426. Building HIV Workforce Capacity through an Innovative HIV Medicine Pathway within an Internal Medicine Residency
Session: Poster Abstract Session: Innovations in Medical Education
Thursday, October 8, 2015
Room: Poster Hall
Background: The HIV Medicine Pathway within the University of Washington (UW) Internal Medicine residency program trains internists to provide longitudinal HIV care. This pathway was created in response to the increasing demand for providers proficient in HIV medical care in the setting of a rapidly growing population of people living with HIV/AIDS (PLWHA).

Methods: The UW HIV Medicine Pathway was created in 2008; first year primary care or categorical track residents are eligible to apply for 2 to 3 pathway positions per year. The core of the pathway is a continuity clinic experience at the academic general HIV medicine clinic during the second and third years of residency. Academic components include participation in local HIV-related journal clubs, a lecture series, and a capstone scholarly project. Graduating pathway residents are eligible to complete the American Academy of HIV medicine (AAHIVM) certification examination. The pathway has minimal cost, as it utilizes preexisting clinical and educational resources. In May 2015, a survey was sent to current pathway residents and graduates regarding their practice habits. 

Results: Twelve trainees have participated in the pathway since its creation six years ago: 100% of current residents (5) and graduates (7) responded to the survey. Half are or were primary care residents. Among the graduates, 5/7 (71%) work in urban outpatient settings and provide care to greater than 20 PLWHA. Five of seven (71%) have AAHIVM certification, and 1/7 (14%) is board-certified in Infectious Diseases. All respondents (12/12) reported that they would choose to do the HIV pathway again, and that they anticipate that care for PLWHA will be an important part of their future careers.

Conclusion: The HIV pathway within the University of Washington Internal Medicine residency program is an inexpensive, high impact curriculum that trains providers to be proficient in HIV care and also promotes academic activity during residency. A high proportion of participants continue to provide longitudinal care for PLWHA after completion of training. This program design and implementation can be adapted to other Internal Medicine or Family Medicine residency programs in order to address the HIV provider workforce shortage.

Jehan Budak, MD, University of Washington, Seattle, WA, Kathleen Volkman, MD, Internal Medicine, University of Washington, Seattle, WA, Brian Wood, MD, Northwest AIDS Education and Training Center, Seattle, WA and Shireesha Dhanireddy, MD, Division of Allergy and Infectious Disease, University of Washington, Seattle, WA

Disclosures:

J. Budak, None

K. Volkman, None

B. Wood, None

S. Dhanireddy, None

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