A resident clerkship that combines inpatient and outpatient training in substance abuse and HIV care.
Substance abuse and HIV infection are important medical problems that receive comparatively little attention in residency training programs and residents often feel unprepared to deal with them. We developed a month-long rotation that combined outpatient care for patients with HIV infection and addiction, with inpatient care for medically-ill patients on a detoxification unit. At the end of the rotation, residents reported greater comfort with caring for these patients and improved self-rated competence. They also rated the rotation highly. Our experience shows that a rotation combining inpatient and outpatient substance abuse and HIV care was valued by residents and increased their comfort and proficiency with caring for these underserved and stigmatized populations.
Rastegar
Darius A
DA
Division of Chemical Dependence, John Hopkins Bayview Medical Center, Baltimore, MD 21224, USA. drastega@jhmi.edu
Fingerhood
Michael I
MI
Jasinski
Donald R
DR
D000553:Ambulatory Care; D001291:Attitude of Health Personnel; D015142:Baltimore; D002982:Clinical Clerkship; D002983:Clinical Competence; D015897:Comorbidity; D003479:Curriculum; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D006760:Hospitalization; D006801:Humans; D007396:Internship and Residency; D011287:Prejudice; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*