The document discusses the integration of HIV education within the General Internal Medicine (GIM) curriculum, highlighting the lack of mandated HIV training despite its relevance to common conditions. It outlines current teaching structures for trainees, emphasizing the need for competency in recognizing HIV presentations, testing, and treatment. There are concerns regarding outpatient clinic value and limited inpatient opportunities for practical experience in HIV care.

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.........??