Rogers Infectious Diseases and Inpatient Service
The Rogers Infectious Diseases Inpatient Service at VUH is the service responsible for admitting the majority of HIV infected individuals, including those cared for at the Vanderbilt Comprehensive Care Center, as well as any patients not in care or newly diagnosed patients presenting to the Emergency Department. This rotation exposes fellows to patients presenting with many of the acute complications of AIDS, such as cryptococcal meningitis, Pneumocystis pneumonia, and toxoplasmosis. Occasionally, patients with non-HIV related infectious diseases (i.e. endocarditis) are also managed on this service. The service is staffed by an Internal Medicine Resident and one Intern who are responsible for all orders, procedures and notes. The ID fellow and attending physician assigned to the service work in concert to supervise the management of patients on the service and provide education about HIV/AIDS and infectious diseases to the residents and interns.
Vanderbilt General Infectious Diseases Consultation Services
An ID fellow and an ID attending are assigned to each of two general ID consult services. A resident and a fourth-year medical student are also assigned to each service, as available. There is a third faculty-only consult service as well. Consults are requested from any medical or surgical floor, the trauma unit, burn unit, or any other non-pediatric specialty.
Transplant Infectious Diseases Consultation Service
Transplantation programs include solid-organs (heart, lung, liver, kidney, and pancreas) and the hematopoietic stem-cell transplant programs (autologous, allogeneic, and matched unrelated donors). ID consultation for these programs provide broad exposure to the infectious complications of iatrogenic immunosuppression, chemotherapy induced neutropenia, and interactions of anti-infectives with immunosuppressants. Our transplant program is a nationally recognized leader in the field of transplant-related infection management, providing dedicated ID expertise that is integrated into the transplantation surgery team's routine procedures. The Transplant ID Service sees patients at both the Vanderbilt University Hospital and the VA Medical Center.
VA Infectious Diseases Consultation Service
During this rotation, both general ID consults and HIV/AIDS patients are seen by the consult team. The VA ID Consult Service usually consists of one attending, one ID fellow, and one internal medicine resident, as available.
Clinical Rotation in Outpatient Infectious Diseases
Fellows spend approximately four weeks on this rotation during their first year of fellowship. During this time they attend The Vanderbilt Infectious Diseases Clinic, observe orthopaedic surgical cases, the Tuberculosis Clinic, the Vanderbilt International Travel Medicine Clinic and other relevant outpatient experiences. Fellows also continue their assigned weekly HIV continuity clinic during this rotation. In addition to their clinic responsibilities, fellows will be given one-half day per week in which to prepare for their research projects.