Since becoming the Infectious Diseases Fellowship Director in November of 2009, I have further developed a fellowship program that is designed to meet the interest of the trainee while meeting the Accreditation Council for Graduate Medical Education (ACGME) requirements.  I am dedicated to working with fellows to develop an individual learning plan that encompasses their interest in areas of Infectious Diseases whether this is a focus on clinical care, clinical research, tropical medicine, transplant medicine, HIV care, laboratory research, or other.

The Division of Infectious Diseases provides a two-year fellowship program which meets all certification requirements of the American Board of Internal Medicine and is accredited by the ACGME. The fellowship is designed to provide the fellow with a broad-based exposure to infectious diseases cases with the goal of developing outstanding clinicians and leaders. The program is centered at the newly designed University Hospital (700 beds) and the Audie L. Murphy Memorial VA Hospital (250 beds).   The program is supported by a world-class microbiology laboratory and fungal testing laboratory.  South Texas provides an environment for a multitude of infectious diseases such as murine typhus, histoplasmosis, coccidioidomycosis, atypical mycobacterium, nocardia, tuberculosis, and others.

The first year fellows have a microbiology rotation, infectious diseases consults at University Hospital and the VA hospital, continuity clinic for HIV and ID patients at the VA outpatient clinic.  The first year fellow is giving time to develop a research project with a mentoring faculty early in the program and has months later in the first year to further develop that project; the nature of the project depends on the interests and career path of the particular fellow.  Fellow participation in at least one quality improvement project highlights the program’s emphasis on evidence-based practice and healthcare improvement. The didactic program is composed of a structured conference series with weekly ID lectures by faculty and lunch on Fridays, journal club, research presentations and M&M on Tuesday morning and case presentations on Thursday afternoon.  First-year fellows participate in an outpatient antimicrobial infusion center to gain experience in outpatient management of intravenous therapies.

The second-year fellows have infectious diseases consults at University Hospital and the VA hospital, continuity clinic for HIV and ID patients at the downtown UTHSCSA outpatient clinic, and can participate in elective rotations, such as hepatology clinic, travel clinic, solid organ transplant clinic, and private practice clinics.  The second-year fellow has a one-month rotation at the Texas Center for Infectious Diseases (TCID) to see hospitalized patients with multidrug-resistant tuberculosis and leprosy.  Fellows participate in the annual Texas Infectious Diseases Society meeting and either the Infectious Diseases Society of America (IDSA) or the ICAAC meeting, which are the national infectious diseases meetings.  They participate in a two week Global Health course and may choose other electives, such as a rotation to MD Anderson Cancer Center in Houston, TX.  We offer excellent clinical experience in Infection Control and Epidemiology as well as Antimicrobial Stewardship with faculty that are nationally recognized in this area. The goal is to meet ACGME requirements while developing a curriculum that meets the individual trainee’s interest area within Infectious Diseases.

Interested applicants should contact the fellowship coordinator at for more information. Only applicants who have completed (or will be completing) an ACGME-accredited residency program in Internal Medicine will be considered for application.

Elizabeth A. Walter, M.D., FACP
Program Director