HIV medicine is becoming even more subspecialized within Infectious Disease training. The OHSU fellowship program now has a pathway designed for ID fellows who want a more focused training around HIV medicine. This track is limited to one fellow per year.  Fellows participating in this track will have the opportunity to develop advanced expertise through focused clinical care at the outpatient OHSU HIV clinic. This training will include HIV treatment, HIV prevention, STIs, LGBTQIA+ care, and Hepatitis C treatment. Fellows in this track are expected to develop clinical research projects around HIV care mentored by Infectious Disease faculty. Fellows are also expected to submit and present their work to regional and national HIV meetings, such as ID Week, the Conference on Retroviral and Opportunistic infections [CROI], ACT-HIV, or the International AIDS Society meeting.  

OHSU has active stem cell and solid organ transplant programs (liver, kidney, pancreas, heart) and the Portland VA is a regional transplant center for livers and kidneys. Our Division faculty includes 5 ID physicians with expertise in Transplant ID who staff a dedicated Transplant ID clinical service. These faculty have roles in Transplant ID on a national level, staff fellows on the Transplant ID consult service, and mentor fellows in Transplant ID scholarly work. 

OHSU is a regional referral center for mycobacterial diseases. We have a cadre of ID physicians who are national leaders in non-tuberculous mycobacterial (NTM) diseases. These faculty staff and supervise fellows at the NTM outpatient clinic and mentor fellows in NTM scholarly work. OHSU’s mycobacterial group also collaborates with county health departments to manage most of the active tuberculosis (TB) cases in the Tri-County area and provides expert TB consultation to Oregon’s TB program.

Fellows with interest in Medical Education have rich and varied opportunities for mentorship and teaching experiences.  We have a robust cadre of core medical education faculty within the ID Division and the Fellowship Program is run by career medical educators. In addition to serving as course directors for undergraduate and graduate medical education at OHSU, multiple of our ID Division faculty are leaders in medical education on local and national levels where they are sought after teachers at regional and national educational conferences and hold prominent “Med Ed” leadership roles in National ID societies.

The intersection of SUD and ID is a critically important focus area in addressing the opioid epidemic. The OHSU ID Division has robust clinical, educational, and scholarly activities in this field. Our collaboration with OHSU’s inpatient Addiction Medicine program (IMPACT - Improving Addiction Care Team), a unique and nationally recognized SUD intervention and treatment program, has led to a novel and nationally presented multidisciplinary conference care model (OPTIONS-DC) which seeks to improve the care of individuals hospitalized with severe bacterial infections as complication of their substance use disorder.  

OHSU has a fully supported OPAT team, staffed by an ID medical director, multiple full-time RNs and an ID pharmacist. All patients discharged from OHSU Hospital on IV antibiotics are followed by the OPAT team, providing a consistent and safe discharge support structure for these vulnerable patients. Our OPAT team advances the clinical support, educational training, and clinical research work of our division.

OHSU ID Division faculty have a tradition of active, productive collaboration with the Acute and Communicable Disease Public Health Division at the Oregon Health Authority (OHA), an Emerging Infections Program (EIP) network site. Multiple successful grants and epidemiologic publications have resulted from these partnerships. Multiple prior fellows have found outstanding mentorship with the OHA, launching successful careers in public health. Multiple faculty have either primary or secondary appointments in the OHSU/Portland State University School of Public Health (SPH). A large multidisciplinary research group within SPH supports many of the Division’s active research projects and provides a close collaboration within which some of our fellows are able to perform their scholarly projects.