IPE Clinical Preceptorship - Hands on Clinical Mentoring and Training(EGS)
Details
Description
Fenway Rotational Program Syllabus -
Program Goals
1. Preceptees will become familiar with epidemiology, diagnosis, and management of medical and behavioral health issues specific to sexual and gender minority populations.
2. Preceptees will improve their cultural competency in taking a LGBTQ-sensitive medical history, including a social and sexual history.
3. Preceptees will further develop their ability to evaluate and treat common primary care complaints.
4. Preceptees will become familiar with the Fenway models of:
- Interprofessional Primary Care teams – managing prevention, diagnosis and treatment of acute and chronic medical conditions
- Interprofessional Transgender Health teams – managing hormone readiness assessment, initiation and monitoring, pre, intra and postsurgical assessment and referrals, cancer screening and prevention for transgender people
- Interprofessional Women’s Health – managing breast cancer screening, chronic disease management, Contraceptive management, gynecological health
- Interprofessional HIV Primary Care – managing epidemiology, diagnosis, and treatment of HIV infection, preventative care for HIV positive individuals. If applicable, physician trainees may use their Fenway Health IPE Clinical Preceptorship as part of their preparations for sitting the American Academy of HIV Medicine (AAHIVM) certification exam
- STD/HIV - Counseling and testing, Pre-exposure prophylaxis (PREP) discussion and monitoring, nonoccupational post exposure prophylaxis (nPEP) assessment and initiation. Treatment of STIs
Methods of Instruction
Preceptees will accomplish the above course goals by participating in a variety of learning experiences. Pre-clinic conferences will consist of speaker-led presentations, case discussions, and peer review exercises. In addition to preceptors and outside speakers, IPE clinical preceptees in residence for six months or more will be expected to deliver at least one presentation per year related to relevant primary care topics. Clinical sessions will feature preceptors and preceptees participating in individual case discussions, observation and evaluation of care, and practical instruction.
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Targeted Populations
A variety of the listed populations will be discussed at this event.
- Older Adults (ages 50 and over)
- American Indian or Alaska Native
- Asian
- Black or African American
- Hispanic or LatinX
- Native Hawaiian or Pacific Islander
- Women
- Gay, lesbian, bisexual
- People Experiencing Homlessness
- People with Incarceration Experience
- Immigrants or Refugees
- U.S. Mexico border population
- Rural populations
Topics
A variety of the listed topics will be discussed at this event.
- HIV Transmission Risk Assessment
- Post-exposure Prophylaxis (PEP, occupational and non-occupational)
- Pre-exposure prophylaxis (PrEP)
- Prevention of perinatal or mother-to-child transmission
- Acute HIV
- Adult and adolescent antiretroviral treatment
- Aging and HIV
- Antiretroviral treatment adherence, including viral load suppression
- Basic science
- Clinical manifestations of HIV disease
- HIV diagnosis (i.e. HIV testing)
- HIV Epidemiology
- HIV monitoring and lab tests (i.e. CD4 ad viral load)
- HIV resistance testing and interpretation
- Linkage to Care
- Retention and/or re-engagement in care
- Cervical cancer screening, including HPV
- Hepatitis B
- Hepatitis C
- Immunization
- Influenza
- Malignancies
- Medication-assisted therapy for substance use disorders (i.e. buprenorphine, methadone, and/or naltrexone)
- Mental health disorders
- Non-infection comorbidities of HIV and viral hepatitis
- Nutrition
- Opportunistic Infections
- Oral health
- Osteoporosis
- Pain management
- Palliative care
- Primary care screenings
- Reproductive health, including preconception planning
- Sexually transmitted infections
- Substance use disorders
- Opioid use disorder
- Tobacco cessation
- Tuberculosis
- Cultural competence
- Motivational interviewing
- Stigma or discrimination
- Cultural Competency/Cultural Humility
- Case management
- Community linkages
- Care coordination
- Patient-centered medical home
- Team-based care (i.e. interprofessional training)
- Telehealth
- Use of technology (i.e. electronic health records)
- Motivational Interviewing
- Relationship Building