Clinical Training

The overriding goal of the University of Minnesota Infectious Diseases Fellowship program is to provide our fellows excellent training in the practice and science of Infectious Diseases. In our program, this is fostered by immersion in patient care at our four dedicated teaching hospitals, our diverse continuity clinics offerings, our ample clinical microbiology experience and robust teaching by our dedicated faculty through lectures, case presentations and effective training, feedback, and support for the fellow while on service. Clinical training through our fellowship program will allow you to develop an independent, thoughtful, organized, and flexible approach to the evaluation of patients with a range of symptoms and signs that suggest the presence of an infectious disease, while recognizing and responding to both psychosocial and economic factors that impact on patient care. You will also develop and enhance life-long learning skills that allow you to adapt to the changing spectrum of infectious diseases and their changing management.

Infectious Diseases Inpatient Consultations

Infectious Diseases Inpatient Consultations

University of Minnesota Medical Center is a premier teaching hospital with nationally and internationally recognized programs. Affiliated with the University of Minnesota's Academic Health Center, the UMMC brings together the faculty, physicians, and research scientists of the University with the services of community physicians to provide care ranging from prevention and primary care to treatment of very complex conditions. The medical center's two campuses are located across from one another on the banks of the Mississippi River in Minneapolis. Infections in the immunocompromised host are seen with particular frequency because of the large oncology services and the number of patients receiving organ transplants (bone marrow, kidney, liver, heart, lung, and pancreas). The hospital also has an active emergency room from which patients with a variety of problems are admitted.

Hennepin County Medical Center is a busy county hospital centered in downtown Minneapolis. The patient population is comprised of immigrants from a variety of Latin American, African, and Southeast Asian countries as well as local, inner city residents. Infectious disease problems include those that are common in refugee/immigrant populations (e.g., extrapulmonary tuberculosis, neurocysticercosis, and malaria), injection drug users, (e.g., infective endocarditis) and the elderly. The HCMC HIV Clinic is the largest in the state of Minnesota (over 1,000 patients), and the HIV clinical research program is an area of special emphasis for the ID Division. There is also ongoing interest in musculoskeletal infections and in infections in patients in the Critical Care Unit. The regional Sexually Transmitted Disease Clinic is located near HCMC and is directed by the Infectious Diseases Service. The clinical infectious diseases fellowship at HCMC will provide experience in all of these areas.

The Minneapolis VA Health Care System is an acute medical-surgical hospital which is also a tertiary referral center for the VA in the six-state area. The hospital is clinically active in areas of renal transplantation, hematology-oncology, and general medicine and surgery, which provide a constant source of interesting and challenging problems for infectious disease consultation. The infectious diseases section works closely with the clinical microbiology laboratory at the VA. Also, Infection Control is an integral component of the VA experience.

Outpatient Infectious Diseases Experience: Continuity Clinic

Outpatient Infectious Diseases Experience: Continuity Clinic

Delaware Street Clinic, University of Minnesota Medical Center

  • Provides world-class care from physicians who are also leaders in infectious disease research
  • Clinic includes specialty trained nurses, social workers and a designated pharmacist
  • Mixture of general ID and HIV patients from around Minnesota

Positive Care Center, Hennepin County Medical Center

  • The Positive Care Center at Hennepin is staffed by a multi-disciplinary team committed to providing quality, comprehensive health and psychosocial services to those with HIV and AIDS. The center staff provides education, serves as a community and family resource, and contributes extensively to the advancement of HIV-related knowledge
  • More than 1100 patients seen annually (largest HIV clinic in Minnesota)
  • Services also include an HIV/HCV Co-infection Clinic

Minneapolis VA Health Care System Infectious Diseases Clinic

  • Mixture of general ID and HIV patients from the five state area

Infectious Disease Institute, Makerere University College of Health Sciences, Kampala, Uganda

  • Continuity Clinic site for fellows participating in research projects in Kampala, Uganda
  • More than 20 full-time clinicians supervise the care of roughly 9,000 active HIV-infected persons, of whom roughly 7,000 are receiving antiretroviral therapy
  • In addition to the routine HIV care, a number of specialty sub-clinics function within this clinic, including a TB co-infection clinic and a Kaposi Sarcoma clinic

Outpatient Infectious Diseases Experience: Additional Ambulatory Clinics

Outpatient Infectious Diseases Experience: Additional Ambulatory Clinics

Hennepin County Public Health Clinic

  • The Hennepin County Public Health Clinic is a multi-lingual, multi-cultural clinic that provides screening and treatment for STIs, HIV testing, TB control services, refugee health screening, immigration exams, family planning and Ryan White HIV services for qualified individuals who are HIV+ and not currently in care
  • Provides refugee screening for patients from over 12 countries
  • Largest Tuberculosis clinic, serving more than 100 active tuberculosis cases annually
  • Largest and busiest STI clinic in Minnesota

The International Travel Medicine Clinic at Hennepin Healthcare

The International Travel Medicine Clinic at Hennepin Healthcare provides a full range of services to prepare clients for their international travel. This includes a detailed assessment of their travel needs, extensive counseling about avoiding potential risks while traveling, administration of vaccines, and prescribing any medications they will need for their international travel.

Positive Care Center - Hennepin County Medical Center

  • HIV/HCV Co-infection Clinic serves the needs of this complicated patient population

HealthPartners Center for International Health

  • Immigrant and Travel Medicine Clinic in Saint Paul, MN
  • Includes patient from more than 30 countries, with a staff of providers combining more than 100 years of experience in International Health with extensive experience practicing both internationally and in the United States

Clinical Microbiology Training

  • Includes hands-on experience in hospital clinical microbiology laboratories, is provided during
  • One-month rotation split between the VA Medical Center and Hennepin County Medical Center clinical microbiology laboratories conducted early in the first year of fellowship
  • Includes hands-on experience in all aspects of the laboratory (bacterial, fungal, viral, mycobacterial, immunological, etc)
  • In addition, during inpatient consult months, ID fellows participate regularly in “plate rounds” in each hospital’s clinical microbiology laboratory
  • These rounds include demonstrations, didactic sessions, and review of clinical test results