{"id":11120,"date":"2025-12-16T22:03:44","date_gmt":"2025-12-17T06:03:44","guid":{"rendered":"https:\/\/dhs.lacounty.gov\/harbor-ucla-medical-center\/?page_id=11120"},"modified":"2026-03-05T16:07:10","modified_gmt":"2026-03-06T00:07:10","slug":"clinical-curriculum","status":"publish","type":"page","link":"https:\/\/dhs.lacounty.gov\/harbor-ucla-medical-center\/gme\/infectious-diseases\/fellowship\/clinical-curriculum\/","title":{"rendered":"Clinical Service Curriculum"},"content":{"rendered":"

[vc_row][vc_column][vc_column_text css=””]The ID curriculum and educational experience at Harbor-UCLA provides fellows with many unique opportunities. Similar to other ID fellowships, fellows will leave our program very comfortable consulting on all ID \u201cbread and butter\u201d presentations such as: neutropenic fever, fever in the ICU, orthopedic hardware infections, myriad of Staph aureus related complications, and nosocomial infections.<\/p>\n

The unique aspect at Harbor-UCLA for exposure to a broad range of infectious diseases is threefold:<\/strong>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_tta_accordion][vc_tta_section title=”Geographic Diversity” tab_id=”1765949718944-27bea51f-192c”][vc_column_text css=””]Los Angeles County is expansive. Although it is well known as an urban center, there is a significantly large, rural geographic population to the County that exposes our fellows to zoonoses and many rickettsial illnesses that may not often be seen in many other strictly urban training centers.[\/vc_column_text][vc_single_image image=”11122″ img_size=”full” css=””][\/vc_tta_section][vc_tta_section title=”Community Diversity” tab_id=”1765950181028-f623644b-fd84″][vc_column_text css=””]Los Angeles County has remarkable diversity of people that also leads to a\u00a0wide variety of epidemiologic exposures and\u00a0risk factors for infectious diseases (i.e., food, animal,\u00a0job exposures,\u00a0or alternative\/complimentary medication use).\u00a0 Many patients seen at Harbor-UCLA are born outside of the US or have\u00a0travel to locations outside the US exposing our fellows to the variety of infectious disease syndromes based off geographic endemicity.[\/vc_column_text][vc_single_image image=”11111″ img_size=”full” css=””][\/vc_tta_section][vc_tta_section title=”LA County Health Services Hospital Network” tab_id=”1765950311611-edc9db43-a78b”][vc_column_text css=””]Harbor-UCLA is one of four safety-net hospitals within Los Angeles County. Being disproportionately impacted by disparities in health, our fellows are exposed to late manifestations of infectious syndromes and associated complications. Additionally, the County has specialized Harbor-UCLA to be the primary center to receive care for certain conditions. For example, patients admitted to other DHS hospitals that require neurosurgical or cardiovascular-thoracic surgical care may transfer to Harbor-UCLA. For our ID fellows, this increases the bedside learning opportunities of CNS infectious disease syndromes (i.e., device related infections, neurocysticercosis, ect) as well as endocarditis or thoracic cavity infections. Additionally, all renal transplant recipients receiving care through DHS are funneled to Harbor-UCLA. As a Level 1 Trauma Center with a robust surgical intensive care unit, fellows at Harbor-UCLA will consult on many common infectious complications seen in the SICU.[\/vc_column_text][vc_single_image image=”11121″ img_size=”full” css=””][\/vc_tta_section][\/vc_tta_accordion][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator css=””][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=””]ID CONSULT SERVICE:<\/strong><\/p>\n

Fellows rotate roughly 25% of their fellowship on the ID Inpatient Consult Service. The team consists of the attending on service, the ID Consult fellow, typically 1-2 internal medicine or family medicine residents, UCLA medical students, and a rounding Infectious Disease pharmacist with pharmacy students. The Stewardship\/Bridge Fellow will assist on the consultative rotation as needed during higher census periods. The Stewardship Fellow covers the antibiotic pager during the day with support from a dedicated Stewardship Attending<\/p>\n

Patients discharged with ID related illnesses are followed in the ID outpatient clinic (\u00bd day per week or followed for their OPAT). The Stewardship Fellow and the Research Fellow attend the weekly ID clinic. Common ID cases seen in the clinic include:<\/p>\n