Infectious Diseases Fellowship - Ward Service

University of Maryland Medical Center

Med-ID - The HIV/ID Medical Ward

• The Med-ID team is one of the major teaching services for the School of Medicine and UMMC. Patients are admitted to this primary inpatient team, which is staffed by ID faculty with expertise in the care of HIV patients.
• Many patients admitted to this service have advanced HIV infection and suffer from acute infectious complications (e.g. PCP, cryptococcal meningitis, CNS toxoplasmosis, community acquired pneumonia, skin and soft tissue infections, and bacterial endocarditis).
• Patients who are not HIV-infected but are admitted with other infectious diseases (such as endocarditis, meningitis, TB, cellulitis, and osteomyelitis) are also cared for on this service.
• The team consists of one ID attending, one ID fellow, one IM resident, three IM interns, 1-2 medical students, an ID pharmacist, and pharmacy trainees.
• A multidisciplinary team of nurses, social workers, physical therapists, substance abuse counselors, HIV counselors, and case managers meet daily with the team to find solutions for common psychosocial issues in this patient population.

Penicillin allergy skin test service

• Fellows rotating on Med ID are also responsible for consulting on patients with reported penicillin allergy who may benefit from allergy testing. Fellows are trained in this skill and perform the test with faculty supervision.

HIV Post-Exposure prophylaxis pager

• Fellows on Med-ID handle calls from Employee Health related to HIV exposures, both for UMMC employees and for outpatients presenting to the UMMC and Mercy ED with non-occupational exposures. The fellows are responsible for determining if PEP is indicated and choosing an appropriate regimen, with faculty supervision as needed.