Icahn School of Medicine at Mount Sinai

One Gustave L. Levy Place, Box 1657
New York
NY
10029
USA
Contact Person: Roberto Posada
Phone: (212) 241-1468
Fax: (212) 426-4813

TRAINING PROGRAM DIRECTOR: Roberto Posada, MD
RESEARCH INTEREST: Clinical research in Pediatric HIV and transplant infectious diseases. Medical Education

CHIEF OF INFECTIOUS DISEASES: Michael Tosi, MD (interim)
RESEARCH INTEREST: Inflammation, leukocyte biology, neonatal infection and immunity

ASSOCIATE/DIVISION MEMBERS:

  • Nils Hennig, MD, PhD
    Research Interest Global Health
     
  • Gail Shust, MD
    Research Interest: HIV in adolescents. Medical Education
     
  • Jennifer Jao, MD
    Research Interest: Maternal-child HIV
     
  • Rhoda Sperling, MD
    Research Interest: Infections during pregnancy and perinatal period
     
  • Shanna Kowalsky, DO
     
  • John Larsen, MD 

TITLE(S) OF RECENT FELLOWS' PUBLISHED PAPERS OR RESEARCH PROJECTS:

Novel treatments for Hepatitis C, clinical trials

Incidence of Late-Onset CMV Disease in Pediatric Liver Transplant Patients under Protocols for Universal Prophylactic Therapy vs Preemptive Therapy

Morris L, Posada R, Hickman C, et al: Susceptibility to Measles among Perinatally HIV-Infected Adolescents and Young Adults.  Journal of the Pediatric Infectious Diseases Society (accepted)

Morris L, Kouya F, Kwalar R, Pilapil M, Saito K, Palmer N, Posada R, Tih PM, Welty T, Jao J. Factors associated with inconsistent condom use in adolescents with negative or unknown HIV status in Northwest Cameroon. AIDS Care. 2014;26(11):1440-5. doi: 10.1080/09540121.2014.920948. Epub 2014 May 27.

Kowalsky S, Arnon R, Posada R: Prevention of cytomegalovirus following solid organ transplantation: A literature review. Pediatric Transplant. 2013 Sep; 17(6):499-509

Abuali MM, Katariwala R, LaBombardi VJ: A comparison of the Sensititre MYCOTB panel and the agar proportion method for the susceptibility testing of Mycobacterium tuberculosis, Eur J Clin Microbiol Infec Dis. 2012 May; 31(5):835-9

Morris L, Groner A, Geiger M, Tosi M. Streptococcus pneumoniae purulent pericarditis in a neonate. Cardiol Young; 9:1-3, 2012

Groner A, Kowalsky S, Arnon R, Tosi M. Endocarditis due to Cardiobacterium hominis in a 4 year-old boy, complicated by right lower lobe pulmonary artery mycotic aneurysm. J Pediatr Infect Dis Soc. On-line edition (Early Access,) December 2012.  Print version in press, 2013

Abuali MM, Arnon R, Posada R: An update on immunizations before and after transplantation in the pediatric solid organ transplant recipient. Pediatr Transplant. 2011 Dec;15(8):770-7

Abuali MM, Posada R, Del Toro G, Roman E, Ramani R, Chaturvedi S, Chaturvedi V, LaBombardi VJ.Rhizomucor variabilis var. regularior and Hormographiella aspergillata infections in a leukemic bone marrow transplant recipient with refractory neutropenia. J Clin Microbiol. 2009 Dec;47(12):4176-9. Epub 2009 Oct 21. Erratum in: J Clin Microbiol. 2010 Mar;48(3):1018.

Bulik CC, Fauntleroy KA, Jenkins SG, Abuali M, LaBombardi VJ, Nicolau DP, Kuti JL. Comparison of meropenem MICs and susceptibilities for carbapenemase-producing Klebsiella pneumoniae isolates by various testing methods. J Clin Microbiol. 2010 Jul;48(7):2402-6. Epub 2010 May 19.

GRANT FUNDING RECEIVED FOR FELLOW RESEARCH PROJECTS:

  • NIH T32 Global Health Grant (Morris L, fellow; Palese P, PI)
  • Rappaport Memorial Fund (Morris L, fellow; Posada, Mentor)

MAJOR FEATURES OF TRAINING PROGRAM:
The goal of the ACGME accredited Pediatric Infectious Diseases Fellowship Program at Icahn School of Medicine at Mount Sinai is to train clinician-investigators for careers in academic infectious diseases, with expertise in clinical infectious diseases, microbial pathogenesis, infection control, antibiotic stewardship and epidemiology. Opportunities are available within the Mount Sinai Health System for fellows interested in basic, translational, clinical or global health research.

Training takes place at Kravis Children's Hospital, a major tertiary care center with virtually all pediatric subspecialties represented and situated within the campus of The Mount Sinai Hospital in Upper Manhattan. Among many other services, the hospital has a large pediatric solid organ transplant program, a busy pediatric hematology-oncology program, a stem cell transplant service, and an HIV program that cares for patients with HIV off all ages. Hospital based clinics and private practices in the area provide primary pediatric care to a large population of children throughout the New York City area. Fellows have the option to rotate through Elmhurst Medical Center in Queens, NY, which serves a large, very diverse, recent immigrant population. As a result, fellows are exposed to patients with a wide variety of underlying conditions and infectious complications, as well as to healthy children with more traditional, community acquired infections. The division also participates in an antibiotic stewardship program and an infection control program.

The Division of Pediatric Infectious Diseases includes 3 full-time, board-certified pediatric infectious diseases specialists, as well as voluntary faculty. We have a close working relationship with the Division of Adult Infectious Diseases, the Division of Sexually Transmitted and Infectious Diseases (Department of Obstetrics, Gynecology and Reproductive Sciences), the Department of Microbiology, the Global Health and Emerging Pathogens Institute, and Mount Sinai Global Health, at Icahn School of Medicine at Mount Sinai, and with the Clinical Microbiology Laboratory at The Mount Sinai Hospital. There are several combined activities including joint conferences and journal clubs and the opportunity for pediatric fellows to rotate through the adult service and in the microbiology laboratory.

Typically, the first year of training is spent primarily on the clinical service with some time dedicated to a rotation in the microbiology lab. During the first year, fellows also participate in a course covering major topics in infectious diseases, biostatistics, and clinical epidemiology. Also during the first year, fellows have the opportunity to meet with faculty from our division or from other divisions or departments, and to choose a topic of research and a mentor. The second and third years are mostly dedicated to research activities.
Regularly scheduled conferences include:

  • Weekly Pediatric Infectious Diseases Case Conference/Journal Club/Topic Review
  • Weekly combined Infectious Diseases/Global Health and Emerging Pathogens Research Seminar
  • Weekly combined Adult/Pediatric ID Case Presentation
  • Biweekly Microbiology Rounds
  • Weekly Pediatric Grand Rounds

Additional seminars, journal clubs, and courses are available at The Mount Sinai Hospital, the Icahn School of Medicine at Mount Sinai, and the Graduate School of Biomedical Sciences for fellows with specific interests.

AFFILIATED HOSPITALS:

  • Mount Sinai Hospital, NY
  • Elmhurst Hospital Center, NY

NUMBER OF PEDIATRIC BEDS: 70 plus 35 NICU beds

FELLOWS ACCEPTED EACH YEAR: One

TRAINING FOR: MD; DO; MD, PhD

FUNDING IS ENSURED FOR ALL 3 YEARS: Yes

VISAS ACCEPTED: J1, H1B

IS COMPLETION OF PEDIATRIC RESIDENCY TRAINING IN THE U.S. OR CANADA A REQUIREMENT? NO

THE PROGRAM OFFERS THE FOLLOWING TRAINING:

  • Program provides training in diagnostic microbiology using laboratories on site:
    • Microbiology laboratory: YES
    • Clinical virus isolation laboratory: YES
    • Molecular diagnostics: YES
       
  • Program provides training in infection control and hospital epidemiology as:
    • Didactic lectures: YES
    • Hands on experience: YES
    • Infection Control Meetings/Membership: YES
       
  • Opportunity to fulfill the ABP requirements for scholarly activity is available in the following general areas:
    • Bacteriology/bacterial infections: YES
    • Epidemiology and statistics: YES
    • Infection control/hospital epidemiology: YES
    • Immunizations/Public health: YES
    • Mycology/fungal infections: NO
    • Parasitology/parasitic diseases: NO
    • Virology/viral diseases: YES
    • Antimicrobial agents: YES
       
  • Research opportunities in the section's program could be describes as:
    • Basic (bench): YES
    • Molecular: YES
    • Translational: YES
    • Epidemiologic: YES
    • Clinical: YES
    • International/Public Health: YES
    • Health Services: YES
    • HIV, Basic: YES
    • HIV, Clinical: YES
    • ACTG Site: NO
       
  • Documented liaison exists offering opportunities for research experience in the laboratory of investigator(s) who is (are) not faculty of the section: YES
     
  • Program offers the opportunity to obtain a Master's degree in a field such as Public Health, Education, Clinical Sciences, or Epidemiology (assuming appropriate arrangements are made): YES
     
  • Graduate school courses are available to trainee (assuming appropriate arrangements are made): YES
     
  • Program provides substantial clinical experiences for trainees in special areas/hosts:
    • HIV: YES
    • Bone marrow transplantation: YES
    • Solid organ/transplantation: YES
    • Travelers/adoptees: NO
    • Adults: YES
    • Congenital immune deficiencies: YES
       
  • Program includes ABP-required core curricula in scholarly activities in didactic lecture course for fellows (includes epidemiology, statistics, research design, and academic careers): YES

Program has an NIH-sponsored training grant: NO

The Infectious Diseases Service is the primary care provider for HIV-infected children and adolescents: YES

Average number of new outpatient consultations per month: 12

Average number of established outpatient follow-up visits per month: 60

Average number of new inpatient consultations per month: 45

Number of trainees completing program in the last 5 years: 4