The UCSD Infectious Diseases Fellowship Training Program is an ACGME-accredited program designed to train physicians in the subspecialty of Infectious Diseases and fulfills all ACGME requirements for accreditation and all American Board of Internal Medicine (ABIM) requirements for Board Eligibility in Infectious Diseases.
The first year is primarily a clinical year that encompasses monthly rotations on the inpatient ID consultation services at one of three primary teaching hospitals: the UC San Diego Health Hillcrest Medical Center, the UC San Diego Health Jacobs/Thornton/Sulpizio Medical Center, and the San Diego Veteran's Affair's Medical Center. The clinical year also includes rotations on our specialized Solid Organ Transplant ID consult service, Oncologic/Bone Marrow Transplant ID service, and the inpatient HIV Medicine consult service. Didactic and experiential training in clinical microbiology is accomplished through "Micro Rounds" held for one hour three days per week during inpatient consult service rotations and a 2-week intensive Microbiology Laboratory rotation. Fellows also attend outpatient ID clinics for one half-day per week at each of the three major teaching hospitals during their clinical year and are assigned to a one half-day per week of outpatient HIV Continuity Clinic in their second and third year (if applicable) of training. HIV Continuity Clinics may be scheduled at the UC San Diego Health Owen Clinic or at the VAMC Special ID Clinic. Although most of the clinical training is completed in the first year, second and third year fellows are assigned an additional 4-6 weeks per year of clinical training experiences on the inpatient consultation services, in addition to their HIV Continuity Clinics.
The program provides a variety of complimentary educational experiences to enhance fellows' experiential learning on the clinical services. In addition to Micro Rounds, fellows attend a weekly ID Core Didactic conference on Tuesday mornings. ID Grand Rounds take place Thursdays from 3:30-5:00. The first half of Grand Rounds typically features a case presentation by one of our fellows. The second half of Grand Rounds includes a variety of presentations by either faculty or fellows on a rotating schedule: research talks, journal clubs, quality improvement conferences, and invited guest speakers.
All fellows participate in our HIV clinical curriculum during their second year of fellowship. In addition to HIV continuity clinic, fellows attend weekly HIV and Global Health (HIGH) Rounds on Friday mornings, monthly HIV resistance conference, and twice monthly HIV clinical conference. Fellows can also participate in the Center for AIDS Research (CFAR) weekly journal club and works in progress meetings as well as the twice monthly HIV and Substance Use conference. Fellows are also provided a structured self-directed curriculum to supplement their HIV clinical training.
Career and research mentoring are a core component of our fellowship. All incoming fellows are assigned a career mentor before arriving in San Diego. Faculty career mentors meet with fellows throughout their first year to provide guidance and support. Fellows also participate in peer-to-peer and near-to-peer mentoring through our fellow "mentoring family" program. Fellows are assigned to a "mentoring family" which includes a fellow from each cohort. Mentoring families meet periodically throughout the year for more informal mentoring, networking, and fun with their co-fellows. The program directors of the fellowship meet with fellows frequently as a group and one-on-one throughout the fellowship to ensure that fellows are thriving and on the best path towards achieving their career goals. The program directors and career mentors work closely with first-year fellows to help them identify a mentor with whom they will work closely during their research and scholarly projects in the second year of fellowship and beyond. Fellows in the Research Track meeting twice a year with the Research Guidance Committee to receive feedback on their research and guidance on their career development.
Diversity, Equity, and Inclusion
The UCSD ID Fellowship and the UCSD Division of Infectious Diseases and Global Public Health are committed to promoting, fostering, and improving diversity, equity, and inclusion (DEI) within our program, division, department, and institution. We believe that our differences make us stronger, and we strive to create a culture of inclusion by valuing and celebrating diversity across all domains. Diversity is essential for excellence in clinical care, teaching, and research.
Some of the steps we have taken recently within our division to promote DEI include:
- Implicit bias training
- Workshop on microaggressions
- Cultural competency training on gender identity and expression
- Participation in IDSA's 21-Day Racial Equity Challenge
- Inclusive mentoring training
- Holistic review in fellowship and faculty hiring processes
- Tracking the number of underrepresented in medicine fellowship applicants along the continuum of the application process
Numerous steps are being taken across the institution to promote DEI:
- DEI Ambassadors from all Departments are meeting quarterly to share best practices and bring recommendations to building a more inclusive community to our academic and clinical leaders.
- The Herbert Wertheim School of Public Health and Human Longevity Science filled its inaugural role of Associate Dean for Justice, Equity, Diversity, and Inclusion (JEDI) on June 1 with Sonia Jain.
- The Sanford Institute for Empathy and Compassion has established a Center for Empathy and Social Justice in Human Health.
- The Herbert Wertheim School of Public Health and Human Longevity Science created a Health Promotion and Equity Center of Excellence to build and advance the science of health behavior change and to eliminate health disparities based on personal or environmental factors.
- A Medical Education audit is currently under way, which is being performed by Advancing Health Equity under the direction of Vice Dean for Medical Education Dr. Michelle Daniel.
- The Health System has integrated anti-racism as a domain of its strategic framework, including "Dismantle Structural Racism" as one of eight overarching strategic goals.