TY - JOUR
T1 - Training internal medicine residents in outpatient hiv care
T2 - A survey of program directors
AU - Adams, Jennifer
AU - Chacko, Karen
AU - Guiton, Gretchen
AU - Aagaard, Eva
PY - 2010/9
Y1 - 2010/9
N2 - Background: The care of patients with HIV is increasingly focused on outpatient chronic disease management. It is not known to what extent internal medicine residents in the US are currently being trained in or encouraged to provide primary care for this population of patients. Objective: To survey internal medicine residency program directors about their attitudes regarding training in outpatient HIV care and current program practices. Design: Program directors were surveyed first by email. Non-responding programs were mailed up to two copies of the survey. Subjects: All internal medicine residency program directors in the US. Main Measures: Program director attitudes and residency descriptions. Key Results: Of the 372 program directors surveyed, 230 responded (61.8 %). Forty-two percent of program directors agreed that it is important to train residents to be primary care providers for patients with HIV. Teaching outpatient-based HIV curricula was a priority for 45.1%, and 56.5% reported that exposing residents to outpatient HIV clinical care was a high priority. Only 46.5% of programs offer a dedicated rotation in outpatient HIV care, and 50.5% of programs have curricula in place to teach about outpatient HIV care. Only 18.8% of program directors believed their graduates had the skills to be primary providers for patients with HIV, and 70.6% reported that residents interested in providing care for patients with HIV pursued ID fellowships. The strongest reasons cited for limited HIV training during residency were beliefs that patients with HIV prefer to be seen and receive better care in ID clinics compared to general medicine clinics. Conclusions: With a looming HIV workforce shortage, we believe that internal medicine programs should create educational experiences that will provide their residents with the skills and knowledge necessary to meet the healthcare needs of this population.
AB - Background: The care of patients with HIV is increasingly focused on outpatient chronic disease management. It is not known to what extent internal medicine residents in the US are currently being trained in or encouraged to provide primary care for this population of patients. Objective: To survey internal medicine residency program directors about their attitudes regarding training in outpatient HIV care and current program practices. Design: Program directors were surveyed first by email. Non-responding programs were mailed up to two copies of the survey. Subjects: All internal medicine residency program directors in the US. Main Measures: Program director attitudes and residency descriptions. Key Results: Of the 372 program directors surveyed, 230 responded (61.8 %). Forty-two percent of program directors agreed that it is important to train residents to be primary care providers for patients with HIV. Teaching outpatient-based HIV curricula was a priority for 45.1%, and 56.5% reported that exposing residents to outpatient HIV clinical care was a high priority. Only 46.5% of programs offer a dedicated rotation in outpatient HIV care, and 50.5% of programs have curricula in place to teach about outpatient HIV care. Only 18.8% of program directors believed their graduates had the skills to be primary providers for patients with HIV, and 70.6% reported that residents interested in providing care for patients with HIV pursued ID fellowships. The strongest reasons cited for limited HIV training during residency were beliefs that patients with HIV prefer to be seen and receive better care in ID clinics compared to general medicine clinics. Conclusions: With a looming HIV workforce shortage, we believe that internal medicine programs should create educational experiences that will provide their residents with the skills and knowledge necessary to meet the healthcare needs of this population.
KW - HIV/AIDS
KW - medical education
KW - primary care
KW - residency education
KW - workforce
UR - http://www.scopus.com/inward/record.url?scp=77956407588&partnerID=8YFLogxK
U2 - 10.1007/s11606-010-1398-6
DO - 10.1007/s11606-010-1398-6
M3 - Article
C2 - 20505999
AN - SCOPUS:77956407588
SN - 0884-8734
VL - 25
SP - 977
EP - 981
JO - Journal of general internal medicine
JF - Journal of general internal medicine
IS - 9
ER -