Infectious Diseases

Curriculum

Our Prisma Health–Midlands/University of South Carolina School of Medicine Columbia Infectious Diseases Fellowship Program curriculum consists of five major components.

Inpatient infectious disease consult services

The inpatient consult services occur at Prisma Health Richland Hospital (PHR) and William Jennings Bryan Dorn Veterans Administration Hospital (Dorn VA) Facilities.  

  • PHR is a public, not-for-profit 641-bed tertiary care hospital which serves as a major referral center for physicians across South Carolina and beyond.  
  • The Dorn VA is a 244-bed regional referral center, which encompasses acute medical, surgical, psychiatric, and long-term care. This facility has strong ties with the USC School of Medicine and serves as a major teaching facility for the residency and fellowship training programs.   

Our goal is to provide training, mentoring and clinical experience in consultative services related to the care and management of hospitalized adults with infectious diseases. By the end of the fellowship, the fellow should complete 10-12 months combined at these sites with a minimum of 250 consults. 

Ambulatory infectious disease clinic

The Immunology Center (IC) is a combined HIV and general infectious diseases clinic. The IC is the state’s largest HIV care service center, and since 1993, the USC Division of Infectious Diseases has coordinated a partnership of over 20 member agencies that deliver care across an eight county area. The IC has approximately 2000 HIV-infected individuals and provides medical care, medical case management, substance abuse screening, referral and treatment, medications assistance, mental health services, perinatal HIV prevention case management, and HIV discharge planning from the SC Department of Corrections. It serves a diverse community with broad ethnic and social backgrounds and exposes fellows to newly diagnosed HIV patients as well as those with complicated/uncomplicated opportunistic infections. Interdisciplinary approaches to patient care are utilized throughout the course of the training.

In addition to comprehensive HIV services the IC is the referral center for general infectious disease consults, continuity of care for inpatient infectious diseases consults and hepatitis c management. At the IC fellows will also manage a variety of infectious diseases, ranging from general to viral hepatitis, complex surgical and orthopedic infections, tropical/travel medicine, and zoonoses.

Each fellow will have a continuity clinic throughout the fellowship consisting of 1–2 sessions per week where they will build a panel of patients. Over the course of the fellowship, this panel is expected to grow to more than 60 patients.

Conference series (didactic and case conference)

Our comprehensive conference series complement the clinical experience and provide formal training in a variety  of infectious diseases topic including (but not limited to) hospital epidemiology and infection prevention, microbiology, infections in patients with major impairments of host defense, and research methodology. This also serves to provide a forum to discuss up-to-date literature, controversies in infectious disease, medical errors and complications and management of complicated infectious disease patients. The program uses a multidisciplinary approach with the help of public health and infectious diseases pharmacy faculty. Along with infectious disease fellows, the PharmD Infectious Disease fellows participate in the conference series. Conferences consist of Didactic lectures, Journal Club, Research, Genotype and Case Conferences.

Infectious Diseases/Critical Care Track

In coordination with our Pulmonary and Critical Care program, fellows will complete all requirements to be board eligible for critical care. This includes the care of the critically ill and medical/surgical patients to fulfill ACGME requirements.

Research and scholarly activities

Research training is done through the Research Lecture Series, Journal Club and research mentoring. Our goal is to advance the fellow's knowledge of the basic principles of research, including how such research is conducted, evaluated, explained to patients and applied to clinical practice. Fellows will identify a research project during the first year and coordinate with a mentor to develop a research protocol. Fellows will be expected to complete a research and a quality improvement project as well as demonstrate evidence of scholarly activity either through publications in a peer reviewed journal or presentation at  a regional or national meetings.

Specialty rotations

Pediatric Infectious Disease, Microbiology, Transplant Infectious Disease, Infection Prevention [IP], Antimicrobial Stewardship and Public Health

Our goal is to provide additional clinical experience and training in the specialty area. We offer several specialty rotations that are not part of the ACGME requirements, but will enhance the fellow's training and experience. Each fellow is expected to complete a one month rotation in each: Pediatric Infectious Disease, Microbiology and Transplant Infectious Disease (at Emory University). In addition, fellows will, at minimum receive two to four weeks of antimicrobial stewardship, learning the practical and therapeutic aspects of antimicrobial therapy. Fellows will receive infection prevention (IP) as part of a two-four week rotation in the IP department and through completion of the IDSA/SHEA Infection Control Fellows Course. Depending on the individual's interest, rotations can be modified to gain additional experience in pediatric infectious disease, public health, antimicrobial stewardship, ultrasound, global health and international training. Refer to our Rotation Schedule and Clinical Experience sections for further details.