Inpatient Clinical Service
Our fellows act as infectious disease consultants at Michigan Medicine and the Veterans Affairs Ann Arbor Healthcare System (VAAAHS). There are currently five ID consult services at University Hospital, including transplant ID and an MDRO service. At the VAAAHS, we have one general infectious disease consult service.
For most fellows, clinical consultation blocks are scheduled July - December during the first year and January - June during the second year of training. This allows a continuity of clinical experience useful for fellows interested in transitioning directly into a clinically focused position after graduation. However, we offer flexibility to meet an individual fellow’s needs. For example, a fellow interested in a career in laboratory medicine may want to complete additional clinical months during the first year to create longer continuous time devoted to developing a research program.
UH=University Hospital; AAVA=Ann Arbor VA; MDRO=multidrug resistant organism
During these six-month blocks, two weeks of vacation and at least three full weekends while on the General ID service at the University to reduce fatigue and burnout. This schedule provides a largely uninterrupted year (month 7 to month 18) to pursue a significant research project and elective opportunities; however, this can be modified for those who would like to do additional clinical months earlier in fellowship.
Ambulatory Clinic
Consult patients seen at Michigan Medicine who require outpatient follow-up are scheduled in the fellow’s outpatient Taubman Center clinic. If the fellow’s clinic spots are filled, the attending on service will see the follow-up patients. We think it is critical that fellows are involved in the entire episode of care, and this opportunity is available for virtually any patient encountered in the Michigan Medicine inpatient setting. During their months off service, most fellows will also attend a half-day weekly clinic at the Ann Arbor VA. A weekly meeting precedes clinic and allows for high value multidisciplinary care. Dedicated faculty staff all fellow outpatient clinic visits.
A Ryan White federally funded HIV/AIDS Treatment Program has been a part of the division since 1997. The program cares for over 900 people living with HIV. In a typical year, we see over 100 new patients and a portion of these patients are assigned to fellows. Furthermore, fellows care for patients living with HIV at the Ann Arbor VA.
