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HIV PATHWAY Residency Contact: Shireesha Dhanireddy, MD, Assistant Medical Director, Madison Clinic,

Harborview Medical Center sdhanir@u.washington.edu

Goal: Train residents with an interest in working abroad or in the WWAMI region to care for HIV patients in a primary care setting.

HIV Curriculum Residents interested in a career in HIV medicine should identify themselves as interested during the first six months of internship. Applications to enter the pathway will be due in November of the internship year. No changes to the curriculum occur in the first year. During the PGY 2 and 3 years, residents in the HIV pathway will attend ½ a week continuity clinic at Madison Clinic at Harborview Medical Center. Madison Clinic provides primary care as well as subspecialty care for over 2000 patients with HIV.

PATIENT CARE EXPERIENCE Spectrum/Broad range of disease

° Patients at Madison Clinic suffer from a broad range of diseases aside from HIV, including cardiovascular disease, diabetes, hyperlipidemia, thyroid dysfunction, etc

Clinic ½ day per week (day of week varies depending on call schedule)

During clinic block will complete two to three ½ day sessions per week

PARTICIPATION IN MADISON CLINIC EDUCATIONAL ACTIVITIES HIV Journal Club (usually occurs 2nd and 4th Wednesdays) at 8am

(must present at least once a year)

AIDS Clinical Conference, 3rd Tuesday of each month at 8am

Clinical Case Conference, one Wednesday per quarter at 8am (will be encouraged to present a case)

Morbidity and Mortality Conference, one Wednesday per quarter at 8am

HIV noontime lecture series, monthly at HMC (must present once during R3 year)

CAPSTONE Residents in the pathway will be encouraged to work on a scholarly project based on

their interests.

Examples:

° International experience at the end of R3 year with Dr Michael Chung at Coptik Clinic in Nairobi; Create HIV web-study module on “HIV care in developing world”.

° WWAMI experience in Idaho or Montana; Write case-report.

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EXAMINATION Successfully complete American Academy of HIV Medicine (AAHIVM) certification

examination

General Internal Medicine Clinic Curriculum

PARTICIPATION IN GENERAL MEDICINE CLINIC EDUCATIONAL ACTIVITIES Participate in pre-clinic conference at HMC Adult Medicine Clinic prior to each clinic

session from 1 – 1:30 pm

Participate in HMC AMC journal club once monthly

EVALUATIONS Regular meetings with General Medicine Residency Program leadership

Regular meetings with Shireesha Dhanireddy