HIV Medicine Pathway
The University of Washington Internal Medicine Residency HIV Medicine Pathway is designed for residents who are strongly interested in a primary care career caring for persons with HIV, whether abroad, in the WWAMI region, or elsewhere in the United States. It is not generally designed to be a springboard to an ID fellowship though some graduates of the program have gone on to HIV fellowships. Instead, the goal is to train general internists who, as part of their career, want to have a significant proportion of their practice devoted to caring for people with HIV.
The HIV Medicine Pathway has traditionally been a clinical experience in the PGY2 and 3 years, but starting in July 2020, will encompass all 3 years of training. The cornerstone of the pathway is the continuity clinic experience at the Madison Clinic at Harborview Medical Center. The Madison Clinic is a Ryan White Funded Clinic that serves as a medical home and provides both primary care and subspecialty care to ~3500 people with HIV in the Pacific Northwest.
Patient Care Experience
- Continuity clinic at the Madison Clinic
- Patients at Madison Clinic suffer from a broad range of diseases aside from HIV and STIs, including cardiovascular disease, diabetes, hyperlipidemia, thyroid dysfunction, COPD, etc.
- Clinic ½ – 1 day per week to every other week (day of week and frequency varies depending on call schedule)
- During clinic block will complete two to three ½–day sessions per week
- Residents are encouraged to apply to do a rotation in Naivasha, Kenya
Participation in Madison Clinic educational activities
- HIV Journal Club (usually occurs 2nd and 4th Tuesdays) at 8am (requirement to present at least once a year)
- AIDS Clinical Conference, 3rd Tuesday of each month at 8am
- Clinical Case Conference, one Tuesday per quarter at 8am (will be encouraged to present a case)
- HIV noontime lecture series, monthly at HMC (requirement to present once in R3 year)
- Residents in the pathway will be encouraged to work on a scholarly project based on their interests.
- Examples include:
- Creating an HIV immersion month curriculum
- Creating a web-study module
- Writing a case report
- Poster presentation at ID Week or CROI
- At the end of their training, residents are eligible to sit for the American Academy of HIV Medicine (AAHIVM) certification examination.
Participation in General Medicine Clinic Educational Activities
- Participate in pre-clinic conference at HMC Adult Medicine Clinic prior to each clinic session from 1–1:30 pm
- Participate in HMC Adult Medicine Clinic journal club once monthly
Residents will meet with the HIV Medicine Pathway Director, Dr. Jehan Budak, at least twice a year, for career mentoring and to discuss their goals, interests, and progress.
Current Interns: Reach out to Jehan Budak if interested or if you have questions. Applications will be due in January 2020 and decisions will be made shortly thereafter. In July 2020, new pathway R2s will move their continuity clinic to the Madison Clinic.
Incoming Interns: After the match, an email will be sent requesting applications to enter the HIV pathway upon starting residency.
Residents interested in a career in HIV medicine or wishing to learn more about the pathway should address questions regarding the pathway to Dr. Budak at email@example.com.
To apply, complete the HIV Medicine Pathway application form, which you can download from the Resources sidebar on this page.
Current HIV Medicine Pathway Residents
Recent Trainees, Year of Graduation, and Positions
||UW Global and Rural Health Fellowship
||HIV Primary Care, Multnomah County Health Services, Portland, OR
||ID Fellowship (MGH)
||HIV Primary Care, Madison Clinic
||ID Fellowship (Stanford)
||ID Fellowship (UW)
||HIV Primary Care, Madison Clinic
||Hospitalist, Harborview; GIM, Pioneer Square Clinic
||ID Fellowship (UCSF); HIV Primary Care, Madison Clinic
||Jesse Abbott Klafter
||Hospitalist, Northwest Medical Center, UW
||Hospitalist, Valley Medical Center, UW
||General Medicine, UW Neighborhood Clinics
||Hospitalist, North Shore University Hospital, Chicago, IL
||HIV Primary Care Lead, Lifelong Medical Care, Alameda County, CA
||GIM and HIV Primary Care, Port Townsend, WA
||GIM and HIV, H-PACT, VA Puget Sound Health Care
||ID Fellowship (MGH); HIV Primary Care, Madison Clinic
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