Fellowship Training and Curriculum

Clinical Training

  • Fellows receive broad exposure to active inpatient and outpatient consultation services. Our patient population is as diverse as their conditions, and fellows gain experience in the diagnosis, treatment, and management of primary and secondary acute and chronic infectious diseases. Continuity of care is fostered by an active pediatric infectious diseases outpatient clinic with Children’s Healthcare of Atlanta. Fellows also rotate through the Ponce Pediatric/Adolescent Infectious Diseases Clinic, specializing in the management of infants with perinatal HIV exposure and children and adolescents with HIV/AIDS. Additional outpatient clinic opportunities are available at our pediatric immunology clinic and the Emory TravelWell clinic. The inpatient training experience is primarily based at Children’s Healthcare of Atlanta at Egleston (CHOA), a 255-bed pediatric tertiary care facility. There are additional opportunities to see patients at CHOA at Scottish Rite, a 249-bed pediatric tertiary care facility, CHOA at , an 18-bed pediatric inpatient and outpatient facility located in downtown Atlanta, the Grady Memorial Hospital Nurseries, which include a level 3 neonatal unit with 42 NICU beds and 27 intermediate care nursery beds, and the nursery at Emory University Hospital Midtown, with 24 beds in a 583-bed metropolitan community hospital. Fellows also have the opportunity to rotate on the Emory University Hospital adult transplant infectious diseases service and to participate in infection control activities at Children’s Healthcare of Atlanta.

Research Training

  • In addition to clinical training, fellows will pursue mentored clinical, basic science, or translational research. The area(s) of concentration will be selected based on the interest of the fellow who will be responsible for designing, implementing, and completing a hypothesis-driven project or pursue scholarly activity under the guidance of a committee of advisors and mentors. Fellows are encouraged to start planning their research project during their first year, with help from program faculty and the Fellow Research Navigator.  Fellows will be encouraged to apply for and secure external funding for their research endeavors and will submit the results of their research for dissemination in an appropriate scholarly venue. Research opportunities are diverse and plentiful and may include collaboration with investigators from other divisions, departments, or schools. The division has active collaborations with investigators in Emory Adult Infectious Diseases Division, the Rollins School of Public HealthCenters for Disease Control and Prevention, The Carter Center, and Georgia Institute of Technology.  Fellows may pursue international activities and may work with members of our Emory Vaccine Center and Vaccine & Treatment Evaluation Unit (VTEU).  We additionally have growing opportunities for scholarship in hospital epidemiology, clinical microbiology, and antimicrobial stewardship.  Fellows from our program are eligible to apply for a funded NIH-T32 training grant in vaccinology.  We also encourage interested fellows to consider applying for a Masters of Science in Clinical Research (MSc) degree during their training through the Laney Graduate School at Emory.  All first year pediatric subspecialty fellows attend the Fellows Introduction to Research Training (FIRsT) course in the fall.  

*Case Conference- Each week the on-service team presents interesting cases and management dilemmas.  This is an interactive conference that includes our faculty and visitors from the CDC.

*Journal Club-  Once a month, fellows lead a discussion discussing and critically appraising current publications in pediatric infectious diseases.  

DATA Club -  Each week, a faculty member or fellow presents his or her research for feedback and interactive discussion. 

Case of the Week This is a weekly joint conference with the adult ID division.  At this conference, a fellow presents an interesting case they have seen followed by a literature review of pertinent clinical questions.  

Immunology Conference- Each month, we meet for a joint lunchtime conference with the Allergy/Immunology and Rheumatology divisions.  Fellows present important topics in pediatric immunology.  

Microbiology Rounds- We meet weekly to review interesting microbiology cases.  This is an interactive meeting which is enriched by discussion with the director of the CHOA microbiology lab and lab technicians. 

Friday Didactic Lectures These are rotating lectures held once a week

  • Epidemiology & Infection Prevention Conference These monthly conferences cover key topics in epidemiology and infection prevention.
  • Berkowitz Fellow lecture series These monthly conferences cover general topics in pediatric infectious diseases.  Fellows and faculty present topics based on our core curriculum.
  • HIV lecture series These monthly lectures are given by our faculty who specialize in pediatric HIV and cover general HIV-related topics.

Transplant ID meetings This is a bi-weekly joint conference with the adult Transplant ID service.  At this conference, lectures are given by faculty who specialize in transplant infectious diseases to cover infectious diseases in immunocompromised populations and pediatric/adult cases are discussed in the light of recent literature.

Vaccine Talks These monthly talks are given by members of Emory Vaccine & Treatment Evaluation Unit (VTEU)  and quest speakers with experience in vaccinology and vaccine trials. 

Other There are many other educational conferences available to interested fellows.  These include an HIV lecture series and board review series with the adult ID division, daily Microbiology rounds at Emory University Hospital, weekly Pediatric Grand Rounds at Grady Memorial Hospital, and Pediatric Resident morning reports.

 

 

Educational Opportunities for all Pediatric Subspecialty Fellows at Emory

*FIRST Research Course  Directed by our own Drs Inci Yildirim, MD, PhD, MSc and Andi Shane, MD, MSc, MPH,  the FIRsT research course provides first-year fellows with an overview and introduction to clinical and translational research in the academic setting.  This week-long course held in October includes didactic sessions, panel discussions, and interactive opportunities to provide forums for fellows to gain an appreciation of the fundamentals of clinical and translational research, biostatistics, epidemiology, the research enterprise, and practical and applied aspects of conducting research.

*Fellows’ Teaching Course Directed by Dr. Mike Greenwald of Pediatric Emergency Medicine, this seminar series reviews and teaches skills on how to be a better teacher.  The end of the course is capped off by a live teaching competition among the fellows, which is one of the true highlights of the academic year.

*Ethics Seminar Directed by Dr. Mike Ziegler of Pediatric Emergency Medicine, this seminar series reviews principles of ethics in pediatrics and includes interactive discussions on topics relevant to our practice as pediatric subspecialists.

*Quality Improvement Course This course, directed by Dr. Shabnam Jain in Pediatric Emergency Medicine, provides guidance on to how to design and implement a quality improvement project.

*Career Development Course This course, an initiative by Dr. Lucky Jain, Pediatrics Chair, was designed to assist upper level fellows in preparing for their job search and career planning.

 

* = Required conferences

 

Other Opportunities at Emory

Current and previous fellows have taken advantage of the extensive opportunities within and around the Emory community.  Fellows have engaged in research projects with mentors at the CDC, the Carter Center, Rollins School of Public Health, and the Georgia Institute of Technology.    Fellows have also participated in the Emory University Global Health Scholars program, which provides fellows a month-long opportunity to do a clinical or research rotation at our partnership university hospital in Ethiopia.  The Laney Graduate School at Emory offers a Master of Science in Clinical Research (MSCR) degree program, which can be completed during the second and third years of fellowship, and provides formal didactic and mentored clinical research training.  Currently, Emory also has an NIAID-funded T32 Vaccinology Training Program, in which one of our fellows participated this year.   For fellows interested in medical education, there are numerous opportunities to engage in teaching and mentoring students and residents.  In addition to bedside teaching of trainees rotating on the ID consult service, fellows also have opportunities to present at pediatrics Grand Rounds, pediatrics lunchtime core curriculum lectures, and medical student didactic conferences.  Emory also holds annual pediatric fellows’ teaching competitions to recognize outstanding fellow educators.

 

Year 1

Inpatient ID consult service - Egleston 5 months
Inpatient ID consult service – Scottish Rite 1 month 1 month
Epidemiology/Infection control 1 month
Transplant ID consult service at Emory Hospital 1 month
Grant/research 1 month
Ponce HIV clinic 1 month
Microbiology 1 month
Elective (examples of previous electives: Adult HIV/AIDS Inpatient Service, Travel Clinic, Microbiology at Emory University Hospital) 1 month
Vacation 3 weeks

Years 2 and 3- It is our belief that a successful research program requires significant protected time. For this reason, senior fellows perform a mentored research project which makes up the major bulk of their time with only 2-3 weeks of inpatient consult service during the entire academic year. They also have weekly half-day clinics that alternate every 3 months between Ponce HIV clinic and general pediatric infectious disease clinic at Children’s Healthcare of Atlanta.

Weekend calls and holiday weekends are rotated equally among all the fellows. Fellows are off on Emory holidays unless they are on call. Each fellow has 3 weeks of paid vacation per year.

Fellow

Graduating Year

PI

Type of research

Project title

Su Jin Joo, MD 2018 Peter Cegielski Epidemiology TST results as a predictor of outcomes in active TB patients in the US: 25 year experience

Chris Prestel, MD

2018

Andres- Camacho-Gonzalez

HIV pre-exposure prophylaxis (PrEP) in adolescents

Jennifer Collins, MD

2017

Monica Farley and Evan Anderson

Epidemiology

“Epidemiology, clinical features, and outcomes of hospitalized immunocompromised patients with influenza.”

Monica Farley and Shabnam Jain

Clinical/Epi

“Pneumococcal Colonization in the Post PCV-13 Era in Children Presenting to an Emergency Department in Atlanta”

Amelia Thompson, MD, MPH

2017

  

Lisa Flowers and Andres Camacho-Gonzalez

Clinical

"Early Detection of Anorectal Carcinoma in Adolescent and Young Adult men who have sex with men.”

Lisa Flowers and Andres Camacho-Gonzalez

Clinical

"Burden of anorectal dysplasia in HIV-1 infected adolescent and young adult males.”

Andres Camacho-Gonzalez

Clinical

"Prevalence of drug use and the effects on HIV control and utilization of care in an HIV seropositive adolescent population.”

David Akerele, MD

2016

Udhayakumar Venkatachalam (CDC)

Basic

“Use of real-time fluorescence loop mediated isothermal amplification (LAMP) for the identification of Plasmodium spp in west Africa.”

Christina Rostad, MD 

2016

Martin Moore

Basic

“Development of a live attenuated vaccine for RSV type B.”

Lakshmi Sukumaran, MD, MPH 

2015

Walter Orenstein,

Saad Omer

Epidemiology

“Safety of Tdap vaccination in pregnant women following prior tetanus containing immunizations and co-administration with influenza vaccine.”

Julia Rosebush, DO

2014

Allison Ross Eckard

Clinical

“Neurocognitive dysfunction in HIV-infected youth: Investigating the relationship to chronic inflammation and immune activation.”

Rudy Gleason, Allison Ross Eckard

Clinical

“Preclinical atherosclerosis in eastern Africa: Results from a pediatric Ethiopian cohort.”

Jumi Yi, MD

2014

Christine Moe, Evan Anderson, Andi Shane

Translational

“Norovirus and rotavirus in children and the aged in Atlanta.”

Robert Jerris

Translational

“MALDI-TOF MS to detect carbapenemase producing organisms.”

Ann Chahroudi, MD, PhD

2013

Guido Silvestri

Basic, translational

“Target cell availability, rather than breast milk-specific factors, dictates mother-to-infant transmission of SIV in sooty mangabeys and rhesus macaques.”

Ankita Desai, MD

2013

Joseph Hilinski, Larry Anderson

Translational

“Pathogen identification in febrile neutropenic pediatric oncology patients.”

Monica Farley, Shabnam Jain

Clinical

Pneumococcal colonization in the post PCV 13 era in children.”

Robert Jerris

Translational

“Versatility of MALDI-TOF in a pediatric clinical laboratory.”

Anita McElroy, MD, PhD

2013

Stuart Nichol (CDC)

Basic

“Rift valley fever pathogenesis.”

Francisca Abanyie, MD, MPH

2012

Tracey Lamb

Basic

“Investigation of Eph/Ephrin molecules in the pathophysiology of human malaria infections.”

Tracey Lamb,

Julie Gutman

Basic

“Impact of antihelminthic therapy on cytokine response in individuals with malaria and intestinal helminth coinfections.”

Julie Gutman

Epidemiology

“State of malaria diagnostic testing at clinical laboratories in the United States, 2010.”

Craig Shapiro, MD

2012

Martin Moore

Translational

“Identification of novel respiratory syncytial virus CD8 T cell epitopes as targets for vaccine development.”

Andres Camacho-Gonzales, MD, MSc

2011

Rana Chakraborty, Larry Greenbaum

Clinical

“Proximal renal tubular dysfunction from HIV infection.”

Ken Dominguez, Steven Nesheim

Clinical

“Renal disease in HIV-infected children and adolescents.”

Joseph Hilinski, Julie Gutman

Clinical

“24 weeks of valganciclovir prophylaxis in children after renal transplantation A four year experience.”

Paul Gastañaduy, MD 

2011

Andi Shane, Christine Moe

Clinical, translational

“Clinical and molecular epidemiology of pediatric norovirus in metropolitan Atlanta.”

TITLES OF RECENT FELLOWS’ PUBLISHED PAPERS OR RESEARCH PROJECTS 2014-2017:

  • Yi J, Anderson EJ. Rotavirus vaccination: short-term indirect herd protection, long-term uncertainty. Expert Rev Vaccines. 2013; Jun 12(6):585-7.

 

  • Yi J, Humphries R, Doerr L, Jerris RC, Westblade LF. Bergeyella zoohelcum Associated with Abscess and Cellulitis After a Dog Bite. Pediatr Infect Dis J. 2016 Feb;35(2):214-6

 

  • Yi J, Wahl K, Sederdahl BK, Jerris RR, Kraft CS, McCracken C, Gillespie S, Anderson EJ, Kirby AE, Shane AL, Moe CL. Molecular epidemiology of Norovirus in children and the elderly in Atlanta, Georgia, United States. J Med Virol. 2016 Jun;88(6):961-70
  • Yi J, Sederdahl BK, Wahl K, Jerris RR, Kraft CS, McCracken C, Gillespie S, Kirby AE, Shane AL, Moe CL, Anderson EJ Rotavirus and Norovirus in Pediatric Healthcare-Associated Gastroenteritis. Open Forum Infect Dis. 2016 Aug 30;3(4).
  • Kost K, Yi J, Rogers B, Jerris R, Comparison of clinical methods for detecting carbapenem-resistant Enterobacteriaceae. Practice Laboratory Medicine 8(2017) 18-25.
  • Rosebush J, Summers R, Snitzer J, Jerris R, Satola S, Spearman P. Methicillin-resistant Staphylococcus aureus empyema Necessitatis in a breast-fed neonate. Pediatr Infect Dis J. 2014; Jun 33(6):668-9.
  • Gleason, R.L., Caulk, A.W., Seifu, D., Rosebush, J.C., Shapiro, A.M., Schwartz, M.H., Eckard, A.R., Wondwossen, A., Abebe, W. Efavirenz and ritonavir-boosted lopinavir use exhibited elevated markers of atherosclerosis across age groups in people living with HIV in Ethiopia. Journal of Biomechanics. 2016 Sep 6;49(13):2584-2592. doi: 10.1016/j.jbiomech.2016.05.018.
  • Eckard, A., Rosebush, J., Lee, S.T., O’Riordan, M.A., Habib, J., Daniels, J., Kinley, B., Labbato, D., Uribe-Leitz, M., Chahroudi, A., McComsey, G.A.  Increased Immune Activation and Exhaustion in HIV-infected Children and Young Adults. PIDJ. 2016 Dec; 35(12): e370-7.
  • Eckard, A., Thierry-Palmer, M., Silvestrov, N., Rosebush, J., O’Riordan, M.A., Daniels, J., Uribe Leitz, M., Labbato, D., Ruff, J., Singh, R.J., Tangpricha, V., McComsey, G.A. Effects of Cholecalciferol Supplementation on Serum and Urinary Vitamin D Metabolites and Binding Protein in HIV-infected Youth. J Steroid Biochem Mol Biol. 2017 Feb 1.
  • Rosebush, J., Jerris, R., Stanley, T., Ruthman, M., Pickering, L.  American Academy of Pediatrics. Online Red Book. 2014. Collaborated on and established a pictorial update of clinical microbiology for pediatric practitioners.
  • Eckard, A., Rosebush, J., O’Riordan, M.A., Graves, C., Alexander, A., Grover, A., Lee, S.T., Habib, J., Ruff, J., Chahroudi, A., McComsey, G.A. Neurocognitive Dysfunction in HIV-Infected Youth: Investigating the Relationship with Immune Activation. Accepted to Antiviral Therapy, awaiting publication.

 

  • Sukumaran L, McCarthy NL, Kharbanda EO, McNeil MM, Naleway AL, Klein NP et al.  Association of Tdap vaccination with acute events and adverse birth outcomes among pregnant women with prior tetanus-containing immunizations.  JAMA.  2015;314(15):1581-7.

 

  • Sukumaran L, McCarthy NL, Kharbanda EO, Weintraub ES, Vazquez-Benitez G, McNeil MM et al.  Safety of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis and influenza vaccines in pregnancy.  Obstetrics and Gynecology.  2015;126(5):1069-74.

 

  • Sukumaran L, McCarthy NL, Li R, Weintraub ES, Jacobsen SJ, Hambidge SJ, et al.  Demographic characteristics of members of the Vaccine Safety Datalink (VSD): A comparison with the United States Population.  Vaccine. 2015;33(36): 4446-50.

 

  • Sukumaran L, McNeil MM, Moro PL, Lewis PW, Winiecki, SK, Shimabukuro, TT.  Adverse events following measles, mumps and rubella vaccine in adults reported to the Vaccine Adverse Event Reporting System (VAERS), 2003 – 2013.  Clinical Infectious Diseases.  2015;60(10):e58-65.

 

  • McCarthy NL, Gee J, Sukumaran L, Weintraub E, Duffy J, Kharbanda EO, et al.  Vaccination and 30-day mortality risk in children, adolescents and young adults.  Pediatrics.  2016;137(3):e20152970.

 

  • McNeil MM, Weintraub ES, Duffy J, Sukumaran L, Jacobsen SJ, Klein NP et al.  Risk of anaphylaxis after vaccination in children and adults.  Journal of Allergy and Clinical Immunology.  2016;137(3):868-78.

 

  • Nadeem S, Sukumaran L, Siegel DA, Jernigan SM, Greenbaum LA.  Fever of unknown origin (FUO) in a pediatric kidney transplant recipient: Questions and Answers. Pediatric Nephrology. 2015;30(12):2109-13. [Epub]

 

  • Vasquez-Benitez G, Kharbanda EO, Naleway AL, Lipkind H, Sukumaran L, McCarthy NL et al.  Risk of preterm or small-for-gestational-age birth after influenza vaccination during pregnancy: caveats when conducting retrospective observational studies.  American Journal of Epidemiology. 2016;184(3):176-86.

 

  • Adams-Chapman I, Carlton DP and Moore JE (2015).  McGraw Hill Specialty Board Review: Neonatal-Perinatal Medicine.  New York: McGraw Hill. Co-author of Infectious Diseases chapter

 

  • Thompson AB, Wynn BA, Akerele DO, Rostad CA, Anderson EJ, Camacho-Gonzalez AF, Spearman P, Chakraborty R.  Acute pancreatitis associated with dolutegravir and lamivudine/abacavir administration. AIDS 2015; 29(3): 390-2. PMID 25686687.

 

  • Rostad CA, Philipsborn RP, and Berkowitz FE. Evidence of staphylococcal toxic shock syndrome caused by MRSA in a mother-newborn pair. Pediatr Infect Dis J 2015; 34(4):450-2. PMID 25260039.

 

  • Westblade LF, Rostad CA, Hilinski JA, Stanley T, Jerris RC, Wilkey K, Pincus DH.  Candida quercitrusa candidemia in a 6-year-old child.” J Clin Microbiol 2015; 53(8): 2785-87. PMID 26063864.

 

  • Rostad CA and Shane AL. Commentary on Fritz SA, et. al. Contamination of environmental surfaces with Staphylococcus aureus in households with children infected with methicillin-resistant S aureus.”  JAMA Pediatr 2013; 168(11): 1030-8. In: Cabana M, ed.  Year Book of Pediatrics.  Elsevier, 2015.

 

  • Rostad CA and Berkowitz FE. Toddler with fever and grunting.” J Ped Infect Dis 2015; 4(4): 370-2.  PMID 26407254.

 

  • Collins JP, Westblade LF, Anderson EJ.  Gram-positive diplococci in a cerebrospinal fluid Gram Stain.  Open Forum Infect Dis. 2016 Sep 28;3(4)
  • Collins JP, Shane AS.  Infections Associated with Group Childcare. In: Long SS, Prober CG, Fischer M, editors. Principles and Practice of Pediatric Infectious Disease. 5th edition. Elsevier. In press 2017

 

  • Thompson AB, Bilhartz JL, Abramowsky CR, Rapkin L, Karpen SJ, Berkowitz FE.  New-onset scleral icterus in a school-aged female.  Clin Pediatr (Phila). 2016 May 17.

 

  • Thompson, AB., Camacho-Gonzalez, AF. Trypanosomiasis. In: Long SS, Prober CG, Fischer M, ed. Principles and Practice of Pediatric Infectious Disease. 5th Ed, Philadelphia, PA: Saunders Elsevier, In Press.
  • Thompson, AB., Flowers, L. Human Papillomavirus. In: Hussen S, ed. Sexually Transmitted Infections in Adolescence and Young Adulthood. 1st Ed, New York, NY: Springer, In Press.