The Fellowship program extends over 24 months and meets or exceeds minimal criteria by the American Board of Internal Medicine for fellows successfully completing the Program to be eligible to sit for the Certifying Examination in Infectious Diseases. During these 24 months, the fellow will have a continuous ambulatory care rotation consisting of two one-half days per week. This allows for the fellow to follow a group of patients on a regular basis. The teaching staff consists of Dr. Julio Ramirez, Dr. Mark Burns, and Dr. Forest Arnold. Fellows have the opportunity to engage in training within a variety of disciplines, including:

  • International Clinical Research. There is a strong research emphasis and fellows are expected to participate in research activities throughout their training. Involvement in clinical research protocols as well as a state-of-the-art basic research reference laboratory with faculty devoted to basic research is available for training in a wide variety of areas involving studies at the molecular, cellular, and patient levels. The Division has established the International Respiratory Infections Society with its own organization to collect data, conference, and journal for the study of community-acquired pneumonia. The Division was designated as the first Center of Excellence by Pfizer Vaccines in the world. The first study addresses C. difficile colitis. 
  • Education and Research in in Hospital Antimicrobial Management. 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 Disease Doctor of Pharmacy with the goal to help in the activities program, to create an Infectious Diseases rotation for pharmacy students, and to work with the Division in the area of antibiotic research.

During the COVID-19 pandemic, the Division initiated the first testing in the city of Louisville and provided results for all 10 hospitals in the city. A large database with IRB approval is the source for several manuscripts. The Division is also the site for a vaccine study.

Each fellow has increased responsibility with each year. Second year are considered junior faculty in the I.D. clinics where residents present patient cases to them for review. Second year fellows also arrange the fellow/resident night call schedule, attend at least one major meeting, participate in the Infection Control Committee for at least one hospital, and choose “patients of the week” for the I.D. Patient Management Conference notebook. Basic research time varies depending upon the fellows' interest and career goals. A minimum of 22 clinical months is provided. The Infectious Diseases faculty and Program Director provide monthly and semi-annual written evaluations for each fellow, along with structured feedback. These evaluations are kept on file. The Program Director meets weekly with the fellows to discuss strength and weaknesses in areas of concern and to provide feedback as needed. Training is bolstered by bi-weekly meetings for Fellows including Infectious Diseases Journal Club for discussion of the current literature and Infectious Diseases Grand Rounds didactic lectures. At the conclusion of their training, fellows will be prepared to begin a successful academic or clinical career in Infectious Diseases.


  • Inpatient care at in-patient services in three hospitals
  • Infection Control and Prevention
  • HIV/AIDS outpatient care at University of Louisville Hospital and VA Medical Center
  • Clinical microbiology at University of Louisville Hospital
  • Pharmacy at University of Louisville Hospital and VA Medical Center
  • Molecular diagnostics at the Infectious Diseases Reference Laboratory
  • Basic research at the University of Louisville Hospital and the VA Medical Center (optional)
  • Clinical research at the University of Louisville Hospital and the VA Medical Center