The Einstein/Montefiore Infectious Diseases Fellowship Training Program is the largest Infectius Diseases fellowship program in New York City and one of the largest, most diverse programs in the United States.
Program Highlights and Educational Objectives
The program provides a well-rounded clinical, teaching, and research teaching experience, including the following:
The Einstein Infectious Diseases Fellowship Training Program faculty consists of more than 70 physician and non-physician scientists. Most faculty members are in the Department of Medicine, with many collaborating faculty from Einstein’s basic science departments. The program’s clinical, educational, and investigative activities are conducted by renowned faculty with extensive clinical experience in infectious diseases and in a variety of patient populations. Many faculty members are N.I.H.-funded physician scientists with long-standing track records as academic infectious disease faculty.
The ID fellowship program's faculty has expertise in a broad array of research areas, including:
- solid organ transplantation
- bone marrow transplantation
- HIV medicine
- burn medicine
- tropical medicine
- public health
First Year: Clinical Training
The first (clinical) year of the fellowship includes preparation in inpatient and outpatient consultation. Einstein/Montefiore’s Bronx location affords fellows extensive experience to care directly for one of the most ethnically diverse patient populations in the United States with a broad range of infectious diseases.
Clinical experience is supplemented by conferences, core curriculum lectures, grand rounds, journal club, research seminars, and lectures by visiting professors. Fellows also participate in regular infection control and antibiotic subcommittee meetings.
Inpatient Consultation Services
Inpatient teaching takes places at two Montefiore Medical Center hospitals (Moses and Einstein), and at Jacobi Medical Center. Consultations are performed as a team led by the fellow and include residents, medical students, and ID-specialized pharmacists. ID attending physicians facilitate interdisciplinary rounds with pathology, microbiology, and radiology. Consultations enable ID fellows to diagnose and manage infectious diseases in a variety of patient populations, including:
- surgical subspecialty
- burn, medical, and surgical I.C.U.
- general medicine
- Ambulatory Care Clinic
All first- and second-year ID fellows have continuity clinic tutoring in one of two HIV clinics. Einstein/Montefiore's renowned HIV clinics are among the largest in the country and have a high percentage of female patients. General infectious diseases, post-discharge, and pre-transplant cases are also seen in clinic.
Immunocompromised Patient and Transplant Infectious Diseases Service Rotation
The Montefiore Medical Center Immunocompromised Patient and Transplant Infectious Diseases Service is a separate consult rotation under the directorship of Dr. Victoria Muggia. Montefiore Medical Center the only transplant center in the Bronx. The team specifically focuses on oncology, solid organ transplant, and bone marrow transplant patients. During this rotation ID fellows have the opportunity to learn about the management and prophylaxis of infectious diseases in bone marrow, heart, lung, liver, and kidney recipients.
Pediatric Infectious Diseases Consult Service Rotation
The Infectious Diseases Fellowship Program has a longstanding association with the Pediatric Infectious Diseases Program. Adult ID fellows rotate on the pediatric infectious diseases consultation team for four weeks, learning to diagnose and manage infectious diseases in children and neonates. The pediatric ID consultation team is led by a pediatric infectious diseases specialist.
Fellows manage and diagnose diverse parasitic diseases or other travel-related infections when they rotate through the Jacobi Medical Center Parasitology Clinic. Fellows also participate in an sexually transmitted disease course at the STD clinic, sponsored by the New York State Department of Health and the Centers for Disease Control.
In compliance with national concerns of emerging drug resistance, Montefiore Medical Center has implemented a stewardship program under the directorship of Dr. Belinda Ostrowsky and in close alliance with ID-specialized pharmacists. Infectious diseases fellows participate in antibiotic approval during call and are specifically lectured on strategies of how best to select empiric antibiotic treatment.
During this rotation fellows attend regularly scheduled Antibiotic Subcommittee meetings, held approximately bi-monthly on Wednesdays at Montefiore. The educational goals and objectives are to gain an improved understanding of the hospital formulary process and the cost-effectiveness of care with respect to antibiotic usage, in the context of efforts to prevent the development of antimicrobial resistance and adhering to guidelines for standards of care.
Microbiology Laboratory Rotation
During a four-week rotation in Montefiore Medical Center’s diagnostic microbiology and virology laboratories, ID fellows participate in diagnostic methods in bacteriology, mycology, and virology and gain knowledge on serology, and special drug testing.
During this rotation fellows are expected to attend Infection Control meetings, held on the third Thursday of each month (September-May).
Fellows teach medical students and housestaff assigned to the ID consultation service, participate as laboratory instructors in the Infectious Diseases Microbiology course at Einstein for second-year medical students, and present at weekly case conferences and Journal Club.
Conferences and Didactic Courses
First- and second-year fellows attend regularly scheduled formal sessions, including the following:
Weekly core curriculum seminars given by the faculty to the first-year fellows, with emphasis on the rational approach to the major clinical problems in infectious diseases. Topics covered include antibiotics, host-pathogen relationships, appropriate use of the microbiology lab, approach to fever, urinary tract infections, endemic mycoses, bone and joint infections, central nervous system infections, perinatal infections, skin and soft tissue infections intravascular infections, tuberculosis, herpesvirus infections, pneumonia, infections in solid-organ transplant recipients, infections in febrile neutropenia, human immunodeficiency virus infection, employee health and exposures to infectious diseases, parasitology, and bioethics.
Weekly Infectious Diseases Grand Rounds
Monthly research seminars
Seminars given by visiting professors
Intercity Infectious Diseases Rounds (involving the major New York City metropolitan area teaching hospitals)
Second and Third Years: Research
During the second and third years of the training program, fellows have extensive opportunity to conduct patient-oriented translational, clinical, or basic bench research.
The Einstein/Montefiore Division of Infectious Diseases has a long-standing track record of providing research opportunities that enable fellows to obtain NIH K08, K23, or other career development awards. As part of a division-based mentoring program, fellows are assigned to faculty members who assist them in choosing a research mentor and projects. Research opportunities are available in multiple areas:
- microbial pathogenesis
- basic immune mechanisms and other host defenses
- antimicrobial drug mechanisms
- epidemiology, clinical, and outcome studies of infectious diseases
- global heath projects
To enhance their research efforts, fellows are encouraged to take graduate-level coursework at Einstein's Sue Golding Graduate Division of Medical Sciences. Einstein’s Clinical Research Training Program and Master of Public Health programs also offer courses and graduate degrees in global health, clinical research, and public health.
The Einstein/Montefiore Division of Infectious Diseases provides unique interdisciplinary research opportunities in a rich, dynamic environment known for its collegiality, collaboration, and excellence. The division’s clinical and research programs are closely allied with the Departments of Microbiology and Immunology, Epidemiology and Population Health, and Pathology, the Division of General Medicine, and Pediatric Infectious Diseases. Many research faculty also hold basic science appointments and train graduate students and post-doctoral fellows in addition to infectious diseases fellows.
Four of Einstein’s NIH training grants are focused on different aspects of infectious diseases. In addition, Einstein has nine NIH-funded research centers, bringing together faculty members from basic science and clinical departments. These centers include:
- The Center for AIDS Research, which rapidly translates the newest advances in understanding the pathophysiology of HIV and HIV-related diseases into therapies to treat HIV-infected adults, adolescents and children
- The Northeast Biodefense Center (NBC), a strategic consortium of academic and governmental biomedical research institutions and a Regional Center of Excellence (RCE) for biodefense and emerging infectious diseases research
- The Einstein/Montefiore Global Health Center, which promotes research abroad in diverse areas, including Durban, Malawi, Brazil, Ethiopia, Rwanda, and India
Fellows are expected to attend Infection Control and Antibiotic Subcommittee meetings on non-consultation months during their second year.
Infection Control meetings are held on the third Thursday of each month, September-May.
Antibiotic Subcommittee meetings are held approximately bi-monthly on Wednesdays at Montefiore.
Einstein/Montefiore offers numerous opportunities for fellows to design an infectious disease experience focusing on global infectious diseases. The usual program consists of one year of clinical rotations followed by two years of research with global health faculty experts. Fellows may opt to conduct research overseas during the fellowship.
During their education, fellows may also elect to complete a Master of Science in Clinical Research Methods through the Clinical Research Training Program or a Master of Public Health or Global Health Certificate through the Center for Public Health Sciences.
Research Areas with a Global Focus
Einstein faculty researchers are involved with global health projects around the world.
Key areas involving Infectious Diseases faculty members include malaria, tuberculosis, fungi, parasitology, and immunocompromised medicine (HIV and transplant) (global health faculty and research).
Global Health Mentoring and Career Development
Einstein/Montefiore has a long track record of mentoring the careers of leading clinical and basic science investigators throughout the United States. Formal and informal mentoring opportunities are available for fellows interested in clinical and basic research, including those who wish to develop a career in emerging global infectious diseases.
Infectious disease fellows who choose to pursue careers in clinical and basic research have been supported by Einstein’s geographic medicine and emerging infectious diseases training grant, and have also been successful in obtaining external funding through NIH physician scientist and clinical scientist awards.
Salary and Benefits
Stipends depend on the postgraduate year of the individual applicant. The salaries for the first two years of the program are paid from hospital house staff funds; the salaries for subsequent years of the Clinical and Research Track are often paid from NIH training grants and other grants. The NIH grants require that the trainee be a U.S. citizen or possess a permanent visa.
There are 4-weeks vacations per year.
Living in New York City
Our hospitals are easily accessible to desirable residential areas in the Bronx, Westchester County, northern New Jersey, and Manhattan.
Admission and Application
The Einstein/Montefiore Infectious Diseases Fellowship Program is ACGME accredited and participates in the National Residency Matching Program advocated by the Infectious Diseases Society of America.
Five new fellows are accepted each year. Fellowship applicants generally must complete a medical residency in a program that is accredited by the A.C.G.M.E. before starting fellowship.
Completed applications for appointment year 2015 must be submitted via the Electronic Residency Application Service (ERAS) and will be accepted between June - August 2014. The ERAS program number is 1463521101.
Ira Leviton, MD
Associate Professor, Clinical Medicine
Director, Infectious Diseases Fellowship Program
Albert Einstein College of Medicine
Montefiore Medical Center
111 East 210th Street
Division of Infectious Diseases
Bronx, NY 10467
Fax: (718) 920-2746