David A Fessler1,2, Grace C Huang3,4, Jennifer Potter3,5, Joseph J Baker5, Howard Libman3,6. 1. Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA. dfessler@bidmc.harvard.edu. 2. Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, MA, USA. dfessler@bidmc.harvard.edu. 3. Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA. 4. Carl J. Shapiro Institute for Education and Research, Beth Israel Deaconess Medical Center, Boston, MA, USA. 5. Fenway Health, Boston, MA, USA. 6. Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Abstract
BACKGROUND: Declining mortality has led to a rising number of persons living with HIV (PLWH) and concerns about a future shortage of HIV practitioners. AIM: To develop an HIV Primary Care Track for internal medicine residents. SETTING: Academic hospital and community health center with a history of caring for PLWH and lesbian, gay, bisexual, and transgender (LGBT) patients. PARTICIPANTS: Internal medicine residents. PROGRAM DESCRIPTION: We enrolled four residents annually in a 3-year track with the goal of having each provide continuity care to at least 20 PLWH. The curriculum included small group learning sessions, outpatient electives, a global health opportunity, and the development of a scholarly project. PROGRAM EVALUATION: All residents successfully accrued 20 or more PLWH as continuity patients. Senior residents passed the American Academy of HIV Medicine certification exam, and 75 % of graduates took positions in primary care involving PLWH. Clinical performance of residents in HIV care quality measures was comparable to those reported in published cohorts. DISCUSSION: We developed and implemented a novel track to train medical residents in the care of PLWH and LGBT patients. Our results suggest that a designated residency track can serve as a model for training the next generation of HIV practitioners.
BACKGROUND: Declining mortality has led to a rising number of persons living with HIV (PLWH) and concerns about a future shortage of HIV practitioners. AIM: To develop an HIV Primary Care Track for internal medicine residents. SETTING: Academic hospital and community health center with a history of caring for PLWH and lesbian, gay, bisexual, and transgender (LGBT) patients. PARTICIPANTS: Internal medicine residents. PROGRAM DESCRIPTION: We enrolled four residents annually in a 3-year track with the goal of having each provide continuity care to at least 20 PLWH. The curriculum included small group learning sessions, outpatient electives, a global health opportunity, and the development of a scholarly project. PROGRAM EVALUATION: All residents successfully accrued 20 or more PLWH as continuity patients. Senior residents passed the American Academy of HIV Medicine certification exam, and 75 % of graduates took positions in primary care involving PLWH. Clinical performance of residents in HIV care quality measures was comparable to those reported in published cohorts. DISCUSSION: We developed and implemented a novel track to train medical residents in the care of PLWH and LGBT patients. Our results suggest that a designated residency track can serve as a model for training the next generation of HIV practitioners.
Entities:
Keywords:
HIV/AIDS; gay and lesbian health; medical education—curriculum development/evaluation; medical education—postgraduate
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