Year 1: CLinical exposure
The first year of the program is designed to provide fellows with comprehensive clinical exposure across a broad spectrum of infectious diseases, regardless of their future specialization.
Fellows will spend the majority of their first year rotating through ID services at four renowned Seattle hospitals. The rotations include diverse consult services such as general ID, HIV, solid organ transplant, oncology, and stem cell transplant, ensuring a well-rounded foundation in ID clinical practice.
Rotation Sites
Harborview Medical Center (HMC)
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Throughout the year, fellows will also maintain an outpatient continuity clinic focused on general ID, further strengthening their clinical skills.
In addition, The Program Director and Associate Program Director will meet regularly with each fellow to discuss and refine clinical and research goals for their future career. These meetings also serve to help fellows identify mentors aligned with their areas of interest, ensuring focused development and growth.
| SITE | SERVICE | TIME |
|---|---|---|
| UWMC | General ID | 4-6 weeks |
| HMC | General ID | 8-12 weeks |
| UWMC | Solid organ transplant | 10-12 weeks |
| UWMC | Oncology, bone marrow or stem cell transplant | 4-6 weeks |
| SCH | Pediatric ID | 4 weeks |
| VA | General, transplant, HIV and antimicrobial stewardship | 4-6 weeks |
| HMC | Clinical quality improvement | 2-3 weeks |
| Outpatient | General ID clinic | 1/2 day per week |
Year 2+: tracks & focus areas
In the second year, fellows specialize by selecting either research-centered or clinically oriented training. The program offers two main tracks, a Research Track, and a Clinical Track, that will determine the structure of your experience beyond year 1.
Regardless of the chosen track, all fellows continue inpatient consults in the second year of fellowship. In their third year, fellows assume junior attending roles during inpatient rotations, gaining experience working more independently.
Research Track (3 Years)
The Research Track is designed for fellows who aim to specialize in ID while preparing for an academic career in areas such as basic science, clinical research, public health, or industry. Many fellows pursue advanced degrees (e.g. MPH or MS) through the UW School of Public Health to strengthen their research credentials and training.
During the second and third years, fellows will continue clinical training while focusing on research. Research activities may include studying the epidemiology of ID, improving diagnosis and treatment methods, or conducting laboratory-based research and implementation science.
| Inpatient Services | 4-6 weeks & 3 weeks risk |
|---|---|
| Outpatient Clinic | 1/2 day weekly clinic throughout the year (HIV) |
| Other Activities |
| Inpatient Services | 4 weeks (transition to clinical independence) & 3 weeks risk |
|---|---|
| Outpatient Clinic | 1/2 day weekly clinic throughout the year (area based on interest) |
| Other Activities |
In some cases, fellows may extend their training to a fourth year, especially those on the ABIM research pathway, to gain additional research experience and prepare for independent investigator careers.
Clinical Track (2 years)
The Clinical Track is intended for fellows who wish to specialize in clinical practice and education within the field of ID. The second year emphasizes clinical training, leadership development and scholarly work.
Fellows spend the majority of their time in mentored, hands-on training in areas such as antimicrobial stewardship, infection prevention, quality improvement, and medical education. Fellows also have the opportunity to design and implement scholarly or quality improvement projects.
Clinical Track Focus Areas
Fellows in the Clinical track focus in one of three areas, each associated with a primary hospital:
- HIV Focus at HMC
- Antimicrobial Stewardship (AMS) and Infection Prevention (IP) Focus at VA
- Antimicrobial Stewardship (AMS) and Infection Prevention (IP) or Solid Organ Transplant (SOT) Focus at UWMC
| Inpatient Services | 4 months & 4-6 weeks risk, focused at primary site |
|---|---|
| Outpatient Clinics | 1/2 day clinic, three times per week, throughout the year (HIV, SOT or General ID) |
| Other Activities | Scholarly or quality improvement projects, teaching activities, development of protocols, antimicrobial stewardship initiatives |