Roger Williams Medical Center includes a 160-bed acute care hospital with active programs in Oncology, Blood and Marrow Transplantation, Oncologic Surgery, Orthopedic Surgery, Neurosurgery, Bariatric Surgery, Podiatry and Geriatrics. The Emergency Department serves the local catchment area of Providence and has over 25,000 acute visits per year.

Fellows gain experience at RWMC on the Infectious Disease consult service and Blood and Marrow Transplant Unit. The responsibilities of the fellow include in-patient consultation and follow-up care as well as supervision and teaching of the residents and medical students electing a rotation in Infectious Diseases. In general, 30 to 40 consults are seen each month by this service.

Additional experience in infections in Neurosurgery and Solid Organ Transplantation is provided by rotation through Rhode Island Hospital. Each fellow spends one month rotating on the Pediatric Infectious Diseases service at Hasbro's Childrens Hospital.

HIV Clinical Care
Each fellow participates in a longitudinal outpatient HIV experience, which provides the opportunity to manage a panel of HIV-infected patients. The strengths of the HIV Clinic Care experience include:

• The HIV Clinical Care Program is the recipient of Ryan White Title II funding for medical and outpatient care of HIV-infected patients.
• The program is led by Dr. Gail Skowron, a nationally recognized expert in HIV antiretroviral therapy and HIV immunology.
• Patients are followed by an experienced, HIV specialized R.N., who works with attendings and fellows to provide comprehensive care and follow-up.
• Fellows are involved with investigational drugs and novel clinical protocols, providing a hands-on experience with clinical trials design, enrollment and follow-up, and analysis.

General Infectious Diseases Clinical Practice
The General Infectious Diseases Clinical Practice, under Dr. Yoram Puius and Dr. Fredric Silverblatt, allows fellows to see a broad of range of infectious issues in the outpatient setting. A large portion of the patients seen in the practice were originally seen in consultation at RWMC, allowing the fellow to have continuity between the in- and out-patient settings when following long-term problems such as endocarditis, osteomyelitis, or septic arthritis. Many other patients are referred from the community by internists, surgeons, rheumatologists, and dermatologists for such problems as fever of unclear etiology, Lyme and other tick-borne disease, post-surgical wound infections, skin and soft tissue infections, eosinophilia in the returning traveler, and non-HIV immunodeficiencies.

Blood and Marrow Transplant Unit
Roger Williams Medical Center is the site of the only Blood and Marrow Transplant (BMT) Unit in Rhode Island. Fellows consult on patients admitted to the BMT Unit and spend one month exclusively on the BMT unit during the second year concentrating on the infections in cancer and transplant patients. Fellows also participate in weekly interdisciplinary BMT rounds, gaining experience in the diagnosis and management of non-infectious complications of cancer, chemotherapy and transplantation.