HIV Continuity of Care Clinic

  • UIHC or VA - for duration of fellowship
  • Each fellow will have a ½ day HIV COC clinic every other week

Goals and Objectives

  • During this rotation, the first year fellow is expected to:
  • Develop understanding of principles of testing, lab monitoring, and transmission of HIV infection
  • Develop understanding of the pathophysiology and natural history of HIV infection
  • Develop understanding of principles of antiretroviral therapy, apply published guidelines for treatment of HIV infection, and principles of antiretroviral resistance
  • Begin to recognize, prevent and treat various infectious complications of HIV infection
  • Become proficient in applying various methods to monitor disease progression
  • Develop understanding of and apply resistance testing
  • Develop understanding of and recognize adverse reactions to medications, and drug interactions
  • Develop understanding of issues of confidentiality
  • Take into consideration specific social and financial issues related to HIV infected individual
  • Develop understanding of and treat metabolic complications of HIV infection/treatment
  • Develop understanding of, prevent and treat various psychiatric complications and impact on treatment

Teaching Methods

An ID attending is present for each patient encounter. The attending reviews with the fellow the history, physical, assessment, plans and encounter notes. The fellow also interacts with the clinic nurses, social workers, pharmacist and ARNPs. Fellows are also to attend HIV sessions during the core curriculum conferences. There will be article reviews and protocol or guideline updates.

Mix of Clinical Topics

Each fellow has HIV COC clinic every other week at UIHC. Their patients are followed throughout their fellowship. When on Team 2 they attend HIV clinic at the VA.

Patient Characteristics and types of clinical encounters, procedures and services:

  • Adult patients from a variety of socioeconomic levels, ethnic background and immunocompetence states are evaluated

Reading/Learning Lists

  • Principles and Practice of Infectious disease, 5th edition. Mandell’s text
  • Core curriculum conferences
  • ID Grand Rounds
  • Journal club, fellow selected articles for review and discussion
  • Up-to-Date
  • HIVMA guidelines
  • AAHIVM HIV Medicine Self-Directed Study Guide
  • Antiretroviral Guidelines for Adults and Adolescents DHHS Panel

Evaluation

Immediate feedback is given on each patient presentation. The ID attending provides a written evaluation biannually. The entire care team (nurses, pharmacists, social workers) also provides bi-annual evaluations. The fellow provides evaluations of the rotation to the Department.

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