Albert Einstein College of Medicine

TRAINING PROGRAM DIRECTOR: David L Goldman, MD
RESEARCH INTERESTS: Contribution of Fungi to Asthma, Pathogenesis of C. difficile colitis

ASSOCIATE: Betsy Herold, MD
RESEARCH INTEREST: Development of herpes simplex virus (HSV) and other vaccines, HSV immune evasion, biologic basis of HSV-HIV synergy, COVID-19 immune responses in children versus adults, vaginal microbiome and its impact on HIV risk and drug PK, transplant ID

ASSOCIATE: Margaret Aldrich
RESEARCH INTEREST: Epidemiology, emerging infections and hospital infection control.

ASSOCIATE: Marc Foca
RESEARCH INTEREST: Clinical aspects of care for HIV infected children and pediatric transplant recipients

ASSOCIATE: Michelle Collins-Ogle
RESEARCH INTEREST: Nosocomial Pneumonia, HIV care and COVID in the newborn.

ASSOCISTE: Brenda (IJ) Anosike
RESEARCH INTEREST: International Health, Antibiotic Utilization

ASSOCIATE: Nat Litman
RESEARCH INTEREST: Vaccination and infection control

ASSOCIATE: Marguerite Mayers
RESEARCH INTEREST: Clinical aspects of care for Pediatric Tuberculosis, HIV and Immunization

ASSOCIATE: Philip Lee, Pharm D
RESEARCH INTEREST: MDR and UTI. Utilization of carbapenem-sparing agents for uncomplicated urinary tract infections

ASSOCIATE: Natalia Cheshenko, PhD
RESEARCH INTEREST: HSV viral entry

TITLE(S) OF RECENT FELLOWS’ PUBLISHED PAPERS OR RESEARCH PROJECTS:
REVIEWS

1. Nontuberculous Mycobacterial Infections in Children. Bhattacharya J, Mohandas S, Goldman DL. Pediatr Rev. 2019 Apr;40(4):179-190.

2. An 8-Year-Old Boy With Fever, Splenomegaly, and Pancytopenia. Offenbacher R, Rybinski B, Joseph T, Rahmani N, Boucher T, Weiser DA. Pediatrics. 2020 Jul;146(1):e20192372.

3. Cryptococcal Disease in HIV-Infected Children. Kao C, Goldman DL. Curr Infect Dis Rep. 2016 Sep;18(9):27.

4. Noninfectious Enterocolitis as Initial Presentation of Chronic Granulomatous Disease. Mohandas S, Toh J, Arora P, Bivin W, Ustun B, Goldman D. Clin Pediatr (Phila). 2017 Dec;56(14):1353-1356

5. Fulminant Sepsis Due to Granulibacter bethesdensis in a 4-Year-Old Boy With X-Linked Chronic Granulomatous Disease. Mayer EF, Gialanella P, Munjal I, Cunningham-Rundles C, Dara J. Pediatr Infect Dis J. 2017 Dec;36(12):1165-1166.

6. Congenital Tuberculosis: A Missed Opportunity. Mony VK, Polin J, Adler E, Munjal I, LaTuga MS, Kojaoghlanian T. J Pediatric Infect Dis Soc. 2014 Dec;3(4):e45-7.

ORIGINAL RESEARCH

1. A multicenter study to define the epidemiology and outcomes of Clostridioides difficile infection in pediatric hematopoietic cell and solid organ transplant recipients. Mayer EF, Maron G, Dallas RH, Ferrolino J, Tang L, Sun Y, Danziger-Isakov L, Paulsen GC, Fisher BT, Vora SB, Englund J, Steinbach WJ, Michaels M, Green M, Yeganeh N, Gibson JE, Dominguez SR, Nicholson MR, Dulek DE, Ardura MI, Rajan S, Gonzalez BE, Beneri C, Herold BC. Am J Transplant. 2020 Feb 16. doi: 10.1111/ajt.15826. Online ahead of print.

2. Murine Model of Maternal Immunization Demonstrates Protective Role for Antibodies That Mediate Antibody-Dependent Cellular Cytotoxicity in Protecting Neonates From Herpes Simplex Virus Type 1 and Type 2. Kao CM, Goymer J, Loh LN, Mahant A, Burn Aschner C, Herold BC. J Infect Dis. 2020 Feb 18;221(5):729-738.

3. Differences in Gut Microbiome in Hospitalized Children.Sindhu Mohandas, Vijaya L Soma, Tran Dong-binh, Erica Weinstock, Tresa Ambooken, David L Goldman, George Weinstock and Betsy C Herold. Frontiers in Pediatrics: Submitted.

4. Higher Rates of Misdiagnosis in Pediatric Patients Versus Adults Hospitalized With Imported Malaria. Goldman-Yassen AE, Mony VK, Arguin PM, Daily JP. Pediatr Emerg Care. 2016 Apr;32(4):227-231.

MAJOR FEATURES OF TRAINING PROGRAM:

The fellowship in Pediatric Infectious Diseases is a 3-year ACGME accredited program offered by the Department of Pediatrics of the Children’s Hospital at Montefiore and the Albert Einstein College of Medicine. The training program was established in 1991 and has graduated 25 fellows. The overall goal of our training program is to prepare participants for an academic career in pediatric infectious diseases. Applicants to out program must possess and MD or DO degree and eligible to obtain licensure to practice medicine in the state of New York. The candidate must be a resident in Pediatrics (PL-2 or higher) or have completed Pediatric Residency training. Upon completion of residency training, candidates must be eligible to take the American Board of Pediatrics Board examination. Our program accepts international applicants. Previous US clinical experience is preferred and an ECGMG certificate is required before entering the program, if accepted. All application requirements listed above apply. J-1 and H1-b visas are accepted.

Our Pediatric Infectious Disease faculty consist of 6 full time and 2 part-time physicians, one full-time PharmD and one PhD with a range of clinical and research interests. The current fellowship director, Dr. David L. Goldman oversees the training of our fellows. Training takes place in the 118 bed Children’s Hospital, which is ranked among the best children’s hospitals in US. This is an integral part of the 700-bed Montefiore Medical Center. The Children’s Hospital is a quaternary hospital that functions as the primary residency-training site of the Einstein/Montefiore program in pediatrics. The PID program provides in patient consultation for an in-patient unit of 126 beds, 4 bone marrow transplant beds, 26 Intensive Care Unit beds, and 50 NICU beds. There are approximately 51,000 visits to the Pediatric Emergency Department each year and approximately 8000 admissions per year to the Pediatric Inpatient Service at CHAM. The Children’s Hospital at Montefiore has an active hematology/oncology service that provides care to a large population of children with malignancies. Renal, liver, bone marrow and cardiac transplants are performed regularly at the Children’s Hospital. There are over 4500 deliveries per year at the Weiler Division of Montefiore.

The main focus of the first year is clinical training. Six months are spent on the pediatric infectious diseases consultation service, one month on the adult infectious diseases consultation service, one month in the Clinical Microbiology Lab, 2 months in research and one month in a variety of infectious diseases outpatient settings. I.D. fellows attend a weekly afternoon Pediatric I.D. Clinic (approximately 60 patients/ month). The Pediatric I.D. Division sees approximately 60 new inpatient consults each month. The I.D. fellow is supervised by an attending, who is board certified in Pediatric Infectious Diseases. The fellow supervises one or more pediatric residents and 4th year medical students. There is a Pediatric Infectious Diseases Clinic that meets one afternoon per week and sees about 40 patients per month including hospital discharges, new outpatient consults, travel medicine patients, and others. The Pediatric I.D. Service is closely allied with the Adult I.D. Service; in the first year of training, the Pediatric I.D. fellow rotates for one month on the adult service while the adult fellows rotate throughout the year on the Pediatric I.D. service.

The main focus of the second and third years is research. Ten to eleven months of each year are spent doing research. Fellows are able to choose their research projects from a wide range of basic and clinical activities at the medical school and CHAM. Together with the fellowship director, fellows choose their research project in the first year. The 2nd and 3rd year fellows also spend 2 to 1 months, respectively on the pediatric infectious diseases consultation service. Fellows also attend a half-day weekly ID clinic. During their 2nd year, fellows work in the HIV/STD Clinic. During their 3rd year, fellows work in the Pediatric ID ambulatory clinic at CHAM.

Education of our fellows comes from a variety of sources including the direct supervision of the ID attending on service and their research mentors. There are also a variety of educational experiences for our fellows. This includes a core introductory ID lecture series and weekly ID grand rounds (done in conjunction with the adult ID program). For weekly ID grand rounds, fellows (every 2 – 3 weeks) provide a 30-minute case presentation and discussion regarding a particular aspect of the case. There is also a regularly scheduled Research Series for fellows that is sponsored by the department of Pediatrics and designed to standardize the didactic component of the research training experience. Fellows also participate in a weekly clinical care conference and monthly journal club conference. Fellows also have a weekly board type question and answer session with the Fellowship director. Other educational experiences include the: attendance at the St. Judes Pediatric Infectious Disease conference and one other international or national Infectious Diseases related meeting, yearly in- service examination offered by the American Board of Pediatrics and online infection control course given by the Society for Healthcare Epidemiology of America (SHEA). Our fellows also required to give lectures to the pediatric residents on a variety of infectious diseases topics. In the 2nd and 3rd years, fellows also participate in the small group session for Microbiology course for the second year medical students at the Albert Einstein College of Medicine. Finally, all fellows are required to participate in a QI project under the supervision of a faculty member. Both faculty and fellows review the curriculum of our fellowship annually. Suggestions from this meeting are taken up by the Curriculum Committee, which consists of 3 Pediatric ID faculty members. In addition, the adequacy of our fellows’ exposure to clinical entities is assessed by a review of their case log, which is reviewed by the fellowship director.

AFFILIATED HOSPITALS: Children’s Hospital at Montefiore

NUMBER OF PEDIATRIC BEDS: 118 plus 40 NICU

FELLOWS ACCEPTED EACH YEAR: 1-2

TRAINING FOR MD; DO; MD, PhD: YES

FUNDING IS ENSURED FOR ALL 3 YEARS: YES

VISAS ACCEPTED: J1, H1B, Other : YES

IS COMPLETION OF PEDIATRIC RESIDENCY TRAINING IN THE U.S. OR CANADA A REQUIREMENT? NO

THE PROGRAM OFFERS THE FOLLOWING TRAINING:

Program provides training in diagnostic microbiology using laboratories on site:

Microbiology laboratory: YES
Clinical virus isolation laboratory: YES
Molecular diagnostics: YES
Other – Please specify:

Program provides training in infection control and hospital epidemiology as:

Didactic lectures: YES
Hands on experience: YES
Infection Control Meetings/Membership: YES

Opportunity to fulfill the ABP requirements for scholarly activity is available in the following general areas:

Bacteriology/bacterial infections: YES
Epidemiology and statistics: YES
Infection control/hospital epidemiology: YES
Immunizations/Public health: YES
Mycology/fungal infections: YES
Parasitology/parasitic diseases: YES
Virology/viral diseases: YES
Antimicrobial agents: YES
Other – Please specify:

Research opportunities in the section’s program could be describes as:

Basic (bench): YES
Molecular: YES
Translational: YES
Epidemiologic: YES
Clinical: YES
International/Public Health: NO
Health Services: NO
HIV, Basic: YES
HIV, Clinical: YES
ACTG Site: NO
Other – Please specify: CFAR Center, Transplant Research Center, HPTN affiliation

Documented liaison exists offering opportunities for research experience n the laboratory of investigator(s) who is (are) not faculty of the section: YES

Program offers the opportunity to obtain a Master’s degree in a field such as Public Health, Education, Clinical Sciences, or Epidemiology (assuming appropriate arrangements are made): YES

Other – Please specify: Master’s in Clinical Research

Graduate school courses are available to trainee (assuming appropriate arrangements are made): YES

Program provides substantial clinical experiences for trainees in special areas/hosts:

HIV: YES
Bone marrow transplantation:YES Solid organ/transplantation: YES
Travelers/adoptees: YES
Adults: YES
Congenital immune deficiencies: YES
Other – Please specify: Program includes ABP-required core curricula in scholarly activities in didactic lecture course for fellows (includes epidemiology, statistics, research design, and academic careers): YES Program has an NIH-sponsored training grant: NO

The Infectious Diseases Service is the primary care provider for HIV-infected children and adolescents: NO

Average number of new outpatient consultations per month: 100

Average number of established outpatient follow-up visits per month: 25

Average number of new inpatient consultations per month: 60

Number of trainees completing program in the last 5 years: 5