Louis Stokes Veterans Affairs Medical Center: CLINIC
Clinic:
2-3 ID fellows/year; one-half day clinic session/week x 1 year
Goals and Objectives:
To become familiar with the outpatient management of infectious diseases.
Teaching Methods:
Direct preceptorship with a designated faculty physician.
Mix of Patients, patient characteristics, clinical encounters, procedures and services: Fellows attend ID clinic one half day per week and assume primary care responsibilities for HIV-infected and non-HIV infected patients to whom they are assigned.
Caseloads are established among new patients that are referred for care to the ID clinic. A new patient visit includes a comprehensive initial assessment and management plan, which is reviewed with the patient and the faculty preceptor. Regularly scheduled follow-up and urgent visits are arranged, whenever possible, with the same fellow or faculty preceptor.
The fellow oversees a complete range of HIV disease including early and advanced disease, treatment naive or experienced, pregnancy, HIV-related and unrelated complications and co-morbidities. Integration of the care plan with HIV-case managers and nursing (including mental health and home care nurses) is facilitated in the context of a multidisciplinary team approach.
Educational Resources:
Fellows participate in monthly HIV team meetings and HIV journal club whenever possible. They are provided with a basic packet of literature including DHHS guidelines and seminal review articles, and have at their disposal access to comprehensive journal articles and AIDS journals (AIDS, J AIDS, JID, CID) through the Division of Infectious Diseases.
Evaluation:
Yearly evaluations of fellows are conducted with their preceptor.
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