HIV AOC

Faculty Coordinator: Kevin Wang, MD

Introduction

HIV medicine has changed since it was initially discovered in the 1980s when it was initially known as the gay plague, gay cancer, gay pneumonia and Gay Related Immune Deficiency Syndrome.  What was a 100% mortality rate has now become a chronic disease managed by antiviral medications and can be prevented with the use of Preexposure Prophylaxis.  HIV care used to be solely in the realm of specialists.  Through advocacy efforts of many providers, family physicians and primary care providers can treat patients with HIV.  For those interested in becoming certified in HIV medicine, Swedish First Hill Family Medicine Residency Program is excited to offer their HIV Area of Concentration.  Please contact Kevin Wang to discuss your schedule.

Goals & objectives

This area of concentration will provide you with additional training to gain further expertise in the care of patients with HIV.  This one to two year experience will provide you with a continuity clinic to start patients on treatment, manage their medications, complications, side effects along with gain additional experience in HIV prevention.

Peter Shalit, MD and Associates

You will work with Dr. Shalit and his colleagues at his office located right by the Swedish First Hill Family Medicine clinic.  Dr. Shalit was one of the first few doctors in Seattle willing to treat people with HIV.  He’s served on multiple community organization boards and was awarded the prestigious Greater Seattle Business Association Business and Humanitarian Awards in 2018.

Rotation milestones

1.     Patient care

·      PC-1, PC-2 & PC-3: Learn to provide patient-centered and quality care to people with HIV

·      PC-5: Gain competence in preventing, diagnosing and treating HIV

2.     Medical knowledge

·      MK-1 & MK-2: Demonstrate appropriate knowledge in HIV medicine

3.     Systems-based practice

·      SBP-2: Emphasizing patient safety by following appropriate clinical guidelines and protocols

·      SBP-3: Advocating for individual and community health by partnering and working with community programs

·      SBP-4: Work in a new office and work on building skills to work with new healthcare teams

4.     Practice-based learning & improvement

·      PBL-1 & PBL-2: Engage in self-directed learning and demonstrate ability to acquire new skills in HIV care

5.     Professionalism

·      PROF-2 & PROF-3: Demonstrate compassion, respect and empathy towards patients and present in a respective & professional manner while attending all duties and responsibilities

6.     Communication

·      C-1, C-2 & C-3: Develop meaningful, therapeutic relationships with patients while communicating effectively with them and the healthcare team

Application requirements

Any resident in the Swedish First Hill Family Medicine Residency Program can participate in the HIV Area of Concentration so long as they meet these criteria:

·      Must be in good standing in the residency program meeting all core competency requirements

·      Must be on track to meet the required number of outpatient clinic visits, OB continuity deliveries and other ACGME requirements

·      Must obtain approval from your advisor to participate in this Area of Concentration

Requirements for completion of the HIV Area of Concentration

To successfully complete the HIV AOC, residents must complete a longitudinal experience with Dr. Peter Shalit, MD in addition to the following:

·      Completion of the American Academy of HIV Medicine modules.  These are required to gain your certification after graduation.  Access requires you to be a member of AAHIVM.

o   AAHIVM has a discounted membership for residents for $40.

·      Present an HIV health talk to the residency program (Monday morning openers)

It is also encouraged to work with local HIV organizations such as LifeLong AIDS Alliance to participate in community service.

Reviewed and updated 10/14/2018, Kevin Wang

Effective: 6/25/2018 – 6/24/2019