Program Director: Carlos Franco-Paredes, MD
Associate Program Director: Brian Montague, DO, MS, MPH
Associate Program Director: Katherine Frasca, MD
Program Coordinator: Kelly Rico
Infectious Diseases Fellowship Training Program
12700 E. 19th Avenue – B-168
Research Complex 2 Bldg.
Aurora, CO 80045
History of Our Fellowship Program
The Division of Infectious Diseases Fellowship began in 1982 and was accredited by ACGME in 1987. Over 140 trainees have graduated to date. It is located at the University of Colorado School of Medicine, with sections at University of Colorado Hospital, Denver Veteran’s Affairs Medical Center, Denver Health Hospital Authority, and National Jewish Health. The University of Colorado training program in Infectious Diseases is a multifaceted training program offering clinical, didactic, and research experience. All training is directed at the level of a Fellow, i.e., trainees are expected to have sufficient expertise in Internal Medicine to allow them to proceed to advanced topics particular to the subspecialty of Infectious Diseases. A major emphasis of the program is scholarship. At all stages of the training, fellows are encouraged to seek self-instruction and participate fully in decisions regarding patient care and/or research issues.
The University of Colorado Anschutz Medical campus is a multidisciplinary site made up of the Schools of Medicine, Nursing, Dentistry, Pharmacy, and many other biomedical training programs and biomedical research facilities. The institution conducts state-of-the-art biomedical research as well as competitive clinical research in various medical specialties and is one of the leading biomedical facilities in NIH research funding in the country. Fellows enjoy access to a variety of clinical, translational, basic science research facilities and centers that enable the fellowship candidate to engage in state-of-the art research projects. The Campus provides access to the Health Sciences Library which offers over 6,000 journal titles and nearly 60,000 books and audiovisual materials. An internet system allows access to computer literature searches through divisional computers as well as access from home, free of charge.
Education Program-Basic Curriculum
The Infectious Diseases Fellowship Training Program is a 2 year program. It begins with one year of intensive clinical training provided at the four major university-affiliated hospitals: University of Colorado Hospital, Denver Veteran’s Affairs Medical Center, Denver Health Hospital Authority, and National Jewish Health. Fellows receive formal instruction in Clinical Microbiology, Transplant Infectious Diseases, Public Health and Infection Control. Outpatient responsibilities occur throughout the year and include Infectious Diseases Clinics (HIV Primary Care), Travel Medicine, TB control, Sexually Transmitted Diseases and ambulatory experiences in managing transplant infections and mycobacterial diseases. Fellows are supervised throughout all clinical rotations by faculty members who serve as attending physicians. There are no procedural requirements beyond those learned during an Internal Medicine Residency. During their first year, Fellows are required to pick a research topic, as well as a mentor. The mentor chosen may be any member of the Infectious Diseases Division, or an affiliate faculty member in a basic science department of the University of Colorado School of Medicine. A research proposal will then be submitted to their research committee to gain feedback.
Following the clinical year, fellows begin a training track most compatible with their interests. Three training tracks available are: Clinician, Clinical Investigator, or Research Scientist. The Clinician Track (1 additional year), is designed to meet the educational needs of a subspecialist who will be primarily involved in patient care. In addition to a research project, fellows receive advanced training in HIV Medicine, Transplant Infectious Diseases, Antibiotic Control, and Infection Control. The Clinical Investigator Track (2-3 additional years) provides a research opportunity involving patients, and may involve a laboratory project, epidemiology, biostatistics, pharmacology training, etc. The Research Scientist Track (3-4 additional years), consists of investigative work in the basic sciences. Each track is designed to complete all ACGME requirements of the training program within the first two years. Fellows in the second year of fellowship continue their one-half day continuity clinic and will complete the remaining 4-8 weeks of inpatient clinical duties in 2 week blocks that were not completed in the 1st year due to research time, educational leave, and other educational opportunities. Senior fellows also participate in teaching activities of the Division for the medical school microbiology course and division teaching lectures.
Trainees are required to attend weekly Case Conferences (replaced quarterly with first year fellow M & M presentations), Infectious Diseases Grand Rounds, Research in Progress, and a Lecture Series. Journal Club is held monthly. Fellows in the 2nd year of training must also attend a weekly research conference (pertinent to their scholarly activity). All fellows attend a 4-day course in Mycobacterial Diseases, and 9 hours of instruction in Infection Control. During the 2nd year, fellows attend national scientific meetings and courses.
Continuity Clinic Experience
All fellows are assigned a continuity clinic at either UCH, VA or DH and see a panel of patients for a half day each Tuesday. This clinic provides continuity care for a panel of HIV patients, general ID outpatient consultation, and hospital follow up visits. Fellows will maintain the same clinic for the duration of their fellowship.
Denver Health Hospital is a 425 bed city hospital located 10 miles west of the School of Medicine. It serves the medical needs of indigent patients living in the city and county of Denver. There is a large immigrant population, principally from Latin America and Southeast Asia. Approximately, 30% of HIV infected individuals in Colorado receive care at DHHA and it serves as a site for the Community Program for Clinical Research on AIDS. In addition, DHHA is a Level 1 trauma center for both the immediate and surrounding areas. Many of the Infectious Diseases faculty are employed by Denver Health and Hospitals, which addresses public health issues for the county, including immunizations, STD control and TB control. The Infectious Diseases inpatient service typically follows 15-20 patients at any given time. Fellows, in conjunction with residents and students, are responsible for the initial consultations and follow-up. Fellows attend combined I.D./Surgical ICU rounds on a weekly basis. The Denver Metro Health Clinic for Sexually Transmitted Diseases is the largest STD clinic in the Rocky Mountain Region and functions as one of ten national CDC STD Prevention and Training Centers. Fellows receive 1 week of training at this clinic, as well as TB clinic training in the Public Health Section.
The Denver Veteran’s Affairs Medical Center is an acute care and tertiary care center serving the Rocky Mountain Region of the Department of Veteran’s Affairs. The referral base encompasses several states and the patient population is predominantly middle-aged males. Inpatient consultations are typically for classical infectious diseases problems, such as prosthetic valve endocarditis, nosocomial pneumonia, complicated urinary tract infections, etc. An active Infection Control program addresses nosocomially acquired infections.
National Jewish Health is a national referral hospital that specializes in the care of patients with respiratory diseases. Three populations of patients are seen at this hospital: chronic respiratory diseases, immunodeficiency diseases (non-HIV), and mycobacterial infections. Fellows attend an outpatient clinic once a week to see consultations. In addition, fellows primarily manage inpatients on the Mycobacterial Diseases service and assist in the management of these patients in conjunction with faculty and staff from the ID Pharmacokinetics Laboratory, Clinical Mycobacteriology and Bacteriology Laboratories. Fellows assist in directing the weekly Mycobacterial Diseases Case Conference, present interesting cases to the Second Opinion Conference, and may attend Clinical Immunology Case Conference, at which patients with congenital and acquired immunodeficiency diseases (non-HIV) are presented.
University of Colorado Hospital is the central institution affiliated with the School of Medicine and the primary teaching hospital for the training program. It is an acute care hospital, which also serves as a tertiary referral center for Colorado and surrounding states. There is an active emergency room, medical and surgical intensive care units, burn unit, bone marrow transplant unit, and solid organ transplant program. The patient population is heterogeneous and consists of indigent patients living outside of Denver County, referral cases, and patients receiving their primary medical care in the busy outpatient clinics. The University of Colorado Hospital is the site for an NIH AIDS Clinical Trials Unit.
The Infectious Diseases service follows approximately 15-20 patients at any given time. Fellows, residents and students see hospitalized patients in consultation, under the supervision of attending faculty. Microbiology rounds occur three times a week at UCH. UCH is also the site for training in Clinical Microbiology and Transplant Infectious Diseases.
The Infectious Diseases Teaching Staff includes 44 faculty members involved in providing educational experience and supervision, as well as mentorship of the ID Fellows during both clinical and research rotations.
|Abidi, Maheen, MD||Jenkins, Timothy, MD|
|Barron, Michelle A , MD||Johnson, Steven C, MD|
|Beckham, J. David, MD||Kasperbauer, Shannon, MD|
|Belknap, Robert, MD||Krsak, Martin, MD|
|Benamu, Esther, MD||Madinger, Nancy E, MD|
|Bessesen, Mary T , MD||McCollister, Bruce D, MD|
|Burman, William J , MD||Montague, Brian, DO|
|Campbell, Thomas B , MD||Pisney, Larissa, MD|
|Carten, Monica, MD||Poeschla, Eric, MD|
|Castillo-Mancilla, Jose, MD||Price, Connie S, MD|
|Colbert, James, MD||Reves, Randall E, MD|
|Daley Charles, MD||Rowan, Sarah, MD|
|Damioli, Laura, MD||Scherrer, Sara, MD|
|Dinarello, Charles A , MD||Shapiro, Leland, MD|
|Erlandson, Kristine, MD||Washburn, Taylor, MD|
|Franco-Paredes, Carlos, MD||Wilson, Cara, MD|
|Gardner, Edward M., MD||Wyles, David MD|
|Haas, Michelle, MD||Young, Heather, MD|
|Hawkins, Kellie, MD||Zimmer, Shanta, MD|
|Henao-Martinez, Andres, MD|
|Huang, Misha, MD|
|Janoff, Edward N, MD|
The Training Program Director meets biannually with all fellows to review their progress and to discuss any problems that may arise within the program. For all inpatient rotations, fellows are evaluated each month by their Attendings. Outpatient rotations are evaluated twice yearly. Senior fellows are evaluated primarily by the investigator supervising their research project. After completion of the two years required for Infectious Diseases certification by the American Board of Internal Medicine, fellows may apply to continue research training under the supervision of their research mentor (according to the track description above.) Promotion beyond the 2nd year is contingent upon performance, as judged by the program director, Research Advisory Committee and the research mentor. Additional years of research are performed and evaluated under the Advance Research Training Program in Infectious Diseases (non-ACGME accredited training). Electronic evaluation sofware used: MedHub.