GOAL
The goal of this session is to prepare learners to assess and manage a woman newly diagnosed with HIV using a team-based approach.
OBJECTIVES
By the end of the module, the learner will be able to:
1. Recognize the psychosocial effects of a new HIV diagnosis
2. Identify barriers to linkage to care for individuals newly diagnosed with HIV
3. Demonstrate how to support an individual newly diagnosed with HIV with the aim of improving linkage to care and rapid ART initiation for all patients
4. List risk factors related to increased risk of HIV transmission and understand that individuals who are virally suppressed cannot sexually transmit HIV (undetectable = untransmittable or U=U)
5. Discuss appropriate ART regimens for any adult
6. Describe contraception options for women living with HIV and at risk of acquiring HIV
7. Describe the appropriate interprofessional clinical management and follow-up for (a) a newly diagnosed patient and (b) a stable patient with undetectable VL
GOAL
The goal of this session is to prepare learners to evaluate for, prevent, and manage cardio-metabolic complications in people with HIV. The session exemplifies team-based approaches to chronic disease management.
OBJECTIVES
By the end of the module, the learner will be able to:
1. Identify common cardiovascular disease risk factors among people with HIV (PWH)
2. Apply risk prediction tools to estimate cardiovascular risk in a patient.
3. Develop and explain recommendations to optimize a patient’s cardiovascular health using an interprofessional team-based approach
4. Identify drug-drug interactions between Antiretroviral Therapy and pharmacologic agents used to prevent and treat cardio-metabolic conditions
5. Recognize the negative impact of CVD on long-term outcomes of PWH
6. Appreciate other non-communicable diseases experienced by PWH.
GOAL
The goal of this module is to prepare learners to pro-vide team-based care and follow up for a patient with HIV and pulmonary TB. This module exemplifies role clarification and use of evidence-based medicine and country-specific guidelines.
OBJECTIVES
By the end of the module, the learner will be able to:
1. Describe the five steps to evaluating a patient wth suspected pulmonary TB and HIV
2. Understand the optimal timing of HIV therapy for a patient newly diagnosed with TB and HIV
3. Explain the major toxicities/side-effects and return precautions for TB medications
4. Discuss a patient-centered approach to counsel-ing patients about their TB mediction regimen
5. Discuss interprofessional strategies to address the psychosocial concerns of TB at the individual, community, and institutional levels
6. Discuss why and how to inititate a household contact evaluation plan for a patient with HIV and pulmonary TB (QI)
7. Identify indications and drug options for TB pre-ventive therapy
GOAL
The goal of this module is to prepare learners to manage the care of pregnant women, new mothers, and newborns living with HIV using an integrated approach to service delivery in order to prevent moth-er-to-child HIV transmission (PMTCT).
OBJECTIVES
By the end of the module, the learner will be able to:
1. Recognize the risks of HIV acquisition during pregnancy and breastfeeding
2. (optional) Identify appropriate ART options during pregnancy, delivery and breastfeeding
3. Identify strategies to prevent mother-to-childtransmission (PMTCT) in a mother presenting late in pregnancy with a high viral load, including ART prophylaxis for exposed infants
4. Explain the importance of early infant diagnosis (EID)
5. Illustrate factors leading to low EID rates using a fishbone diagram (QI)
6. Discuss the unique needs of mothers and new-borns related to HIV (IPE)
GOAL
The goal of this module is to prepare learners to recognize the unique aspects of caring for adolescent girls at risk for HIV and to provide team-based care for this patient population.
OBJECTIVES
By the end of the module, the learner will be able to:
1. List biologic and socioeconomic factors that increase adolescents’ risk of HIV acquisition
2. Discuss non-judgmental strategies for taking a sexual history and recognize reasons why young women/adolescents may engage in high risk sexual practices
3. Compare multidisciplinary strategies to prevent HIV in adolescents
4. Summarize interprofessional strategies to address gender-based violence (GBV) at the community level
5. Describe the evaluation and management of vaginal discharge
GOAL
The goal of this module is to prepare learners to assess and manage any colleague who presents with a potential work-related exposure to HIV. This session exemplifies health care professionals caring for each other’s physical and mental health and highlights interprofessional competencies.
OBJECTIVES
By the end of the module, the learner will be able to:
1. Identify common bloodborne pathogens seen in occupational exposures, and explain what information should be gathered after an exposure event
2. Explore interprofessional strategies to provide emotional and psychosocial support to a colleague after an occupational exposure to HIV
3. Discuss how to perform a risk assessment for an occupational exposure to HIV
4. Develop a follow-up plan, including PEP, to manage exposure to HIV
5. Review how optimal interprofessional communi-cation and role clarification can reduce the risk of occupational exposure to HIV (IPE)
6. Demonstrate use of a PDSA framework to identify interventions to reduce the risk of occupational exposure to HIV (QI)
The goal of this session is to prepare learners to provide team-based care for a patient with cryptococcal meningitis (CCM). In addition, this module will model team members of all levels speaking up and being heard, treating patients and coworkers with compassion and respect, and using evidence-based medicine and guidelines to provide high quality care.
GOAL
The goal of this session is to introduce learners to the provision of team-based care for a patient newly diagnosed with HIV who is admitted to the hospital with bacterial sepsis.
OBJECTIVES
By the end of the module, the learner will be able to:
1. Identify risk factors and possible sources of bacterial sepsis in people with HIV (PWH)
2. Explain signs and symptoms of sepsis using a systems-based approach
3. Apply clinical and community-based strategies in the management and prevention of sepsis using a team-based approach (IPE, QI)
4. Demonstrate use of CUS or the two-challenge rule to bring attention to clinical safety breaches (IPE/ Patient Safety)
5. Discuss how to counsel the patient to disclose his status to his partner
6. Describe the impact of achieving undetectable HIV RNA on preventing HIV transmission
GOAL
The goal of this session is to prepare learners to use evidenced-based strategies to provide team-based care for a patient with ART non-adherence. The session will highlight respectful communication and collaborative leadership and employ reflective practice.
OBJECTIVES
By the end of the module, the learner will be able to:
1. Describe factors related to patients, providers, and health systems that lead to ART non-adherence
2. Demonstrate how to respectfully assess for adherence and encourage patient engagement in care
3. Describe a shared decision-making approach and the roles of all team members to address causes of non-adherence
4. Explain etiologies for persistently detectable HIV RNA levels in persons who are adherent to ART and approaches to management for these patients
5. Apply the 5 WHYs to identify the cause of a problem in healthcare delivery
GOAL
The goal of this session is to introduce learners to an approach to breaking bad news and to provide compassionate, person-centered, team-based care for patients with HIV with severe life-threatening diseases. This session will focus on use of reflective practice and will explore the ethical dimensions in providing care to someone at the end of life, with hopes to convey the importance of compassion.
OBJECTIVES
By the end of the module, the learner will be able to:
1. Reflect on the experience of providing care at the end of life (EOL)
2. Demonstrate how to deliver bad news to a patient and their family
3. Discuss how to elicit patient and family preferences for end-of-life care
4. Discuss how to navigate difficult questions or decisions when caring for patients at the EOL
5. Describe ways to promote comfort and caring for a patient at the end of their life
6. Discuss how to use team-based care to support a family throughout the dying process
GOAL
The goal of this session is to prepare learners to provide and promote equitable HIV services to key populations using a multidisciplinary approach, doing so with empathy and without prejudice, and in the process, acquiring skills in and increasing comfort with taking a sexual history.
OBJECTIVES
By the end of the module, the learner will be able to:
1. Recognize the unique needs of key populations, including the need to ensure access to health services for them in order to address the HIV epidemic
2. Recognize the underlying prejudice toward key populations, including provider bias
3. Demonstrate how to take a sexual history using the 5 “P”s framework
4. Apply WHO guidelines to evaluate for PrEP eligibility
5. Describe a PrEP regimen, including screening, monitoring, and counselling for patients
6. Describe an STI screening plan for key populations
The goal of this session is to introduce learners to concepts around care of an adolescent male with perinatally-acquired HIV, so as to recognize contextual factors to best support these patients and promote their quality of life.
GOAL
The goal of this module is for learners to better understand the WHO health system building blocks and how they affect the care of the patients with HIV, including during the COVID-19 pandemic.
OBJECTIVES
By the end of the module, the learner will be able to:
1. Demonstrate effective communication strategies to provide support to a patient who is angry or upset
2. Understand the implications of a drug stockout on ART resistance and clinical outcomes
3. Discuss the roles of the 6 WHO building blocks of the healthcare system
4. Identify gaps in healthcare delivery using value-stream mapping (QI)
5. Use a fishbone diagram in relation to the 6 building blocks of the health care system to identify possible gaps resulting in COVID-19 infections in health facility staff (QI)
6. Discuss solutions to keep patients engaged in care and on ART during COVID-19
The goal of this session is to empower learners to collaborate with community partners, understanding the resources, structures, and processes available to patients with HIV, while also underscoring the import- ant role of community-based, decentralized care to ensure patient-centered services.
The goal of this session is to prepare learners to provide person-centered care for a patient with an opportunistic pneumonia who is interested in traditional & complementary medicine (T&CM). The module will model respectful communication and reflective practice.
The goal of this module is for learners to recognize human resource challenges faced in delivering high quality care, at both clinical and systems levels, and to gain an awareness of ensuring the necessary skills to deliver high quality HIV care. This is exemplified through the vignette of a health care professional with absenteeism due to nosocomial TB, which highlights certain aspects of infection control.
GOAL
The goal of this session is to introduce learners to care for a paediatric patient with HIV, including concepts of medication dosing, interaction with the parent/family, and ethical issues surrounding this key population.
OBJECTIVES
By the end of the module, the learner will be able to:
1.Use a team-based approach to care for childrenwith HIV (IPE)
2.Explain an assessment for growth, nutritionalstatus, and developmental milestones in apaediatric patient with HIV
3.Explain HIV diagnostics in infants and children
4.Apply WHO guidelines to an approach to ART andOI management in a paediatric patient with HIV
5.Discuss ethical dimensions of caring for apaediatric patient with HIV (e.g. disclosure, confi-dentiality, stigma, and evaluating for child abuse)
6.Demonstrate how and when to disclose HIV status to children with HIV