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HIV Primary Care Track

Mission

The mission of our HIV Primary Care Track is to train future physicians who have a clinical interest in HIV medicine and lesbian/gay/bisexual/transgender (LGBT) health.

Training Site

Our training site is Fenway Health, a federally qualified health center that has served as a continuity clinic site for BIDMC primary care residents for many years.  It has established a national reputation for providing high quality care for people living with HIV/AIDS and the LGBT population.  The health center cares for approximately 18,000 patients, ten percent of whom are living with HIV/AIDS, across three clinical sites in the Boston area.  The main outpatient facility is within a short walking distance of BIDMC, and a second care site is located in Boston’s South End, which is accessible by public transportation.

Structure of Program

HIV Primary Care Track residents provide continuity care for at least twenty HIV-infected patients.  They receive enhanced training in HIV medicine and LGBT care from BIDMC and Fenway faculty.  At the conclusion of their training, residents will be qualified to sit for the HIV Specialty Certification Examination from the American Academy of HIV Medicine.

HIV Primary Care Track residents choose a second continuity clinic site during their PGY2 and PGY3 years and will have access to primary care electives and events.  They are also encouraged to participate in the BIDMC Global Health Program at a site that provides care for HIV-infected persons in the developing world such as Botswana, where we have an established satellite training program for medical residents.

Program Leadership

Dr. Howard Libman, who is Director of the HIV Program in Healthcare Associates at BIDMC, also provides leadership for the HIV Primary Care Track.  Other key faculty include Dr. Joseph Baker, Director of Resident Education at Fenway Health, and Dr. Jennifer Potter, Fenway Site Director for the HIV Primary Care Track.  All Fenway Health preceptors are experienced HIV and LGBT care practitioners.

Curricular Outline

Year 1

  • Weekly pre-clinic conferences addressing core topics
    • Introduction to HIV care, HIV antibody testing, initial evaluation of new patient, overview of antiretroviral therapy, and opportunistic infections
    • Didactic and case-based discussions
    • Delivered by Fenway and BIDMC faculty, as well as HIV Primary Care Track residents
  • Participation in weekly BIDMC HIV Clinical Conference
  • Electronic and hard copies of BIDMC HIV Manual provided
  • Hard copy of Fenway LGBT Text provided
  • Electronic copies of core references provided
  • Three-year subscription to AIDS Clinical Care provided
  • AAHIVM Fundamentals of HIV Medicine text provided

Year 2

  • Weekly pre-clinic conferences addressing core topics
    • Didactic and case-based discussions
    • Bimonthly resident-led journal club
    • Delivered by Fenway and BIDMC faculty, as well as HIV Primary Care Track residents
  • Participation in weekly BIDMC HIV Clinical Conference
  • Electives in HIV specialty areas and related fields (e.g., substance abuse, public health, chronic care)
  • Attendance at annual three-day BIDMC HIV Update CME Course
  • Resident is responsible for planning scholarly activity (e.g., case presentation at academic meeting, research study)
  • Individual learning through IAS-USA online CME

Year 3

  • Weekly pre-clinic conferences addressing core topics
    • Didactic and case-based discussions
    • Bimonthly resident-led journal club
    • Delivered by Fenway and BIDMC Faculty, as well as HIV Primary Care Track residents 
  • Participation in weekly BIDMC HIV Clinical Conference
  • Individual learning through IAS-USA online CME
  • Electives in HIV specialty areas and related fields (e.g., substance abuse, public health, chronic care)
  • Global health rotation in area with high prevalence of HIV infection (e.g., Botswana)
  • Resident is responsible for completing scholarly activity

How to Apply

We have established a separate match number for this program and will recruit up to 4 interns each year.  Applicants interested in the HIV Primary Care Track should specify this program but are also encouraged to apply for the BIDMC categorical program.  Invited applicants will meet with our HIV primary care faculty and have the opportunity to participate in a half-day introduction to the HIV Primary Care Track.

For More Information 

Please contact Dr. Howard Libman, Director of Ambulatory Residency Training, by     e-mail at hlibman@bidmc.harvard.edu or call him at 617-667-3001.