Rogers Infectious Diseases and Inpatient Service
The Rogers Infectious Diseases Inpatient Service at VUAH is the service responsible for admitting the majority of people with HIV, including those cared for at the Vanderbilt Comprehensive Care Clinic, as well as any patients not in care or newly diagnosed patients presenting to the Emergency Department. This rotation exposes fellows to patients presenting with many of the acute complications of AIDS such as cryptococcal meningitis, Pneumocystis pneumonia and toxoplasmosis. Occasionally, patients with non-HIV-related infectious diseases such as endocarditis are also managed on this service. The service is staffed by an Internal Medicine resident and an intern who are responsible for all orders, procedures and notes. The ID fellow and attending physician assigned to the service work in concert to supervise the management of patients on the service and provide education about HIV/AIDS and infectious diseases to the residents and interns.
Vanderbilt General Infectious Diseases Consultation Services
An ID fellow and an ID attending are assigned to each of two general ID consult services. A resident and fourth-year medical student are also assigned to each service, as available. There is a third faculty-only consult service as well. Consults are requested from any medical or surgical floor, the trauma unit, burn unit, or any other non-pediatric specialty.
Transplant Infectious Diseases Consultation Service
Transplantation programs include solid organs such as heart, lung, liver, kidney and pancreas, and hematopoietic stem-cell transplant programs, including autologous, allogeneic and matched unrelated donors. ID consultation for these programs provide broad exposure to the infectious complications of iatrogenic immunosuppression, chemotherapy-induced neutropenia, and interactions of anti-infectives with immunosuppressants. Our transplant program is a nationally recognized leader in the field of transplant-related infection management, providing dedicated ID expertise that is integrated into the transplantation surgery team's routine procedures. The Transplant ID Service sees patients at VUAH and the Nashville VA.
VA Infectious Diseases Consultation Service
During this rotation, both general ID consults and HIV/AIDS patients are seen by the consult team. The Nashville VA ID Consult Service usually consists of one attending, one ID fellow and one Internal Medicine resident, as available.
Clinical Rotation in Outpatient Infectious Diseases
Fellows spend approximately four weeks on this rotation during their first year of fellowship. During this time, they attend The Vanderbilt Infectious Diseases Clinic, the Tuberculosis Clinic, the Nashville VA Transplant Clinic, and other relevant outpatient experiences. Fellows also continue their assigned weekly HIV continuity clinic during this rotation. In addition to their clinic responsibilities, fellows will be given one half-day per week in which to prepare for their research projects.
Infectious Diseases Hospitals
Vanderbilt University Medical Center (VUMC): VUMC is the primary site for clinical activities, and is a comprehensive health care facility dedicated to patient care, research and the education of health care professionals. Vanderbilt's reputation for excellence in each of these areas has helped position us as leaders in HIV care and research, and has resulted in becoming a major patient referral center for Nashville and the Middle Tennessee region.
VUMC has over 1,000 beds, and sees more than 66,000 Emergency Department and 1.6 million ambulatory visits per year. VUMC also serves as the Middle Tennessee’s only Level 1 trauma and burn centers. Supported by the most up-to-date systems and nationally-renowned information technology, VUMC offers a full complement of specialty, subspecialty and transplantation services. As a result, many of these services receive annual distinction in the U.S. News & World Report Best Hospitals Rankings.
Monroe Carell Jr. Children's Hospital at Vanderbilt: Located adjacent to VUAH, the free-standing, state-of-the-art Monroe Carell Jr. Children’s Hospital at Vanderbilt opened in 2004. It has since been recognized as one of 10 best Children's Hospitals in the U.S. by Child Magazine.
The Children's Hospital serves as the region's only Pediatric Emergency Department and sees more than 197,000 patients in the outpatient clinics annually. Infectious Diseases fellows are offered an opportunity to undertake an elective in Pediatric ID at the Children's Hospital in the second year of their fellowship.
Nashville Veterans Affairs Medical Center: A full-service, multi-specialty VA Medical Center serves as the major VA facility for the Middle Tennessee region. The Nashville VA is also a regional center for transplantation within the VA network. It is one of only three VA Medical Centers that offers hematopoetic stem-cell transplantation services, and one of only a handful that offers heart, kidney and liver transplantation.
The Nashville VA is adjacent to the VUAH, and attending physicians working at the VA also have appointments at Vanderbilt.