Infectious Diseases Fellowship - Consult Services | University of Maryland Medical Center

University of Maryland Medical Center

For patients admitted to general internal medicine, family medicine, cardiology, OB-GYN, neurology, and psychiatry floors.
Sees a wide range of infections.
Common infections encountered include infectious endocarditis, pneumonia, encephalitis, etc.

For all patients admitted to the Greenebaum Comprehensive Cancer Center.
Sees opportunistic infections in immunocompromised patients on chemotherapy for solid tumors and hematologic malignancy, as well as patients in the Bone Marrow Transplant Unit.
Common consults are febrile neutropenia, bacteremia, disseminated fungal infections, etc.

The University of Maryland Medical Center has multiple specialized surgical services including general surgery, acute-care emergency surgery, minimally invasive surgery, neurosurgery, oral maxillofacial surgery, orthopedic surgery, otolaryngology, surgical oncology, vascular surgery, and urology.
Common infections seen include osteomyelitis, septic arthritis, prosthetic joint infections, intra-abdominal infections, vascular graft infections, ventriculitis, C. difficile, surgical site infections, and many others.

The University of Maryland Medical Systems has one of the largest solid organ transplant (SOT) services in the nation.
Provides consultations on SOT (heart, lung, liver, kidney, pancreas) patients and also for patients cared for in the cardiac-surgery ICU (as many lung and heart transplant patients require care here).
Lung transplant and other patients requiring extracorporeal membrane oxygenation (ECMO) in the Lung Recovery Unit.
Common nosocomial infections are seen on this service in addition to more esoteric transplant infections such as Nocardia, CMV, PCP, and disseminated fungal infections.

The University of Maryland Medical Center has 29 intensive care beds in its closed Medical Intensive Care Unit (MICU).
All patients on antibiotics in the MICU and select patients in the Intermediate Care Unit are followed by the Critical Care ID service.
Common infections seen are septic shock from various sources and ventilator associated pneumonia.
Given that UMMC is a tertiary care center with a wide catchment area, fellows on this service will also see patients presenting with critical illness from unusual infections.

The ID clinicians at the University of Maryland R. Adams Crowley Shock Trauma Center are an integral part of the team providing care for patients with severe trauma and round with the primary critical care teams in the Shock Trauma ICU.
Fellows rotating on this service will see common ICU-related nosocomial infections, necrotizing fasciitis, and other infections occurring due to direct trauma/ inoculation (gunshot wounds, traumatic brain injury, car crashes, boating accidents, etc.).

Antibiotic stewardship has become a major requirement of the infectious disease specialist at both community and teaching hospitals.
We have established a strong antimicrobial stewardship program (ASP) at the University of Maryland. The program uses a coordinated approach with daily interactions of ID physicians, infection control, and pharmacists to reign in inappropriate antimicrobial use.
The ID fellows are often the ASP ambassadors, working closely with the primary services to promote the appropriate use of antimicrobial agents.
Primary goals of the ASP are to improve patient outcomes by ensuring the most effective antibiotics are used and decreasing antimicrobial resistant organisms, to educate physicians, and to contain costs. In addition to working closely with the ASP team throughout fellowship, fellows will also rotate through the service and have the chance to serve an integral role in the ASP. There are opportunities for fellows to pursue continued research in the area of antibiotic stewardship as well.

The primary goal of this rotation experience is for our fellows to become facile with common infection prevention issues and to learn to apply epidemiologic principles to problems frequently encountered in the hospital setting. Additionally, fellows will develop expertise in the surveillance and prevention of common health care-associated infections and be able to educate others on these topics.

This general ID service provides consultations throughout the Baltimore VA on all primary inpatient services, including medical, surgical, and critical care. This approximates the experience in a community hospital, where an ID physician must have expertise in all areas of ID.
Common infections encountered include osteomyelitis, diabetic foot infections, complicated urinary tract infections, as well as HIV-related opportunistic infections and complications.

This service is located at UMMC Midtown Campus which is ~1 mile north of the University of Maryland Medical Center.
UMMC Midtown is a 200-bed hospital with approximately 8500 admissions each year.
Experience gained in HIV, OIs, and general infectious diseases in a community hospital setting.