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

By the end of this rotation, the fellow is expected to:

  • Demonstrate understanding of principles of testing, and lab monitoring, and transmission of HIV infection
  • Demonstrate understanding of the pathophysiology and natural history of HIV infection
  • Continue to advance knowledge of principles of antiretroviral therapy, apply published guidelines for treatment of HIV infection, and principles of antiretroviral resistance
  • Recognize, prevent and treat various infectious complications of HIV infection
  • Show proficiency in applying various methods of monitoring disease progression
  • Demonstrate understanding of and apply resistance testing
  • Demonstrate understanding of and recognize medication adverse reactions, and drug interactions
  • Demonstrate understanding of issues of confidentiality
  • Take into consideration specific social and financial issues related to HIV infected individual
  • Demonstrate understanding of and treat metabolic complications of HIV infection/treatment
  • Demonstrate 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 a 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, Mandell, et. al., 7th edition
  • 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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