Bacteremia in a Nonneutropenic Patient: A Case Report and a Review of the Literature." Infectious Diseases in Clinical Practice: July 2016; 24: 201-203. DOI: 10.1097/IPC.0000000000000373.
  17. Amanda K. Gibson, PharmD, Bhavik M. Shah, PharmD, BCPS, AAHIVP, Puja H. Nambiar, MD, Jason J. Schafer, PharmD, MPH, BCPS, AAHIVP.  "Tenofovir Alafenamide A Review of Its Use in the Treatment of HIV-1 Infection." Annals of Pharmacotherapy. 2016; 50: 942-952.
  18. Puja H. Nambiar, MD, Jason J. Schafer, PharmD, MPH, BCPS, AAHIVP, William R. Short, MD, MPH, AAHIVS. "Antiretroviral Therapy in Pregnancy American Academy of HIV Medicine." 
  19. Nambiar P, Tokarczyk M, and DeSimone JA Jr. "Photo Quiz: Fatal Septicemia in an Immunocompromised Patient." Clin Micro. 2017; 55.
  20. Nambiar P, Silibovsky R and Belden KA. "Infection in Kidney Transplantation". In: Carlo Gerardo B. Ramirez and Jerry McCauley, ed. Organ and Tissue Transplantation, Contemporary Kidney Transplantation. Springer International Publishing, 2017.

Salary & Benefits

Please visit our GME benefits page