Clinical Experiences

Statement of Educational Purpose

The primary goal of the UCSF Fellowship in Infectious Diseases is to provide clinical and research training in infectious diseases. Through a combination of structured educational programs, mentored clinical practice rotations, and direct patient care in three unique health care delivery settings, the UCSF training program provides outstanding opportunities for fellows to obtain and demonstrate competence in patient care and the diagnosis, management, and treatment of a wide variety of Infectious diseases. Fellows receive intensive clinical training during the first year, which includes: (i) inpatient consultation at three different hospitals, including a dedicated consult service for immunosuppressed patients and a rotation on the pediatric infectious diseases service; (ii) outpatient infectious diseases clinical training, including a weekly HIV/infectious diseases continuity clinic; and (iii) training in clinical microbiology and infection control. Fellows consolidate and refine their patient care skills during the second year with occasional weekend coverage and 2 weeks of inpatient consultation and the continuation of the longitudinal outpatient experience with one outpatient clinic per week. The training curriculum is designed for fellows to obtain competence in patient care at the level expected of a new practitioner by the end of the second year of fellowship.

A major goal of the program is to train and develop future leaders in infectious diseases. The program, therefore, encourages a high level of academic performance in its trainees and actively fosters the development of academic infectious diseases physicians who will advance the field and train future physicians. Accordingly, the training program also strongly emphasizes investigative infectious diseases through a combination of structured educational sessions, career development support and mentoring, and the availability of a diverse and experienced group of research mentors within UCSF.

Competency-Based Overall Educational Goals

The training program fosters and expects fellows to obtain competence in the following areas:

Patient Care: The essence of being an infectious diseases specialist is the ability to use data derived about a patient (history, physical examination, laboratory, microbiology, and imaging studies) along with medical knowledge to orderly synthesize a differential diagnosis, plan for further evaluation, and comprehensively manage a patient with an infectious disease. Competence in this area results in care that is compassionate, appropriate, and effective for the treatment of disease and the promotion of health.

Medical Knowledge: Trainees must gain a thorough understanding of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences relating to infectious diseases and apply this knowledge to patient care.

Practice-based Learning and Improvement: The development of skills in self-directed learning and practice improvement will facilitate the delivery of state-of-the-art, evidence-based patient care that maximizes the likelihood for successful clinical outcomes. Essential components of this competency include the ability to investigate and evaluate patient care, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning.

Interpersonal and Communication Skills: Competency in this area is essential for the formation of a desirable and effective physician-patient relationship, The complexity of most infectious diseases and their management requires a working partnership between patient and physician, and often between physician and the patient's family. Competency in this area also results in the effective exchange of Information and collaboration with other health professionals.

Professionalism: Professionalism is one of the foundations of the practice of medicine and is an inherent character trait in a well-rounded infectious diseases physician. Professionalism is manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to patients of diverse backgrounds

Systems-based Practice: Competence in this area reflects an understanding of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal care for patients with infectious diseases.