Clinical sites and consult service rotations
Our fellows see inpatients at three institutions: NewYork-Presbyterian/Weill Cornell Medical Center, the Hospital for Special Surgery, and Memorial Sloan-Kettering Cancer Center.
NewYork-Presbyterian/Weill Cornell Medical Center is the primary institution of our fellowship training program. The medical center is located in a large clinical and research complex on the Upper East Side of Manhattan. NewYork-Presbyterian Hospital (NYP) is the current name of what were formerly two distinct institutions: the Cornell-New York Hospital and the Columbia-Presbyterian Medical Center. Currently, NYP is the largest health care facility in the New York metropolitan area, and one of the largest and most prestigious in the world. The Greenberg Pavilion of NYP/Weill Cornell is a one million square foot facility with 867 patient beds. The hospital serves patients with a broad range of socioeconomic and cultural backgrounds, reflecting the diversity of New York City. NYP/Weill Cornell provides an extensive assortment of services through its Level I Trauma Center, Comprehensive Cancer Center, Burn Center, Bone Marrow and Blood Stem Cell Transplant Program, surgical services including neurosurgery and solid organ transplant, and OB-GYN, pediatric, neurologic, and psychiatric departments. Fellows therefore learn to manage patients with both common and rare infectious diseases in a myriad of medical settings.
At NYP/Weill Cornell, fellows rotate on our General ID consult service, as well as the immunocompromised services (leukemia, lymphoma, solid organ, and stem cell transplant). On average, the General ID consult service manages 80-90 inpatient consults per month. First-year fellows spend ~10 months on clinical rotations and second-year fellows spend ~2 months, with the majority of this time spent on the inpatient consultation service. Fellows are directly supervised by members of the Division of Infectious Diseases. Pharm.D.'s with expertise in infectious diseases round daily with the consultation team, and provide information and education regarding the appropriate use and monitoring of antimicrobials. In addition, medical students and residents are integrated into the team.
NYP/Weill Cornell is contiguous with the Weill Cornell Medical College, as well as physically connected to the ~200-bed Hospital for Special Surgery (HSS). HSS provides specialized orthopedic and rheumatologic care, and training with faculty at HSS affords our fellows unparalleled exposure to infectious diseases involving bones, joints, and prosthetics.
Memorial Sloan-Kettering Cancer Center (MSKCC), located across the street from NYP/Weill Cornell, is a 500-bed hospital specializing in oncologic evaluation and treatment, and is a designated National Cancer Institute Comprehensive Cancer Center. MSKCC offers fellows a unique opportunity to learn about infections in the severely immunocompromised host in a highly specialized institution with dedicated faculty as mentors. MSKCC fellows rotate on the NYP/Weill Cornell in-patient service in a reciprocal fashion, and attendings at MSKCC have faculty appointments at Weill Cornell Medical College. A combined TransYork NewYork-Presbyterian/MSKCC Infectious Disease clinical case conference is held once per month.
Fellows spend two weeks in in our Clinical Microbiology laboratory, which is led by Dr. Lars Westblade (Director) and Dr. Arryn Craney (Associate Director). The laboratory performs ~500,000 requested procedures/year and is a major reference laboratory serving the New York City metropolitan area. Fellows have the opportunity to learn how to evaluate all major classes of infectious agents that cause bacterial, mycobacterial, viral, fungal, and parasitic diseases. Molecular testing is the most rapidly expanding portion of the laboratory and is incorporated in many areas (e.g., diagnosis of bloodstream infection, meningitis/encephalitis, gastrointestinal disease, respiratory tract infection, sexually transmitted infection, and tuberculosis). In addition, the laboratory is centrally involved in the testing effort for COVID-19 and has implemented several assays to detect SARS-CoV-2 in clinical specimens. A major research interest of the laboratory is the implementation and evaluation of assays and algorithms for infectious diseases diagnostics and their impact on clinical and financial outcomes.
On the two-week Hospital Epidemiology rotation in the first year, fellows develop an understanding of the roles and responsibilities of the hospital epidemiologist and the infection prevention and control team. Dr. David Calfee is the Chief Hospital Epidemiologist and Dr. Matthew Simon is the Associate Hospital Epidemiologist and physician leader of the Antimicrobial Stewardship Program. The rotation includes didactic, interactive, and case-based sessions with hospital epidemiologists and infection preventionists on topics such as surveillance and prevention of healthcare-associated infections, outbreak investigation, hand hygiene observation, emerging infections, antimicrobial stewardship, hospital construction, and high-level disinfection and sterilization of medical equipment. Fellows attend monthly departmental meetings during which both acute and ongoing epidemiologic issues are discussed and managed.
Subspecialty elective-rotations (two to four weeks) are available on the clinical in-patient service. These rotations provide fellows with more intense and dedicated exposure to specific types of infections that occur on the general consult service. The rotations are staffed by senior clinicians with specific clinical expertise/research interests in that area. Current electives include:
- Cardiovascular and post-surgical infections with Dr. Barry Hartman.
- Orthopedic/rheumatologic infections with Drs. Barry Brause, Michael Henry, and Andy Miller.
- HIV/AIDS outpatient intensive rotation with Dr. Carlos Vaamonde.
- pediatric infectious diseases with Dr. Christine Salvatore.
Fellows also have the option of an international elective at Weill Bugando Medical Center in Tanzania.
During the first two years, fellows have weekly half-day continuity clinic sessions which alternate between the Center for Special Studies (CSS) HIV clinics and ID Associates (the general ID clinic). At ID Associates, fellows evaluate patients referred from the community as well as provide continuity care for patients seen on the NYP/Weill Cornell Medicine inpatient service. Expertise is therefore gained in the acute and longitudinal care of patients with infectious diseases, as well as outpatient antibiotic management. Experience in the care of outpatients with HIV/AIDS is acquired through training individually with a CSS physician at one of two outpatient clinics: the Bernbaum Unit at NYP/WCM, or the Rogers Unit, located off-site in Chelsea, Manhattan.
Fellows may also rotate in the Travel Clinic. They gain experience providing pre- and post-travel advice and infectious disease consultations regarding international travel immunizations. Finally, fellows may also obtain experience in the management of sexually transmitted diseases through a rotation at the New York City Department of Health Bureau of Sexual Transmitted Infection clinics.
|Month||First Year||Second Year|
|July||NYP Consult Service||Research|
|NYP Consult Service|
|September||NYP Consult Service||STI Clinic Rotation|
|October||NYP Consult Service|
Clinical Elective #1
|December||NYP Consult Service||Research |
|January||MSKCC Consult Service||NYP Consult Service|
|February||Transplant Oncology Infectious Diseases*||Research|
|March||Transplant Oncology Infectious Diseases*|
|April||NYP Consult Service||Research |
|May||Clinical Elective #2|
|International Elective (Tanzania)|
|June||NYP Consult Service|
Clinical Elective #3
*Leukemia, Lymphoma, Stem Cell Transplant, and Solid Organ Transplant