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Goals of HIV Clinician-Educator Training

• To develop expertise and experience in the management of patients with HIV disease in the outpatient setting.
• To develop expertise in the management of hospitalized HIV patients, including management of opportunistic conditions and complications of HIV infection and its treatment
• To gain experience in the conduct of HIV clinical research
• To conduct a scholarly project in HIV medicine
• To obtain experience in counseling and treating individuals who have had occupational or non-occupational exposure to HIV.

Components of clinical training in HIV disease to achieve the goals :

Outpatient and inpatient services of MGH and BWH (usually one fellow at each location)

The major activities of the fellows in this track in the second year are listed below.

• See primary care and consultative patients with HIV in four to five outpatient sessions per week with an appropriate preceptor.
• Provide urgent care to HIV-infected patients. These patient visits are supervised by experienced HIV providers on the faculty.
• Round on all hospitalized patients with HIV infection who are under the primary care of Virology Associates (MGH); round on all hospitalized patients who are the primary patients of the HIV fellow (BWH).
• Participate in ongoing ACTG and other HIV clinical research studies with attendance at meetings, review of protocols, and recruitment of patients.
• Design and perform a study or scholarly review in an area(s) of particular interest to the fellow.
• Coordinate the weekly HIV conference and participate in other teaching conferences in the respective ID Division and hospital
• Provide advice to healthcare workers who have had occupational exposure to blood-borne pathogens, including HIV.
• Counsel patients who have had non-occupational exposure to blood-borne pathogens, including HIV.
• Serve as a liaison and consultant to BWH Hemophilia Program and the Women-Infant Transmission Study for care of HIV-infected patients (BWH).
• Participation in twice monthly case conferences with health care providers in resource-scarce settings. In these conferences, faculty at MGH and BWH discuss issues relevant to the care of HIV-infected patients in resource-scarce settings. The case conferences are conducted via internet-based conferencing.