Valenti Sharon, Johnson Leonard, Szpunar Susan, Hilu Raymond, Saravolatz Louis
Department of Internal Medicine, Ascension St. John Hospital, Detroit, Michigan.
Department of Internal Medicine, Division of Infectious Diseases, Ascension St. John Hospital, Detroit, Michigan.
Open Forum Infect Dis. 2019 Feb 27;6(4):ofz093. doi: 10.1093/ofid/ofz093. eCollection 2019 Apr.
Human immunodeficiency virus (HIV) infection is now considered a chronic infection manageable on antiretroviral therapy. If trained in HIV care, primary care physicians would be well suited to work in consultation with infectious disease specialists to provide care for HIV patients.
Human immunodeficiency virus training was incorporated into our internal medicine residency program. All residents were given an internally developed preprogram survey about HIV infection to establish a baseline level of HIV knowledge; at the end of 1 year, a postprogram survey was distributed. These results were compared. Human immunodeficiency virus didactic lectures were mandatory for attendance. Human immunodeficiency virus training included methods of testing, treatment including all classes of antiretroviral therapy, and prevention methods. Additional, mandatory online training modules were used. All program year-2 residents were assigned to an outpatient HIV clinical rotation.
Eighty-three residents participated. Residents received either 1 or 2 years of training. Results of preprogram scores and postprogram scores were calculated for each resident. Year 1-test scores preprogram were 52.2% vs postprogram 87.1%; year 2-test scores preprogram were 56.3% vs postprogram 89.8% (both < .0001). There was no difference in posttest scores among residents who attended a clinical rotation.
Residents showed significant improvement in HIV knowledge between preprogram and postprogram test scores. Postgraduate surveys showed among those who completed the survey, and most found the program helpful to in their current practice.
人类免疫缺陷病毒（HIV）感染现在被认为是一种可通过抗逆转录病毒疗法控制的慢性感染。如果接受过HIV护理培训，初级保健医生将非常适合与传染病专家协商，为HIV患者提供护理。
将人类免疫缺陷病毒培训纳入我们的内科住院医师培训项目。所有住院医师都接受了一项内部开发的关于HIV感染的预项目调查，以建立HIV知识的基线水平；在1年结束时，发放了一项项目后调查。对这些结果进行了比较。人类免疫缺陷病毒理论讲座是强制参加的。人类免疫缺陷病毒培训包括检测方法、治疗（包括所有类别的抗逆转录病毒疗法）和预防方法。还使用了额外的强制在线培训模块。所有项目第二年的住院医师都被分配到门诊HIV临床轮转。
83名住院医师参与。住院医师接受了1年或2年的培训。计算了每位住院医师的项目前分数和项目后分数。第一年测试分数项目前为52.2%，项目后为87.1%；第二年测试分数项目前为56.3%，项目后为89.8%（两者均P<0.0001）。参加临床轮转的住院医师之间的测试后分数没有差异。
住院医师在项目前和项目后测试分数之间的HIV知识有显著提高。研究生调查显示，在完成调查的人中，大多数人发现该项目对他们目前的实践有帮助。
