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HIV Primary Care Track

Our Mission

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

Our Training Site

Our training site is Fenway Health (www.FenwayHealth.org), 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, 10% of whom are living with HIV/AIDS, across three clinical sites in the Boston area. The main outpatient facility is located within a short walking distance of BIDMC.

Our Program

In the HIV Primary Care Track, residents will provide continuity care for a substantial cohort of HIV-infected patients. They will 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 (www.aahivm.org).

Our Staff

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. Preceptors at Fenway Health include Drs. Joseph Baker, Tim Cavanaugh, Alex Gonzalez, David Mello, Ami Multani, Simi Padival, and Lauren Scott, who are experienced HIV and LGBT care practitioners.

Details

HIV Primary Care Track residents will choose a second continuity clinic site during their PGY2 and PGY3 years and will have access to primary care electives and events. They will also be 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.

Curricular Outline

Year 1

  • Residency training learning objectives for HIV Primary Care Track provided
  • Standard HIV curriculum delivered as part of ambulatory block
  • Lectures on introduction to HIV care, HIV antibody testing, initial evaluation of new patient, overview of antiretroviral therapy, and opportunistic infections
  • Thursday pre-clinic conferences address core topics
  • Didactic and case-based discussions
  • Fenway, BIDMC, and outside faculty deliver content
  • 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

  • Thursday pre-clinic conferences address core topics
  • Didactic and case-based discussions
  • Bimonthly resident-led journal club
  • Fenway, BIDMC, and outside faculty deliver content
  • 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
  • Resident is responsible for planning scholarly activity (e.g., case presentation at academic meeting, research study)

Year 3

  • Thursday pre-clinic conferences address core topics
  • Didactic and case-based discussions
  • Bimonthly resident-led journal club
  • Fenway, BIDMC, and outside faculty deliver content
  • 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

For more information about our program…
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.