Changing HIV Clinical Knowledge and Skill in Context: The Impact of Longitudinal Training in the Southeast United States

Abstract

In the Southeast United States, HIV care is provided in a context of disproportionate HIV prevalence and barriers to care, including rural locales, higher proportions of African American and uninsured patients, and inadequate health care workforce and infrastructure. The authors describe a regional on-site longitudinal training program developed to target multidisciplinary teams providing HIV primary care at clinical sites in the region. The effect of this training program was evaluated using pre- and 3-month post-program knowledge and skills tests, a post-training evaluation questionnaire, and a post-program focus group. The authors found desired effects, with increases in knowledge and skills and improved capacity of providers to meet patient care needs across all clinical sites despite variations in terms of HIV-infected patient loads. However, the lack of enabling factors present in clinic environments may attenuate the application of new knowledge and skills, underscoring the relevance of teamwork training in HIV care settings.

HIV/AIDS health care challenges for cross- country migrants in low- and middle-income countries: a scoping review

“…The reviewed publications did not suggest clearly how to manage and train personnel for HIV/AIDS programs in actual situations. Outside HIV/AIDS programs, successful human resources training programs often include “task-shifting”78–80 and “interdisciplinary collaboration.”81,82 Some clues of working with local personnel as cultural mediators and promoting public participation were noticed in a few publications 39,40,58. The lack of data on personnel development/training might derive from a limitation in the search strategy, or it possibly shows up the lack of this issue being addressed by researchers and practitioners dealing with migrant health care at present.…”

Teleconsultation Improves Primary Care Clinicians’ Confidence about Caring for HIV

“…We formulated survey questions based on prior surveys of HIV providers [31][32][33][34] and pilot tested the instrument with colleagues. We used acceptance of Medicaid as a surrogate measure for care of underserved communities.…”

Assessment of Pharmacy Student Perceptions Toward Common Stigmas Associated with Persons Living with HIV

“…1 Fortunately, scientific insights into the lifecycle of HIV and corresponding treatment modalities have transformed a diagnosis that previously equated to a death sentence into a manageable chronic health condition. [2][3][4] While long-term survival of persons living with HIV (PLWH) has improved, opportunities remain for professionals and trainees, particularly pharmacists and pharmacy students, to become more familiar with the psychosocial challenges that PLWH routinely face. It is important for them to understand some common difficulties that PLWH encounter in relation to procreation potential, parental responsibilities, and acceptance in educational settings.…”