You must complete an internal medicine residency before doing a 2 yr fellowship infectious diseases. I don't think that infectious disease docs will ever get paid that much as the patients that really need them (HIV, IVDA) are usually uninsured, and ID docs don't have any procedures in their specialty (procedures always reimburse more). With regards to a shortage of ID docs, I think that's impossible to predict or even speculate on right now, there are way too many variables going on in ID. Besides the nature of infectious diseases (eg SARS, coming and going, new treatments for HIV), you don't know how many people are going to need ID docs in the future; and then there is always the issue of abx resistance. Some hospitals are starting to require that ID docs only write for really "strong" abx like Vancomycin to avoid building resistant organisms in their hospitals/communities, and with the number of abx resistant organisms showing up in hospitals steadily increasing, I suspect that more and more hospitals/communities will have to adopt this policy in order try to preserve what few abx we will have left to treat new organisms. This will also increase demand for ID docs. ID docs also have the same driving forces that a lot of docs have as well, with the increasing age of the population, that means more surgeries and more hospital times which inevitably means more infections. So, I'm no ID expert, but I don't think that any ID doc could give you a useful prediction of how in demand they will be in the future (10 years from now), it would be equivalent to a weatherman trying to predict the weather 10 years from now.Originally posted by Peeshee
Anyone else with some advice about a fellowship in infectious diseases? Is there not a direct residency in infectious diseases, without having to do internal medicine first?
How great is the demand-need for infectologists?
does any1 know of any instances where a resident in family medicine has been accepted to an ID fellowship? i am a fam resident interested in ID fellowships...any ideas what i should do?mcandy said:just stoking the fire of curiosity
Stinky T said:
I can comment more on WHAT ID docs actually do.Good Mountain said:I really dont understand why in that salary survery an IM makes the same amount of money than what an ID doc makes, considering that IDs is a subspeciallity and takes 2-3 years more.
Thanks for the linkDon't know about the competitiveness part, but yes - allergy / immunology can follow ID (although rheum / A&I is more common and there are some dual fellowships). Clinical and Laboratory Immunology is another option after ID, according to the ACP website: