Goals and Objectives

The program is designed to train fellows for careers in academic medicine. Therefore, there is a major emphasis on both clinical and scholarly activities.

Clinical Effort

Fellows spend a total of 12 months on the clinical service during a three year training period. The majority of the clinical time is spent at the main teaching hospital, The Lucile Packard Children’s Hospital at Stanford (LPCH), which currently has 302 beds and will add 150 additional beds in 2017. LPCH is at the core of the larger Stanford Children’s Health that together form the largest network of care for children and pregnant woman in Northern California. This extensive clinical program includes 94 specialties, 6 centers of excellence, a busy obstetrics program for high risk pregnancies, and is home to the #1 ranked Pediatric transplant program for volume with top patient outcomes. The large intensive care units along with high volume surgical programs add to the robust patient exposure that the fellow will encounter during their clinical rotations.

Clinical experiences are enhanced through the expanding ambulatory experiences available to the fellow. While on service, the fellow will attend one clinic embedded in the service week, as well as following a panel of continuity patients. The continuity of care is an important part of the fellow’s clinical skills development and provides long term follow-up experiences, including children with chronic illnesses such as HIV, and short term follow-up including hospital discharges and other patient populations such as TB patients. In addition, there is a strong collaboration with the transplant programs, and fellows are exposed to pre-transplant screening for exposures and vaccines, as well as the full array of infectious complications in the large population of transplant recipients followed at LPCH. Fellows also will be involved with pre-travel recommendations and any post-travel illnesses. Further, to expand ambulatory experiences, the fellow will have 12 days over the three years to explore other clinics, such as Adult HIV, larger Pediatric HIV clinic, the county TB clinic, travel clinic, immunology clinic, and STD clinics. The fellow will choose which clinics to visit.

The fellow is expected to lead the clinical service with direct supervision from the faculty member on service. Therefore, the fellow takes an active role in the care of all patients, runs rounds, and coordinates all other learners and team members rotating on the clinical team. The clinical team often includes medical students, pediatric residents and pharmacists. The fellow is expected to be the main contact communicating to referring physicians within LPCH and the broader community, and to work with the clinical nurse specialist and dedicated medical assistant on any patient-related issues.

Other Clinical Areas: Fellows are fortunate to benefit from the broad range of clinical programs that reflect growth areas in Pediatric Infectious Diseases. Our Division has robust programs in Transplant Infectious Diseases, Antibiotic Stewardship, Infection Prevention and Control, Hospital Epidemiology and Quality Outcomes, and Global Health. The fellows are exposed to all these programs, and may become more involved if interested.