Presentation by Rob Laing, on HIV and the general internal medical curriculum. This was presented at the Scottish HIV and AIDS Group annual meeting on 26 June 2015. Copyright Rob Laing.
The document outlines various preventative screenings, vaccinations, and health education programs available through GEMS Network Pharmacy. It provides the ages, genders, and frequencies for procedures like cholesterol screening, blood pressure monitoring, HIV screening and testing, peak flow measurement, glucose screening, pregnancy screening, and urine analysis. It also lists the ages and frequencies for influenza, HPV, and pneumococcal vaccinations. The document describes training available on topics like NCDs, mental health, women's health, and COVID-19 for employees, members, and the public through webinars or online modules. It provides guidance on communicating COVID-19 information to employees and enhancing reporting channels. Finally, it lists various poster and informational
The geriatrics pharmacy APPE is a 6-week, full-time rotation focused on providing clinical training and experience caring for elderly patients. The program emphasizes clinical aspects of geriatric pharmacy practice and the interdisciplinary nature of caring for geriatric patients. Students are expected to assess pharmacotherapy appropriateness and safety as well as ensure patients can safely self-administer their medication regimens. The rotation aims to help students apply their knowledge of pharmacology, pharmacokinetics, pathophysiology, and therapeutics to enhance pharmaceutical care for elderly patients.
Selkirk College International gerontology program flyer a4 2013 (1)Abhishek Bajaj
This document summarizes a 2-year Post Graduate Diploma in Leadership in Gerontological Nursing offered at Selkirk College in Castlegar, Canada. The program prepares registered nurses to effectively work with and care for the growing elderly population by providing specialized knowledge and skills to address their complex needs. Students take courses covering topics like geriatric trends, health assessment, problem solving complex issues in aging, and advocacy. Upon completion, students will receive a Post Graduate Diploma and Mental Health and Addictions Associate Certificate.
HIV/AIDS and diabetes in South Africa: role of antiretroviral therapiesZeena Nackerdien
This document discusses the prevalence of HIV/AIDS and diabetes in South Africa and the role of antiretroviral therapies (ARTs) in their management. It notes that over 6 million people in South Africa are HIV+ and over 2.6 million have diabetes. The goals of ART for HIV include maximal viral suppression and immune restoration. ARTs work by targeting different stages of the HIV lifecycle like reverse transcription and protease activity. While ARTs have improved outcomes for HIV, some can cause side effects like hyperglycemia, increasing risk of diabetes. Managing both conditions requires screening, lifestyle changes, glycemic control, and sometimes substituting ARTs or adding antidiabetic drugs.
Presentation by Ewen Stewart, on death certification and HIV. This was presented at the Scottish HIV and AIDS Group annual meeting on 26 June 2015. Copyright Ewen Stewart.
0. 2016 WHO ART Guidelines_General Overview.pptxyakemichael
The document provides an overview of changes to South Sudan's national HIV treatment guidelines, including:
1. The guidelines now recommend "test and treat" - initiating ART for all HIV-positive patients regardless of CD4 count or clinical stage.
2. First-line ART now includes dolutegravir and drops nevirapine. Second-line regimens include integrase inhibitors.
3. Changes aim to help South Sudan achieve the UNAIDS 90-90-90 targets by 2020 through earlier diagnosis, treatment, and viral suppression.
WHO Informal Consultation on Fever Management in Peripheral Health Care Setti...CORE Group
The document summarizes recommendations from a WHO informal consultation on fever management in peripheral health care settings. The 7 key recommendations are:
1. Further studies should be conducted on the etiologies of fevers in different settings and populations.
2. Integrated management of fevers using WHO algorithms for malaria diagnosis and treatment should be implemented.
3. Evidence and lessons from implementing integrated Community Case Management (iCCM) programs should inform scale-up efforts.
4. The core iCCM algorithm should not be modified in country programs.
5. iCCM programs should be coupled with strengthening quality of care in health facilities.
6. When subsidizing malaria diagnostics and drugs for the private sector, diagnosis
The document outlines various preventative screenings, vaccinations, and health education programs available through GEMS Network Pharmacy. It provides the ages, genders, and frequencies for procedures like cholesterol screening, blood pressure monitoring, HIV screening and testing, peak flow measurement, glucose screening, pregnancy screening, and urine analysis. It also lists the ages and frequencies for influenza, HPV, and pneumococcal vaccinations. The document describes training available on topics like NCDs, mental health, women's health, and COVID-19 for employees, members, and the public through webinars or online modules. It provides guidance on communicating COVID-19 information to employees and enhancing reporting channels. Finally, it lists various poster and informational
The geriatrics pharmacy APPE is a 6-week, full-time rotation focused on providing clinical training and experience caring for elderly patients. The program emphasizes clinical aspects of geriatric pharmacy practice and the interdisciplinary nature of caring for geriatric patients. Students are expected to assess pharmacotherapy appropriateness and safety as well as ensure patients can safely self-administer their medication regimens. The rotation aims to help students apply their knowledge of pharmacology, pharmacokinetics, pathophysiology, and therapeutics to enhance pharmaceutical care for elderly patients.
Selkirk College International gerontology program flyer a4 2013 (1)Abhishek Bajaj
This document summarizes a 2-year Post Graduate Diploma in Leadership in Gerontological Nursing offered at Selkirk College in Castlegar, Canada. The program prepares registered nurses to effectively work with and care for the growing elderly population by providing specialized knowledge and skills to address their complex needs. Students take courses covering topics like geriatric trends, health assessment, problem solving complex issues in aging, and advocacy. Upon completion, students will receive a Post Graduate Diploma and Mental Health and Addictions Associate Certificate.
HIV/AIDS and diabetes in South Africa: role of antiretroviral therapiesZeena Nackerdien
This document discusses the prevalence of HIV/AIDS and diabetes in South Africa and the role of antiretroviral therapies (ARTs) in their management. It notes that over 6 million people in South Africa are HIV+ and over 2.6 million have diabetes. The goals of ART for HIV include maximal viral suppression and immune restoration. ARTs work by targeting different stages of the HIV lifecycle like reverse transcription and protease activity. While ARTs have improved outcomes for HIV, some can cause side effects like hyperglycemia, increasing risk of diabetes. Managing both conditions requires screening, lifestyle changes, glycemic control, and sometimes substituting ARTs or adding antidiabetic drugs.
Presentation by Ewen Stewart, on death certification and HIV. This was presented at the Scottish HIV and AIDS Group annual meeting on 26 June 2015. Copyright Ewen Stewart.
0. 2016 WHO ART Guidelines_General Overview.pptxyakemichael
The document provides an overview of changes to South Sudan's national HIV treatment guidelines, including:
1. The guidelines now recommend "test and treat" - initiating ART for all HIV-positive patients regardless of CD4 count or clinical stage.
2. First-line ART now includes dolutegravir and drops nevirapine. Second-line regimens include integrase inhibitors.
3. Changes aim to help South Sudan achieve the UNAIDS 90-90-90 targets by 2020 through earlier diagnosis, treatment, and viral suppression.
WHO Informal Consultation on Fever Management in Peripheral Health Care Setti...CORE Group
The document summarizes recommendations from a WHO informal consultation on fever management in peripheral health care settings. The 7 key recommendations are:
1. Further studies should be conducted on the etiologies of fevers in different settings and populations.
2. Integrated management of fevers using WHO algorithms for malaria diagnosis and treatment should be implemented.
3. Evidence and lessons from implementing integrated Community Case Management (iCCM) programs should inform scale-up efforts.
4. The core iCCM algorithm should not be modified in country programs.
5. iCCM programs should be coupled with strengthening quality of care in health facilities.
6. When subsidizing malaria diagnostics and drugs for the private sector, diagnosis
This document outlines a 7 step model for improving GP and nurse education on diabetes type 2 management. The steps include conducting a training needs assessment, analyzing diabetes patient data, establishing treatment pathways, providing refresher and foundation level courses, and offering two advanced level training courses (PITstop and PREDICT) with mentorship support to help trainees achieve competencies. The goals are to register all clinicians on a training needs assessment system, use data to improve practice engagement, standardize treatment protocols, and expand course offerings based on needs assessment results.
The 2013 consolidated WHO guidelines provide recommendations for treating and preventing HIV across the continuum of care. Key features include:
- Simplified once-daily ART regimens including TDF+FTC/3TC+EFV as the preferred first-line regimen for adults and adolescents.
- "Option B+" is recommended - lifelong ART for all pregnant and breastfeeding women for prevention of mother-to-child transmission.
- Earlier treatment is recommended - ART is to be initiated in all individuals with CD4 ≤500 cells/mm3 or clinical stage 3/4 disease regardless of CD4 count.
This document provides an update on HIV management guidelines in Uganda. It summarizes the country's ART enrollment statistics, noting over 713,000 active clients. The ART guidelines recommend starting treatment irrespective of CD4 count for those with active TB, and deferral for some cases of cryptococcal meningitis. Adherence is supported through education, reminders, and family involvement. Services are integrated across maternal-child care and TB treatment. Current challenges include maintaining treatment for adolescents and mothers after care, sustaining treatment needs under new guidelines, and ensuring adequate laboratory supplies.
The Villa Garda clinical service for eating disorders transitioned from an eclectic treatment approach to using CBT-E (cognitive behavioral therapy for eating disorders) between 2002-2008. They chose CBT-E because it is transdiagnostic, flexible, and focuses treatment on the core mechanisms maintaining eating disorders. The service implemented CBT-E step-by-step, including designing new inpatient and intensive outpatient programs based on CBT-E. Outcome data showed promising results, with most patients achieving normal weight and low eating disorder symptoms post-treatment and at follow-up. The goals of the Villa Garda clinical service are to provide all patients with evidence-based CBT-E regardless of diagnosis or
Overview & Whats New _Kenya Treatment and Prevention Guidelines, 2022_LM.26.0...nelliusmutindi
This document provides an overview and outline of the updated 2022 Kenya HIV Prevention & Treatment Guidelines. Key points include:
- Shifting to a 3-test HIV testing algorithm to increase positive predictive value with lower prevalence. Dual HIV/syphilis testing is now recommended for all pregnant women.
- Initial evaluation of PLHIV includes medical history, exam, screening for advanced HIV disease and opportunistic infections. CD4 testing criteria are outlined.
- The standard package of care covers ART, prevention education, screening and management of opportunistic infections, reproductive health services, nutrition support, and prevention of other infections like COVID-19.
- Adherence preparation, monitoring and support are emphasized throughout
Treatment of DS-TB (including pediatric and extra-pulmonary TB) and operation...Rivu Basu
Treatment of drug susceptible TB typically involves a 2 month intensive phase of isoniazid, rifampicin, pyrazinamide, and ethambutol followed by a 4 month continuation phase of isoniazid, rifampicin, and ethambutol. The treatment regimen and schedule are the same for extra pulmonary TB except the continuation phase may be extended. A new potential 4 month regimen of isoniazid, rifapentine, moxifloxacin, and pyrazinamide is being considered in select areas of India.
Intorduction of work place policy lesotho sensitization paperSEJOJO PHAAROE
This document provides background on the development of a workplace HIV/AIDS policy for health sector facilities in Lesotho. It discusses findings from a formative assessment that identified high rates of HIV infection vulnerability among health workers. The policy aims to manage HIV/AIDS among health sector employees through strengthening prevention, treatment, care and support. It outlines key principles like non-discrimination and confidentiality. The roles and responsibilities of employees, management and affiliated associations in implementing HIV/AIDS programs are also defined.
Tuberculosis CME for Medical Officers and Others.pptxRyanKhan40
This document provides guidance on tuberculosis (TB) treatment initiation and follow up. It outlines key actions including counseling patients, initiating appropriate treatment regimens based on drug sensitivity and testing for HIV/diabetes, assessing socioeconomic status, opening treatment cards, ensuring treatment adherence, arranging drug and supply availability, and maintaining patient follow up and records. It also describes the Nikshay Mitra program which aims to improve TB treatment outcomes through community support such as nutritional assistance. Health staff are tasked with enrolling donors to this program.
Adults and Adolescents ART Guidelines AI.pptxshillahhungwe
Adult ART according to the the new 2022 guidelines.Viral load monitoring now is categorized as target not detectable,low viraemia and high viraemia.EAC sessions now given to both low and high viraemia recipients of care and monthly repeat viral load is collected for monitoring.
Switching to second line is only done when there is high viraemia on the second repeat viral load after EAC sessions.
The document summarizes India's Revised National Tuberculosis Control Programme (RNTCP), now called the National Tuberculosis Elimination Programme (NTEP). It discusses tuberculosis (TB) symptoms, risk factors, global and national burden. It describes the evolution of TB control in India from the 1950s to present day. Key aspects of the programme include detecting TB cases through laboratory systems and engaging private sectors, treating all diagnosed TB patients according to drug susceptibility testing results, preventing transmission through airborne infection control and contact tracing, and building health system capacity. The national strategic plan aims to eliminate TB in India by 2025 through goals of detecting, treating, preventing, and building under the NTEP.
This document summarizes the efforts of NHS Birmingham South Central to address diabetes prevention through lifestyle interventions. It established a cardiovascular disease local improvement scheme in 2014 to identify and manage patients at risk of developing type 2 diabetes. This includes case finding, self-management support, and structured education programs. The service launched in late 2015 involves community engagement, motivational interviewing training, and commissioning lifestyle programs delivered by local providers. Over 1,000 patients have been referred so far, with high retention rates and early signs of health benefits. The program has been selected as a first wave site for the national diabetes prevention program rollout starting in 2016.
Pulmonary tuberculosis is caused by inhaling Mycobacterium tuberculosis and can affect the lungs or other organs. While many infected people do not develop active TB, risk factors like diabetes, smoking, HIV, and malnutrition can increase the risk. In 2020, an estimated 10 million people worldwide fell ill with TB, including 5.6 million men and 3.3 million women. India has a high burden of both TB and diabetes, putting many at increased risk of active TB. Diagnosis involves tests like smear microscopy, culture, and molecular tests. The goals of treatment are cure and preventing transmission and drug resistance. The new guidelines shift to a daily drug regimen for both intensive and continuation phases for new TB cases. Treatment outcomes
Shaun Staunton (Tascahrd) reports on a Qld study of HIV nurses and recommends that HIV nurses could play a greater role in HIV health promotion and prevention. This presentation was given at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.
The document summarizes key lessons from the implementation of Quebec's Alzheimer Plan from 2009-present. It discusses:
1) The plan aimed to anchor Alzheimer's care in primary care through family medicine groups, using a collaborative care model led by the patient's primary care physician and care team.
2) An implementation strategy unfolded in three phases from 2011-2021, and included mobilizing clinical champions, capacity building, and evaluating implementation projects to improve and scale up services.
3) Early results found primary care clinicians felt supported by the plan's training and guidelines, and were confident and competent in detecting, diagnosing and managing Alzheimer's patients, with room to further improve access to memory clinics and home care
This document summarizes a community-based HIV/STI case management project in a First Nations community in Saskatchewan. The project aims to decrease new HIV/STI cases, reduce stigma, and build community and professional capacity. A multi-disciplinary mobile team provides culturally-competent care, including testing, treatment, counseling and referrals. Key lessons learned include the importance of community readiness, aligning resources to meet client needs, and effective ongoing partnerships. Evaluation found the project achieved its goals through a quality improvement and evidence-based approach.
This document describes the case of a man diagnosed with HIV after multiple visits to an IHS clinic. It outlines the IHS HIV care team that successfully treated the patient's physical and mental health issues. This included pharmacists, physicians, a nurse specialist, nutritionist, and traditional healer. The care team works to improve HIV screening, treatment, and destigmatize HIV in American Indian communities.
Weitzman ECHO COVID-19: Caring for Key PopulationsCHC Connecticut
This document provides a summary of a continuing medical education webinar on caring for key populations during the COVID-19 pandemic. It discusses guidance from the CDC and SAMHSA on treating patients with substance use disorders and those receiving medication-assisted treatment. It also reviews recommendations for caring for people living with HIV and those experiencing housing insecurity. The webinar focused on transitioning care delivery to telehealth when possible and ensuring access to medications and support. A case study was also presented and modifications to the treatment plan discussed in light of the pandemic.
Sex, Drugs & Scotland's Health- What is sexual wellbeing and why does it matt...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Prof. Kirstin Mitchell.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
Sex, Drugs & Scotland's Health- Sex and Older Gay MenHIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Dr Peter Robinson.
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- "Option B+" is recommended - lifelong ART for all pregnant and breastfeeding women for prevention of mother-to-child transmission.
- Earlier treatment is recommended - ART is to be initiated in all individuals with CD4 ≤500 cells/mm3 or clinical stage 3/4 disease regardless of CD4 count.
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This document provides an overview and outline of the updated 2022 Kenya HIV Prevention & Treatment Guidelines. Key points include:
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- Adherence preparation, monitoring and support are emphasized throughout
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Treatment of drug susceptible TB typically involves a 2 month intensive phase of isoniazid, rifampicin, pyrazinamide, and ethambutol followed by a 4 month continuation phase of isoniazid, rifampicin, and ethambutol. The treatment regimen and schedule are the same for extra pulmonary TB except the continuation phase may be extended. A new potential 4 month regimen of isoniazid, rifapentine, moxifloxacin, and pyrazinamide is being considered in select areas of India.
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This document provides background on the development of a workplace HIV/AIDS policy for health sector facilities in Lesotho. It discusses findings from a formative assessment that identified high rates of HIV infection vulnerability among health workers. The policy aims to manage HIV/AIDS among health sector employees through strengthening prevention, treatment, care and support. It outlines key principles like non-discrimination and confidentiality. The roles and responsibilities of employees, management and affiliated associations in implementing HIV/AIDS programs are also defined.
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Switching to second line is only done when there is high viraemia on the second repeat viral load after EAC sessions.
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Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
HIV and the general internal medical curriculum - by Rob Laing
1. HIV and the GIM curriculum
• GIM training
– One year high-intensity GIM (typically DGH)
– Two years low intensity GIM undertaken alongside
speciality
– Competency based but with set numbers of
unselected acute admissions, outpatient clinics
and mandated speciality experience
– Likely to change
2. HIV and the GIM curriculum
• Problem based/competency measured
• HIV not signposted within curriculum but
relevant to some common conditions
• No HIV teaching mandated for STs
3. Local HIV teaching
• CMTs – two hour didactic Infection teaching
per year
– Includes case-based HIV teaching
• ST3+ - Half day teaching in ID every two years
– Variable mount of HIV teaching in this
– Trainee directed
– Tendency to be influenced by listed competencies
4. HIV and GIM
• Specialities attending HIV clinics
– Curriculum driven mainly
– GI, Dermatology, Obstetrics, renal medicine, chest
medicine
• Questionable value of outpatient clinic
• Limited inpatient opportunities
5. HIV and GIM
• What would we want all doctors credentialing
in GIM to know about HIV?
– Recognising possible presentations
– Understand and have experience of HIV testing
– Basic understanding of HIV therapy
• Treatment should not be interrupted
• Drug interactions should be considered
– And.........??