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Development and Implementation of a Novel HIV Primary Care Track for Internal Medicine Residents.

Development and Implementation of a Novel HIV Primary Care Track for Internal Medicine Residents.
Author Information (click to view)

Fessler DA, Huang GC, Potter J, Baker JJ, Libman H,


Fessler DA, Huang GC, Potter J, Baker JJ, Libman H, (click to view)

Fessler DA, Huang GC, Potter J, Baker JJ, Libman H,

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Journal of general internal medicine 2016 Oct 4()

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.

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