Los angeles general Medical Center
At Los Angeles General Medical Center, the region’s largest safety net hospital and a Level 1 Trauma Center, the ID Division operates one of the medical center’s busiest inpatient consult services, with on average over 1,400 new inpatient ID Consults per year spanning general Infectious Disease, Orthopedic Infectious Disease, and surgical ID consults from a host of surgical services including Neurosurgery, Cardiothoracic Surgery, Acute Care and Trauma Surgery, Urology, Gynecology, Plastic Surgery, Otolaryngology, Ophthalmology, Surgical Oncology and Vascular services as well as the large inpatient Burn Service here at the region’s largest inpatient Burn Center. Los Angeles General Medical Center provides direct care to more tuberculosis patients than any other hospital in California, with nearly 2-5% of all tuberculosis cases in the country receiving care in our facilities.
In addition to the HIV Care provided in the Los Angeles General Rand Schrader Clinic, the Division also operates a bustling outpatient general Infectious Disease Clinic with two weekly sessions held on Wednesday mornings and Friday afternoons. The Division also hosts a weekly Jail ID Clinic for incarcerated inmates within the LA County penal system for general Infectious Disease and Hepatitis C evaluation and treatment. The Los Angeles General ID Clinic provides outpatient continuity care for discharged inpatients from the Medical Center and serves as an outpatient referral center for the LA County Department of Health Services’ Ambulatory Care Network of over 20 Health Centers and over 200 My Health LA Community Clinics across Los Angeles County. Beginning in 2021, the ID Division also assumed all mono-infected Hepatitis C evaluation and treament for the Los Angeles General Medical Center referral hub and its affiliated community clinics.
The Division also oversees the operation of a nationally recognized, model Antimicrobial Stewardship Program. Under the leadership of its director Dr. Noah Wald-Dickler, the Los Angeles General Antimicrobial Stewardship Program is a busy service with ID faculty supervision, ID fellow, ID pharmacist, and Microbiology laboratory personnel all collaboratively involved in the implementation of a highly effective program focused on the judicious use of antibiotics throughout the Medical Center. ID faculty members at Los Angeles General, Dr. Noah Wald-Dickler and Dr. Brad Spellberg - an internationally recognized and outspoken expert in Antimicrobial Stewardship - have published several high impact papers on various aspects of Los Angeles General’s Stewardship Program.
Keck Hospital of USC / Transplant Infectious Disease Consultation Service
Complemented by the Infectious Diseases services at the Los Angeles General Medical Center, the Keck Hospital of USC and USC Norris Comprehensive Cancer Center are home to a robust General Infectious Diseases and Orthopaedic Infectious Diseases service, treating patients who require high specialized surgical and medical care. Fellows will have the unique experience rotating on the Orthopaedic Infectious Diseases service learning about the treatment and management of prosthetic joint infections and its complications, with an opportunity to gain additional experience throughout their training by joining an Orthopaedic ID track.
Created in 2010, the Transplant ID Service provides expert consultation to surgical and medical primary services in both the pre-transplant and post-transplant setting at the Keck Medical Center of USC and the USC Norris Comprehensive Cancer Center. The USC Transplant Institute is a high-volume, nationally recognized transplant center performing heart, lung, kidney, pancrease, and liver (including living-donor liver) transplantation services. The Transplant ID Service also provides consultation for the management of complex cardiovascular mechanical device infections in patients with advanced heart failure and mechanical therapy either as destination or bridge to transplantation. The Transplant ID Service provides a focused training experience for Infectious Disease fellows, uncommon among fellowship training programs, and includes the ability for fellows to specify a Transplant ID track for those with particular interest in the field.
Los angeles general Rand Schrader HIV Clinic
The Los Angeles General Rand Schrader Clinic provides primary and specialty HIV Care for over 2,000 empaneled HIV-infected individuals. The clinic provides medical care for a largely underserved and minority population (60-70% Latinos and 12-15% African Americans) and has been a national flagship for outpatient care of persons living with HIV since opening its doors in 1986. Up to 10 active faculty in the ID and HIV Divisions (in addition to 6 ID fellows, 3 HIV fellows, and 4 full-time Physician Assistants) provide direct, comprehensive, whole-person, HIV primary care to HIV patients in over 50 weekly provider clinic sessions. To maximize patient access, the Rand Schrader HIV Clinic is open mornings and afternoons Monday through Friday with an additional Tuesday night session for patients who work during the daytime. An empaneled HIV primary care provider, a registered nurse, and a social services case manager constitute a robust Medical Care Coordination (MCC) team for each Rand Schrader patient and facilitate all aspects of clinical care and address barriers to optimal treatment for all patients. The clinic is home to robust Psychiatric Care, provided by USC Psychiatry faculty and residents, to address the mental health of its HIV patients. In-clinic Gynecology services as well as a unique HIV Dermatology Clinic (including autologous fat transfer and liposuction services for HIV lipodystrophy) are also available to Rand Schrader Clinic patients with the full arsenal of ambulatory medical and surgical Specialty Care of the Los Angeles General Medical Center available for specialty referral and care. A weekly, full-scope HIV-Hepatitis C Coinfection Clinic is also hosted on Friday mornings.