The Rush/Stroger Hospital Infectious Diseases (ID) Fellowship Training Program utilizes the resources of Rush Medical College, Rush University Medical Center, Stroger Hospital of Cook County (formerly Cook County Hospital) to provide a well-rounded and diverse educational experience in the clinical, didactic and research training of ID fellows. At present, the program requires a mandatory two-year training period with an option to complete a third year for those fellows who wish more extensive training in research activities in preparation for an academic career in infectious diseases. One-year, intensive clinical ID fellowships for applicants with research experience gained elsewhere (e.g., the Centers for Disease Control and Prevention) are also available on an occasional basis. Positions are currently available for a maximum of five first-year and five second-year fellows. The number of fellows retained for a third year is dependent on the interests of the fellow and the availability of appropriate resources. The following is a description of the fellowship training faculty, facilities and resources, specific program content and evaluation procedures.
Facilities and Resources
The primary clinical training sites for the Rush/Stroger Infectious Diseases Fellowship Training Program are Rush University Medical Center, a 600-bed primary and tertiary care private hospital, the physically adjacent Stroger Hospital of Cook County, a new 450-bed primary and tertiary care public hospital that opened in December 2002, and the CORE Center, a 60,000 square foot Cook County-affiliated outpatient facility two blocks northwest of Stroger. These institutions serve a geographically, racially and ethnically diverse population of patients derived largely from the urban and suburban Chicago area and collar counties. Rush also provides care to patients referred for specialized tertiary services from throughout the Midwest. Both inpatient and outpatient clinical experiences and didactic training (lectures, conferences) for fellows are equally divided between the two hospitals, and clinical and laboratory research projects may be undertaken at either institution.
Evaluation of Clinical and Technical Competence of Infectious Disease Fellows
- Clinical and technical competence of ID fellows will be evaluated by faculty ID attending physicians through observation, assessment, and substantiation of skills in history-taking, physical examination, clinical judgment, management and consultation, ability to critically analyze clinical situations and make medical decisions and ability to communicate with colleagues, other health care professionals, patients and their families. Observation, assessment and substantiation will also extend to fund of medical and specialty knowledge, professional attitudes and behavior and commitment to scholarship.
- Such observations and assessment will be individually accomplished through direct contact with fellows as they serve with ID faculty during various clinical rotations and during clinical and laboratory-based research rotations. A written evaluation will be recorded by the ID faculty member for each fellow at the time of completion of each clinical rotation and twice yearly for those supervising fellows in the CORE Center clinics. Completed evaluation forms will form the basis for one-on-one discussion between the fellow and faculty member and will then be returned to the Office Manager at Rush and forwarded to the Fellow Evaluation Committee.
- A Fellow Evaluation Committee, consisting of three ID faculty members from Rush and three from CCH, will meet at least twice yearly to review written evaluations and to discuss any additional observations or input into fellow evaluation made known to them either through direct contact, observation or discussion with other ID faculty with whom the fellows have worked. Following this review, the chair of the Fellow Evaluation Committee will write a summary of the fellow's quarterly performance and the pertinent data gleaned from the committee's review. The written summary will be forwarded to the program director.
- The program director will be responsible for meeting with and counseling individual fellows regarding their performance and the content of their review and evaluation, and for providing feedback regarding necessary remedial effort.
- At the end of each academic year, the program director will be responsible for preparation of a written evaluation of the clinical competence of each ID fellow. These written evaluations will be maintained in the program files. The program director will have the overall responsibility for determining whether individual fellows have met the requirements for completion of the fellowship program and will certify their qualification to sit for Infectious Disease Subspecialty Board Examinations.
Fellow Evaluation of Infectious Diseases Fellowship Program and Faculty
Infectious diseases fellows will have the opportunity to confidentially evaluate their fellowship training program yearly and the ID faculty members after each rotation. Written evaluation forms will be provided, will be submitted confidentially to the administrative manager (Sara Curry) at Rush, will be typed in a uniform and confidential manner and submitted to the program director and the chair of the Fellow Evaluation Committee for review. The results of such evaluations will be used to assist in recommendations for changes or alterations in the fellowship program and for faculty counseling regarding their specific teaching and supervisory activities.