Northwestern University Feinberg School of Medicine

Department of Pediatrics

Rotation Descriptions

Clinical Microbiology and Virology Rotation

The Clinical Microbiology and Virology Rotation provides a thorough review of clinical microbiology and virology during the first month of the first year of fellowship. Fellows spend 99% of their time working in the Clinical Microbiology and Virology Laboratories at Northwestern University Feinberg School of Medicine in Chicago, IL.

The goal of this rotation is to familiarize fellows with the instrumentation, procedures and workflow within the laboratories and to provide fellows with the skills to analyze and interpret direct microscopic examination, culture, molecular detection and antimicrobial testing data. This is accomplished by scheduled interactions with bench technologists and the laboratory director. Patient clinical specimens and teaching material comprised of banked microbial specimens, isolates and stained smears are used. During this rotation fellows spend one half-day per week in the outpatient clinics.

Clinical Rotation

Inpatient and Consultation Clinical Service
The Inpatient and Consultation Service provides care for patients admitted to the PID Service and for patients admitted to other inpatient services who require a PID consultation. The consult patients include an extremely wide range of medical and surgical patients including stem cell, solid organ transplants, hematology/oncology, surgical and many others.

The goal of this rotation is to familiarize fellows with the patient care that is compassionate, appropriate, and effective for the treatment of infectious diseases in children and the promotion of health. Fellows will demonstrate knowledge of established and evolving biomedical, clinical, and social-behavioral sciences related to the host, the infecting pathogen and epidemiology for the spectrum of infectious diseases as well as application of this knowledge to patient care. Fellows will learn to demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with other health professionals, patients and their families necessary for diagnostic tests, procedures, and medical management.

Outpatient Clinical Service
The Outpatient Clinical Service Clinic sessions include the general Infectious Diseases Clinic scheduled on Wednesday afternoons, and the Special Infectious Diseases Clinic scheduled on Mondays and Thursdays. During this rotation fellows spend one half-day per week in one of the two outpatient clinics.

The Infectious Diseases Clinic provides care for new patients, hospital follow-up patients, and patients followed on a regular basis with a wide variety of infectious diseases. This clinic is staffed by 2-3 attendings, 1 fellow, 1-2 residents, and 1-2 medical students. Patient census averages 18 to 20 patients per clinic sessions.

The Special Infectious Diseases Clinic provides care for a large number of children with exposure to HIV or with HIV infection. This clinic is staffed by 1 attending, 1 fellow, 5 nurse practitioners/nurses, 2 social workers, 1 neuropsychologist, 1 pharmacist, 1 nutritionist, 1 physical therapist, 1 play therapist, 1 phlebotomist, and 3 volunteers. Patient census averages 6 to 15 patients per clinic sessions. Many patients are enrolled in NIH-sponsored antiretroviral treatment protocols.

Research Rotation

The Research Rotation provides fellows a total of 23 months (minus vacation) to perform and complete clinical and lab-based research, each under the supervision of an experienced mentor and/or medical scientist. Clinical research mentors are most often chosen from the faculty within the division, while laboratory research mentors are either chosen from faculty within the division, faculty at Northwestern University's Feinberg School of Medicine, or in some instances from a different institution. During this rotation fellows spend one half-day per week in the outpatient clinics.

The goal of the research rotation is to provide fellows with the skills to analyze and interpret medical literature as it relates to both clinical and laboratory research, and to establish the basis for further, active and independent participation in research throughout their careers by fostering meaningful participation in quality hypothesis-driven research. Fellows will be able to collect and analyze data appropriately and present at national meetings, prepare and submit grant requests and manuscripts, and demonstrate a basic understanding of the research process, including qualitative and quantitative methods and the use of the scientific method.