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Elective: MEDECK 612 HMC

Offered: AWSpS; 4 weeks full-time.
Prerequisite: Med 665.
Total Enrollment: 1
Faculty Contact: Dr. Harrington, rdh@u.washington.edu
Administrative Contact:
Katie Effert, 206.744.5147
keffert@u.washington.edu

Angie Wick, 206.543.3237
awick@medicine.washington.edu

Goals:

  • The purpose of this elective is to provide students with an intensive one month experience caring for HIV infected patients.
  • Students will become familiar with the outpatient management of HIV infected patients including the administration of anti-retroviral therapy, medications to prevent opportunistic infections and the primary care issues unique to HIV+ patients.
  • Students will learn to manage the acute medical problems of hospitalized HIV patients by working with the infectious diseases service and providing consultations to the primary teams responsible for HIV infected inpatients.

Objectives:

  • Learn the key elements of providing primary care to HIV infected patients.
  • Become familiar with anti-retroviral therapy and treatments to prevent opportunistic infections.
  • Identify and treat the opportunistic infections and cancers suffered by HIV+ patients.
  • Recognize and treat the metabolic complications of HIV and HIV therapy (e.g., lipodystrophy, hyperlipidemia, diabetes mellitus).
  • Identify and help manage psychosocial problems such as depression, homelessness and substance abuse that many HIV+ patients face.
  • Recognize and help manage the acute medical problems of hospitalized HIV+ patients.
  • Help coordinate the transition of patients from the inpatient to the outpatient setting.

Schedule:

Students will split their time between the Madison Clinic (Harborview HIV Clinic) and the inpatient HIV consult service. Students will usually see patients with regular providers (including residents, fellows, mid-level practitioners and faculty) in the Madison Clinic at the beginning (8:30 - 11:00 am) and end (2:30 - 5:00 pm) of each day. Mid-day (11:00 am - 2:30 pm) students will round on HIV+ inpatients and interact with the ID/HIV consult service. Daily schedules vary considerably depending on the activity of the inpatient consult service, the clinic and the particular interests of the student.

Washington State Prison Visits

Medical students have the opportunity to visit a Washington State prison for 1-2 days during their HIV clinical rotation. Dr. Strick will usually contact students registered for Med 655 by email prior to the start of the month’s rotation to facilitate scheduling the prison visits. Visiting a prison facility is voluntary and is not a required part of the rotation.

Dr. Strick will request personal information (full name including maiden name and any aliases, date of birth and social security number) in order to obtain the necessary clearance to enter a prison facility. If you are not comfortable emailing this information to her (strick@u.washington.edu), you can send it to her via mail at Madison Clinic Box 359930.

Dr. Strick will provide the transportation to and from the prison facilities. The visits usually last a full day, starting around 7AM and ending at 5PM (depending on the facility and the number of patients to see that day). The time and place of pick-up will be arranged beforehand.

Prior to visiting one of the prisons, it is recommended that you read the attached articles regarding HIV in the correctional setting.

1) HIV Infection behind Bars

2) Human Immunodeficiency Virus in Correctional Facilities: A Review

3) HIV in Prisons, 2005

It is also a good idea to bring some extra reading material with you to the prison to occupy your time while Dr. Strick is dictating.

For the prison visits: Please dress conservatively. Pants or skirts at least to the knee. No denim. No weapons, explosives or anything else that would seem inappropriate to bring to a prison. No cigarettes. No cellphones, pagers, computers or any other communication device (It is OK to bring for the car ride). No cameras. No backpacks (Hand bags and briefcases are allowed inside). You must bring a photo ID.

There is no easily accessible and/or good food available within the facilities, so please bring lunch, snacks and any drinks you want for the day.

If you have any other questions or concerns, just ask Dr. Strick. Contact information can be found here (secured).

Conferences:

Students are invited to attend the HIV noon conference series (presentations given once or twice per month, September through June), the HIV journal club (twice per month, September through June), the HIV Case Conference (twice per month), the city-wide AIDS Clinical Conference (monthly) and the city-wide infectious diseases conference. (Wednesday afternoons).

Presentations:

No formal presentations are scheduled.

Readings/texts:

Students will be provided an HIV manual constructed by the clinic. The manual contains reprints covering anti-retroviral therapy, treatment and prophylaxis of opportunistic infections and standard-of-care guidelines for HIV infected patients. Students are also encouraged to access the web-based HIV case based module series designed by David Spach and the other UW faculty (http://depts.washington.edu/hivaids/)

Evaluation:

University of Washington Student Performance in the Clinical Curriculum.

 

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