title: Development and Implementation of a Novel HIV Primary Care Track for Internal Medicine Residents.
abstract: BACKGROUND
  Declining mortality has led to a rising number of persons living with HIV (PLWH) and concerns about a future shortage of HIV practitioners.
  
  
  OBJECTIVE
  To develop an HIV Primary Care Track for internal medicine residents.
  
  
  METHODS
  Academic hospital and community health center with a history of caring for PLWH and lesbian, gay, bisexual, and transgender (LGBT) patients.
  
  
  METHODS
  Internal medicine residents.
  
  
  METHODS
  We enrolled four residents annually in a 3-year track with the goal of having each provide continuity care to at least 20 PLWH. The curriculum included small group learning sessions, outpatient electives, a global health opportunity, and the development of a scholarly project.
  
  
  RESULTS
  All residents successfully accrued 20 or more PLWH as continuity patients. Senior residents passed the American Academy of HIV Medicine certification exam, and 75 % of graduates took positions in primary care involving PLWH. Clinical performance of residents in HIV care quality measures was comparable to those reported in published cohorts.
  
  
  CONCLUSIONS
  We developed and implemented a novel track to train medical residents in the care of PLWH and LGBT patients. Our results suggest that a designated residency track can serve as a model for training the next generation of HIV practitioners.
authors.affiliation: Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA. dfessler@bidmc.harvard.edu.|Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, MA, USA. dfessler@bidmc.harvard.edu.
authors.forename: David A
authors.initials: DA
authors.lastname: Fessler
authors.affiliation: Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA.|Carl J. Shapiro Institute for Education and Research, Beth Israel Deaconess Medical Center, Boston, MA, USA.
authors.forename: Grace C
authors.initials: GC
authors.lastname: Huang
authors.affiliation: Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA.|Fenway Health, Boston, MA, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Potter
authors.affiliation: Fenway Health, Boston, MA, USA.
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Baker
authors.affiliation: Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA.|Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, MA, USA.
authors.forename: Howard
authors.initials: H
authors.lastname: Libman
mesh_terms: D003479:Curriculum; D004503:Education, Medical, Graduate / Q000458:organization & administration*; D005260:Female; D015658:HIV Infections / Q000628:therapy*; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency; D008297:Male; D011320:Primary Health Care / Q000458:organization & administration*; D016730:Program Development; D011787:Quality of Health Care; D000072339:Sexual and Gender Minorities
keywords: HIV/AIDS; gay and lesbian health; medical education—curriculum development/evaluation; medical education—postgraduate