title: A resident clerkship that combines inpatient and outpatient training in substance abuse and HIV care.
abstract: 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.
authors.affiliation: Division of Chemical Dependence, John Hopkins Bayview Medical Center, Baltimore, MD 21224, USA. drastega@jhmi.edu
authors.forename: Darius A
authors.initials: DA
authors.lastname: Rastegar
authors.forename: Michael I
authors.initials: MI
authors.lastname: Fingerhood
authors.forename: Donald R
authors.initials: DR
authors.lastname: Jasinski
mesh_terms: 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*