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.
B. Wood, None
S. Dhanireddy, None