Dunne Dana, Green Michael, Tetrault Jeanette, Barakat Lydia Aoun
Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT, USA.
Section of General Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
J Gen Intern Med. 2020 Jan;35(1):331-335. doi: 10.1007/s11606-019-04956-1.
There is an anticipated shortage of primary care providers trained to care for patients with HIV. The Yale School of Medicine developed and implemented a novel HIV training track within our Primary Care Internal Medicine Residency Program. A set of 12 Entrustable Professional Activities (EPAs) were developed to guide curriculum development and resident assessment.
To describe the process of implementing a novel EPA-based curriculum for the HIV Primary Care Training Track including EPA-based trainee evaluation tools.
PARTICIPANTS/SETTINGS: Two to three residents were enrolled annually from 2012 to 2017 (total n = 11). Training sites included the outpatient academic center HIV clinic and inpatient HIV ward.
An expert panel developed 12 HIV-specific EPAs. These were mapped to curricular and reporting internal medicine milestones. Curricular activities and evaluation tools were developed to guide EPA progress.
Graduating residents were ready for unsupervised practice in 91% of EPAs at the end of the 3-year program.
Development of HIV-specific training EPAs was effective for driving curricular development and resident evaluation, and served as an effective method to communicate expectations to resident participants. These HIV-specific EPAs could serve as a useful template to enhance HIV education in academic settings.
预计受过培训以照顾艾滋病病毒感染者的初级保健提供者将会短缺。耶鲁医学院在我们的初级保健内科住院医师培训项目中开发并实施了一个全新的艾滋病病毒培训方向。制定了一套12项可托付专业活动（EPA），以指导课程开发和住院医师评估。
描述为艾滋病病毒初级保健培训方向实施基于EPA的全新课程的过程，包括基于EPA的学员评估工具。
参与者/地点：2012年至2017年每年招收两到三名住院医师（总数n = 11）。培训地点包括门诊学术中心的艾滋病病毒诊所和住院部的艾滋病病毒病房。
一个专家小组制定了12项针对艾滋病病毒的EPA。这些EPA与课程和内科报告里程碑相对应。开发了课程活动和评估工具，以指导EPA的进展。
在为期三年的项目结束时，91%的EPA中的毕业住院医师已准备好独立开展医疗工作。
针对艾滋病病毒的培训EPA的开发对于推动课程开发和住院医师评估是有效的，并作为向住院医师参与者传达期望的有效方法。这些针对艾滋病病毒的EPA可以作为一个有用的模板，以加强学术环境中的艾滋病病毒教育。
