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

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

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

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

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.........??