Infectious Diseases Fellowship - Ward Service
University of Maryland Medical Center - Med-ID - The HIV/ID Medical Ward
The Med-ID team is one of the major teaching services for the School of Medicine and the University of Maryland Medical Center. Patients are admitted to this primary inpatient team, which is staffed by Infectious Diseases faculty with expertise in the care of HIV patients.
Most patients admitted to this service have advanced HIV infection and suffer from acute infectious complications (e.g. PCP, cryptococcal meningitis, CNS toxoplasmosis, community acquired pneumonia, skin and soft tissue infections, and bacterial endocarditis).
Patients who are not HIV-infected but are admitted with other infectious diseases (such as endocarditis, meningitis, TB, and osteomyelitis) are also cared for on this service.
The team consists of one Infectious Diseases attending, one Infectious Diseases fellow, one resident, three interns, one or two medical students, a pharmacist, and pharmacy trainees.
A multidisciplinary team of nurses, social workers, physical therapists, substance abuse counselors, HIV counselors, and case managers meet daily with the team to find solutions for common psychosocial issues in this patient population.
- Penicillin allergy skin test service
- Fellows rotating on Med ID are also responsible for consulting on patients with reported penicillin allergy who may benefit from allergy testing. Fellows are trained in this skill and perform the test with faculty supervision.
- HIV Post-Exposure prophylaxis pager
- Fellows on Med-ID hold the ‘AIDS pager’ and handle calls related to HIV exposures, both for UMMC employees and for outpatients presenting to the UMMC and Mercy ED with non-occupational exposures. The fellows are responsible for determining if PEP is indicated and choosing an appropriate regimen, with faculty supervision as needed.