The fellowship program now offers an educational opportunity on infection control and epidemiology beyond the standard hospital setting. The fellows have a rotation in Infection Control with the opportunity to become familiar with hospital epidemiology. The Division has created a city-wide infection control group. Members of this group include infection control representatives from several hospitals, long-term care facilities, and home health care agencies.

The fellowship program now offers an important educational opportunity in the area of international clinical research. The fellows are actively involved in the clinical research protocols in the Division of Infectious Diseases. There is a strong research emphasis and fellows are expected to participate in research activities throughout their training. The Division has created an international organization for the study of community-acquired pneumonia. The Division is currently involved in a multicenter, international trial to define the actual care of community-acquired pneumonia. Using internet technology, we are working in collaboration with investigators from more than 15 countries. A detailed description of the Community-Acquired Pneumonia Organization (CAPO) project can be found at here.

The fellowship program now offers an opportunity for our fellows to be educated in the process of quality improvement. The Division of Infectious Diseases is progressively more involved in quality improvement activities at the two primary teaching hospitals, the University of Louisville Hospital and the VA Medical Center. Both hospitals have agreed to implement a quality improvement project in the area of nosocomial-acquired pneumonia. The Division is in charge of the project implementation, development of interventions for improvement, and evaluation of the impact of the project on clinical and economic outcomes.

At the University of Louisville Hospital, the Division implemented a hospital antimicrobial management program with the goal to improve the use of antibiotics in the hospital setting. The University of Louisville Hospital now has an Infectious Diseases Doctor of Pharmacy with the goal to help in the activities of the program, to create an Infectious Diseases rotation for pharmacy students, and to work with the Division in the area of antibiotic research. The fellowship program now offers a higher level of education and research in the area of hospital antimicrobial management.

Training is bolstered by a weekly Infectious Diseases Journal Club for discussion of the current literature. A weekly Infectious Diseases Grand Rounds is held with a guest speaker for didactic lectures. At the conclusion of their training, fellows will be prepared to begin a successful academic or clinical career in Infectious Diseases.