title: Training family medicine residents in HIV primary care: a national survey of program directors.
abstract: OBJECTIVE
  As the number of people living with HIV steadily increases, severe shortages in the HIV provider workforce in the United States are projected. With an increased emphasis on HIV education during residency, family physicians could play a major role in meeting this need.
  
  
  METHODS
  A nationwide survey of family medicine residency program directors (PDs) was conducted to determine their attitudes toward training residents in HIV care.
  
  
  RESULTS
  Of 440, 224 (51%) PDs responded to the electronic survey. Teaching HIV care was a high priority for 20% of PDs. Twenty percent of PDs reported residents in their program were providing care to at least five HIV-infected patients. Twenty-five percent of PDs felt that their graduates had the skills to be HIV care providers. Fewer than 25% of PDs reported having a formal HIV curriculum or faculty with adequate HIV expertise. The most favored approaches to strengthen the HIV curriculum by PDs were: (1) a half-day mini-course (30%) and (2) developing a faculty member's expertise in HIV care (17%). A total of 79% of directors saw a need to modify their existing curriculum.
  
  
  CONCLUSIONS
  Despite growing numbers of HIV-infected patients, only 25% of family medicine PDs felt that their graduates were adequately trained in HIV primary care, and most saw a need to modify their HIV curricula. Family medicine residency training programs have an important opportunity to develop residency curricula and increase faculty competence to train the next generation of clinicians in HIV care.
authors: Department of Family Medicine, University of Pittsburgh, Pittsburgh, PA.
authors: Ramakrishna
authors: R
authors: Prasad
authors: Frank
authors: F
authors: D'Amico
authors: Stephen A
authors: SA
authors: Wilson
authors: Linda
authors: L
authors: Hogan
authors: John A
authors: JA
authors: Nusser
authors: Peter A
authors: PA
authors: Selwyn
authors: C Randall
authors: CR
authors: Clinch
mesh_terms: D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D003479:Curriculum; D005194:Family Practice / Q000193:education*; D015658:HIV Infections / Q000188:drug therapy / Q000628:therapy*; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*; D014481:United States; D000078329:Workforce
chemical_list: D044966:Anti-Retroviral Agents