Case Western Reserve University & Rainbow Babies & Children's Hospital

11100 Euclid Avenue, MS 6008a
Cleveland
OH
44106
USA
Phone: (216) 844-3645
Fax: (216) 844-8362

CHIEF OF INFECTIOUS DISEASES/TRAINING PROGRAM DIRECTOR: Grace McComsey, MD RESEARCH INTERESTS: AIDS clinical trials; metabolic complications of HIV therapy; pediatric HIV

TRAINING PROGRAM CO-DIRECTOR: Claudia Hoyen, MD RESEARCH INTEREST: Antimicrobial Resistance

ASSOCIATE: Jeff Auletta, MD RESEARCH INTEREST: Infections in immunocompromised hosts; post-transplant immune-reconstitution

ASSOCIATE: Arlene Dent, MD PhD RESEARCH INTEREST: Malarial immunology in children, Vaccine targets of Malaria

ASSOCIATE: Ethan Leonard, MD RESEARCH INTEREST: Vaccine immunology; antimicrobials

ASSOCIATE: Frank Esper, MD RESEARCH INTEREST: Epidemiology and molecular biology of novel respiratory viruses

ASSOCIATE: Blanca Gonzalez, MD RESEARCH INTEREST:

ASSOCIATE: Philip Toltzis, MD RESEARCH INTEREST: Infection in intensive care; molecular epidemiology of nosocomial infections

TITLE(S) OF RECENT FELLOWS’ PUBLISHED PAPERS OR RESEARCH PROJECTS: Auletta JJ, John CC. Community-acquired, non-antibiotic associated Clostridium difficile colitis in a child. Infect Dis Clin Practice 2002;11(7):397-8. Canaday DH, Gehring A, Leonard EG, et al. T-cell hybridomas from HLA-transgenic mice as tools for analysis of human antigen processing. J Immunol Methods 2003;281:129-42. Dent A and Toltzis, P. (2003) Descriptive and molecular epidemiology of Gram-negative bacilli infections in the neonatal intensive care unit. Current Opinion in Infectious Diseases 16:279-283. Chand DV, Hoyen CK, Leonard EG, McComsey GA. First reported case of Neisseria Meningitis periorbital cellulites associated with meningitis. Pediatrics. In press.

MAJOR FEATURES OF TRAINING PROGRAM: This program is designed to prepare physicians for academic careers in pediatric infectious diseases. At least twelve months are devoted to clinical training. The clinical experience is at Rainbow Babies and Children’s Hospital, a 220 bed urban children’s hospital. The remaining 24 months are devoted to intensive laboratory of clinical research. The areas of potential scholarly activity include HIV, emerging respiratory pathogens, molecular epidemilogy of infection control, mycology and antimicrobial resistance. There also is the strong opportunity to study infectious diseases in the developing word with particular emphasis on HIV, Malaria, TB and International Health (in conjunction with the Division of Infectious Diseases, Geographic Medicine, and Department of Medicine, Case Western Reserve University ).

AFFILIATED HOSPITALS: Rainbow Babies and Children's Hospital

NUMBER OF PEDIATRIC BEDS: 220

FELLOWS ACCEPTED EACH YEAR: 1-2

TRAINING FOR MD; DO; MD, PhD: all

FUNDING IS ENSURED FOR ALL 3 YEARS: yes

VISAS ACCEPTED: determined on a case by case basis

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
Other – Please specify:

Program provides training in infection control and hospital epidemiology as:

Didactic lectures: yes
Hands on experience: yes
Infection Control Meetings/Membership: no, but participation in online course

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: yes
Parasitology/parasitic diseases: yes
Virology/viral diseases: yes
Antimicrobial agents: yes
Other – Please specify: antimicrobial resistance, international health

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: no
HIV, Basic: yes
HIV, Clinical: yes
ACTG Site: yes
Other – Please specify:

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): no

Other – Please specify:

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: no
Travelers/adoptees: yes
Adults: no, except HIV
Congenital immune deficiencies: yes
Other – Please specify: cystic fibrosis, NICU

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: yes

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

Average number of new outpatient consultations per month: 15-20

Average number of established outpatient follow-up visits per month: 15-20

Average number of new inpatient consultations per month: about 60

Number of trainees completing program in the last 5 years: (2002-2007) 5