Outpatient Rotations and Experiences

Outpatient Rotation and Experiences

Outpatient rotations occur at 2 primary locations, the Audie L Murphy VA Hospital and the University Health Robert B. Green Campus. Fellows will be assigned to clinics such as the FFACTS (HIV) clinic, the OPAT/ID Clinic, VA and UT travel medicine clinics, VA Hepatitis C clinic, UT Transplant ID Clinic, and others based on the fellow’s electives.

ID Outpatient Rotations/Experiences

All ID fellows participate in a minimum 24 month continuity clinic experience. 1st year fellows assigned to the VA ISC (HIV) clinic and the 2nd year fellows staff the FFACTS (HIV) clinic at the downtown UHS RBG campus. Fellows spend one-half day per week in their clinic and work with a faculty preceptor who is located on site at the clinic and provides direct supervision. Fellows can compare and contrast 2 different populations at the VA and University Hospital. Also, the FFACTS clinic exclusively serves patients living with HIV, whereas the VA clinic hosts patients living with HIV as well as patients with non-HIV infectious diseases issues (which includes hospital consult follow-up visits from the affiliated sites). Fellows will develop and follow a panel of patients living with HIV in their continuity clinic who they will follow longitudinally for at least one year.

The OPAT/ID clinic is located at the downtown RBG campus of University Hospital. The clinic is responsible for providing follow up for patients that have been discharged from the in patient service. They will also provide consultative care for ID patients referred to the out-patient clinic. This clinic is staffed by an ID attending and supported by ID pharmacist who assist with the OPAT process and lab monitoring. Fellows aim to gain an understanding of OPAT fundamentals including screening of referrals to the program, follow-up of patients on OPAT, communications with home health and other auxillary staff, chart check of lab data, maintaining a registry of patients and tracking outcome metrics. Fellows will rotate through the clinic during their ambulatory rotation.

Fellows will participate in one 4 week ambulatory rotation block in each year. The rotation aims to provide a comprehensive outpatient experience in various aspects of ID. This involves rotating at the OPAT/ID clinic at the RBG campus, VA and UT travel medicine clinics, VA hepatitis C clinic, UT transplant ID clinic. Other outpatient electives can be arranged based on fellows interest to include the city’s metro health STI clinic, pediatric and immunology/allergy clinics, community AIDS service organization clinics (Alamo Area Resource Center, San Antonio AIDS Foundation), Cystic Fibrosis Clinic.