Infectious Disease Fellowship

Maine Medical Center offers an ideal environment in which to train infectious disease fellows. The hospital provides primary care services to the Greater Portland community and is a referral center for the entire state of Maine and parts of New Hampshire. The Infectious Disease consultation service encompasses a wide array of infections that include the complications of chemotherapy and renal transplantation, HIV, surgical specialties and diseases of international refugees and travelers.

The division of infectious diseases is staffed by seven board-certified infectious disease specialists and three board certified pediatric infectious diseases specialists, each with particular clinical or research interests. The division is closely allied with the microbiology laboratory and the hospital pharmacy. Two Infectious Disease pharmacists hold a joint appointment in the division. The fellows enjoy a close working relationship with this faculty in a supportive environment.

There are several educational programs devoted to specific areas of infectious disease. The incoming fellow can choose from among three tracks so that they can focus their educational experience on their career goals.

The division oversees a hospital Antibiotic Stewardship Program in conjunction with the Pharmacy and has a close working relationship with Infection Prevention and the hospital epidemiologist. A multidisciplinary team of physicians from the division with support of nurse practitioners, social workers, dietitian, and clerical staff provides HIV consultations and hepatitis C treatment programs, based in its own facility.

The division also has a close working relationship with Maine Medical Center Research Institute (MMCRI). Full-time investigators and clinicians with expertise in immunology are actively involved in a broad program of research. Fellows are able to participate in the activities of this laboratory, including the development of new molecular biology techniques in microbiology and proteomics. The clinical outcomes research unit of MMCRI can also provide assistance for fellows.

Division facilities include an infection control / epidemiology office complex, clinical facilities, the molecular biology and vector-borne disease laboratories at MMCRI, and a private office complex. Fellows may rotate through the state-supported STD clinic, the tuberculosis clinic, and the renal transplant infectious disease clinic.

The infectious disease fellowship is one of over 20 residency and fellowship programs at MMC, and one of 8 medical fellowships. All fellows benefit from a strong hospital library, audiovisual, and computer literature search capabilities. Medical fellows meet regularly for joint conferences, and enjoy frequent opportunities for collaborative education.

MMC supports one new fellow per year for two years of training. Candidates must have successfully completed three years of training internal medicine in an approved allopathic or osteopathic training program and be board eligible in internal medicine.

Certification in the subspecialty of infectious diseases by the American Board of Internal Medicine requires internal medicine training in an allopathic residency program, successful completion of the certifying examination in internal medicine, and a recommendation from the fellowship program director.

Upon completion of the fellowship, our recent graduates have gone on to clinical practice in academic and community based practices in Vermont, Tennessee, Washington, California, New York, Illinois, and Canada. One recent fellow completed the Preventive Medicine Fellowship to gain a Masters of Public Health. This flexible program also offers the possibility of starting during the second year of Infectious Disease fellowship.

Infectious Disease Fellowship Clinical Track

The two-year Maine Medical Center ID clinical track gives our fellows a well-balanced exposure to all aspects of clinical Infectious Disease, including inpatient and outpatient infectious disease, subspecialty ID clinics, antimicrobial stewardship, epidemiology, and a scholarly project related to their clinical interests. Fellows will attend general ID clinic and HIV clinic once per week throughout their training.

Year 1 will focus on clinical infectious disease with 8 months of inpatient service, one month of pediatric infectious disease, and time to work with the antimicrobial stewardship team and to start a scholarly project.

Year One:

8 months on inpatient ID service
1 month of pediatric ID
2 months of research
1 month of microbiology and ASP

Year 2 allows the fellow to broaden their knowledge of outpatient infectious disease and includes rotations in the tuberculosis clinic, the sexually transmitted disease clinic, the viral hepatitis clinic, and the transplant infection clinic. In addition, prior fellows have chosen to seek elective experiences in other settings, including international locations and for infectious diseases in cancer centers.

Year Two:

4 months on inpatient ID service
8 months outpatient clinics/scholarly projects/electives

Healthcare Epidemiology and Antimicrobial Stewardship Program

The Healthcare Epidemiology and Antimicrobial Stewardship Program (Epi-ASP) is designed to fully prepare Infectious Disease fellows who plan to enter a career in hospital epidemiology and to function effectively as part of a stewardship team.

This program will coincide with our two year Infectious Disease training program. Fellows will attend general ID clinic and HIV clinic once per week throughout their training.

Year 1 will focus on clinical infectious disease with 8 months of inpatient service but with an opportunity to start working the stewardship team and to start working on research project(s).

Year One:

8 months on inpatient ID service
1 month of pediatric ID
2 months of research
1 month of microbiology and ASP

Year 2 will heavily focus on the core material, and will include meeting attendance at monthly and twice monthly various Infection Prevention and ASP committee meetings, completion of the IDSA Core Antimicrobial Stewardship Curriculum, travel to the Society for Healthcare Epidemiology of America Fellows’ Course in Healthcare Epidemiology, Infection Prevention, and Antimicrobial Stewardship, and completion of scholarly projects within these fields. There will also be hands on experience in both stewardship and epidemiology, working closely with our infectious disease pharmacists and physicians and Infection Control department.

Year Two:

July: SHEA Fellows’ Course
4 months on inpatient ID service
8 months research/ASP/Epi


Infectious Disease & Addiction Medicine Track

Through collaboration with Maine Medical Center’s Addiction Medicine fellowship program, we are able to offer a two year training focus that coincides with our Infectious Disease fellowship program. The first year of the program offers clinical ID training while the second year gives the fellow an introduction to addiction medicine and allow them to decide whether they would like to apply for the one-year Addiction Medicine fellowship program. Fellows will attend general ID clinic and HIV clinic once per week throughout their training.

Year 1 will focus on clinical infectious disease with 8 months of inpatient service, one month of pediatric infectious disease, and time to work with the antimicrobial stewardship team and to start a scholarly project in the field of addiction medicine. Fellow have time to complete the Drug Abuse treatment Act of 2000 (DATA 2000) Waiver training to prescribe buprenorphine.

Year One:

8 months on inpatient ID service
1 month of pediatric ID
2 months of addiction medicine and outcomes research, Buprenorphine waiver training
1 month of microbiology and ASP 

Year 2 allows for more time to explore the field of Addiction Medicine and the Infectious Disease physician’s role in it. Fellows will participate in weekly didactics with the Addiction Medicine program, continue research projects in conjunction with a mentor training in ID and Addiction Medicine, and will apply to attend the Fellow Immersion Training program in Addiction Medicine.

Year Two:

4 months on inpatient ID service
8 months research/FIT training/ID and addiction didactics/viral hepatitis clinic

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