National Capital Consortium Pediatric ID Fellowship Program (Military)

TRAINING PROGRAM DIRECTOR: Colonel David R. Stagliano, MD
RESEARCH INTEREST: Respiratory viruses; viral pathogenesis, tuberculosis, Bacterial-Viral coinfection

TRAINING PROGRAM ASSISTANT DIRECTOR:
RESEARCH INTEREST:

ASSOCIATE: Martin Ottolini, MD – Senior Consultant
RESEARCH INTEREST: Respiratory viruses; viral pathogenesis, emerging infectious diseases, therapeutic product development for chemical and biological defense

ASSOCIATE: Margaret C Bash, MD
RESEARCH INTEREST: Neisseria meningitides diagnostics and vaccine development

ASSOCIATE: Phil Brunell, MD
RESEARCH INTEREST: Herpes viruses, vaccine safety and policy, nearly everything

ASSOCIATE: Judith Epstein, MD
RESEARCH INTEREST: Malaria, DNA vaccine

ASSOCIATE: Gerald W Fischer, MD
RESEARCH INTEREST: Immunoglobulin therapy; neonatal infections; staphylococcal disease

ASSOCIATE: Val G Hemming, MD
RESEARCH INTEREST: Tuberculosis, respiratory viruses; immunoglobulin therapy and prophylaxis

ASSOCIATE: Linda Lewis, MD
RESEARCH INTEREST: Antiviral drugs, HIV; lyme disease

ASSOCIATE: Martin Weisse, MD
RESEARCH INTEREST: Clincial Pediatric Infectious Diseases, tropical medicine, pediatric education

ASSOCIATE: Merlin Robb, MD
RESEARCH INTEREST: HIV transmission and vaccine development; mucosal immunity

ASSOCIATE: Alan Shapiro, MD
RESEARCH INTEREST: HIV, antiviral therapy

ASSOCIATE: Steven Spencer, MD
RESEARCH INTEREST: Mucosal immunity, Neisseria gonorrhea

ASSOCIATE: Jon B Wood, MD, MPH
RESEARCH INTEREST: Biodefense, E. coli 0157H7; shigatoxin

ASSOCIATE: Margan Zajdowicz, MD
RESEARCH INTEREST: Hospital epidemiology, HIV, clinical trials

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

Richardson JY, Ottolini MG, Pletneva L, Boukhvalova M, Zhang S, Vogel SN, Prince GA, Blanco JC. Respiratory syncytial virus (RSV) infection induces cyclooxygenase 2: A potential target for RSV therapy. J Immunol. 2005 Apr 1;174(7):4356-64. Braun L, Craft D, Williams R, Tuamokumo F, and Ottolini M. Increasing Clindamycin Resistance Among Methicillin-Resistant Staphylococcus aureaus in 57 Northeast United States military treatment facilities: Is Clindamycin still a Safe Choice. Pediatric Infectious Disease Journal. 2005 (In Press) Burnett MW and Ottolini MG. Diptheria. In: Tropical Dermatology. 1st ED, Tyring, et al Editors. 2005. Churchill Livingston. Ottolini MG, Burnett MW. History of U.S. military contributions to the study of respiratory infections. Mil Med. 2005 Apr; 170(4 Suppl):66-70. Spencer SE, Valentin-Bon IE, Whaley K and Jerse AE. 2004. Inhibition of Neisseria gonorrhoeae genital tract infection by leading candidate topical microbicides in a mouse model. Journal of Infectious Disease 189:410-419. Regis DP, Dobano C, Quinones-Olson, P, et al. Transcriptionally active PCR for antigen identificatino and vaccine development: in vitro genome-wide screening and in vivo immunogenicity. Mol Biochem Parasitol. 2008; 158:32-45. Sutter D, Stagliano D, Braun L, et al. Polymicrobial bloodstream infection in pediatric patients: risk factors, microbiology, and antimicrobial management. Pediatr Infect Dis J. 2008: 400-5. Elwood RL, Dibiasi RL. Purulent pericarditis caused by nontypeable Haemophilus influenzae in a pediatric population. Diagn Microbiol Infect Dis. 2007. Elwood RL, Wilson S, Blanco JC, et al. The American Cotton Rat: a novel model for pulmonary tuberculosis. Tuberculosis. 2007; 87: 145-54. Elwood RL, Spencer SE. Successful clearance of catheter-related bloodstream infection by antibiotic lock therpay. Ann Pharmacother. 2006; 40: 347-50. Difazio MP, Braun L, Freedman, S, Hickey P. Rotavirus-induced seizures in childhood. J Child Neurol. 2007; 22:1367-70. Stagliano D, Epstein J, Hickey P. Fomite-transmitted coccidioidomycosis in an immunocompromised child. Pediatr Infect Dis J. 2007; 26: 454-6.

FEATURES OF TRAINING PROGRAM:

The Tri-Service National Capital Consortium Fellowship in Pediatric Infectious Diseases provides optimal training in the clinical, educational, and scholarly aspects of military pediatric infectious diseases for future practice and leadership in military medicine. Our mission is to develop outstanding pediatric infectious disease physicians who will provide three essential elements to the community of military pediatrics: compassionate high-quality clinical care, impactful teaching to students and residents, and significant scholarly contributions. We will develop high-caliber officers who will be well prepared for the unique aspects of practice in the military healthcare system (MHS). Emphasis is placed on clinical proficiency in the full spectrum of pediatric infectious diseases, global health, emerging infectious threats, military systems-based practice, relevant scholarly activity, quality improvement, and leadership.

AFFILIATED HOSPITALS: Children’s National Medical Center, INOVA Fairfax Hospital

NUMBER OF PEDIATRIC BEDS: 28 Pediatric Beds, 3-7 PICU Beds, 34 NICU Beds

FELLOWS ACCEPTED EACH YEAR: 1

TRAINING FOR MD; DO; MD:

FUNDING IS ENSURED FOR ALL 3 YEARS: Must be on Active Duty in the United States Uniformed Services

VISAS ACCEPTED: Must be US Citizens

IS COMPLETION OF PEDIATRIC RESIDENCY TRAINING IN THE U.S. OR CANADA A REQUIREMENT? YES

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: NO
Immunizations/Public health: NO
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: NO
Clinical: YES
International/Public Health: YES
Health Services: NO
HIV, Basic: NO
HIV, Clinical: YES
ACTG Site: NO
Other – Please specify:

Documented liaison exists offering opportunities for research experience n the laboratory of investigator(s) who is (are) not faculty of the section: YES. Our fellows work extensively the the departments of Microbiology/Immunology and Emerging Infectious Diseases at the Uniformed Services University of the Health Sciences. Past collaborations have existed with Dr. Alison O’Brien, PhD, Dr. Anne Jerse, PhD, Dr. Edward Mitre, MD and Dr. Joseph Montapillil, PhD. Additionally, oppotunities exist in the US military laboratories such as the Walter Reed Army Institute of Research (WRAIR)

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 – MPH

Other – Please specify:

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: NO
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: YES

Average number of new outpatient consultations per month: 10-15

Average number of established outpatient follow-up visits per month: 10-15

Average number of new inpatient consultations per month: 20

Number of trainees completing program in the last 5 years: (2002-2007) 8