Technology-Mediated Clinical Mentorship and Collaboration for HIV - - PowerPoint PPT Presentation

technology mediated clinical mentorship and collaboration
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Technology-Mediated Clinical Mentorship and Collaboration for HIV - - PowerPoint PPT Presentation

N ORTHWEST A IDS E DUCATION AND T RAINING C ENTER Technology-Mediated Clinical Mentorship and Collaboration for HIV Brian R. Wood, MD Kent T. Unruh, PhD John D. Scott, MD, MSc. Presentation prepared by: Kent Unruh and Brian Wood Presenter:


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NORTHWEST AIDS EDUCATION AND TRAINING CENTER

Technology-Mediated Clinical Mentorship and Collaboration for HIV

Brian R. Wood, MD Kent T. Unruh, PhD John D. Scott, MD, MSc.

Presentation prepared by: Kent Unruh and Brian Wood Presenter: Kent Unruh and Brian Wood Last Updated: 2/27/15

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The Problem Is…

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How to meet “National HIV/AIDS Strategy” goals?

  • in over 25% of US land mass
  • with sparse access to Ryan White clinics
  • in region classified as

healthcare workforce shortage area

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Program Strategy is…

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… to Build Capacity

  • Leverage existing healthcare infrastructure

(Community Health Centers)

  • Identify community clinicians primed for mentorship
  • Develop state-of-the-art HIV clinical training program:
  • Intensive weekly training sessions (146 sessions)
  • Longitudinal mentoring and training (30-40 providers/week)
  • Regional, peer-based HIV knowledge network (>100 clinicians)
  • Just-in-time clinical consultation (263 comprehensive consults)
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…to Create a Pragmatic Training Delivery Model

Theoretical Base Situated Learning Theory Structure 1x per week VTC Clinical update Case Consultation Practical Benefits Just-in-time support Interdisciplinary Consultation CME

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…to Provide a Rich, Virtual Learning Experience

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…to Conduct Comprehensive Consultations

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…to Perform Innovative Knowledge Assessment

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…that Transforms Immediate Feedback into Teachable Moments

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…to Catalyze a Robust Knowledge Network of Peers

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…to Codify and Distribute Knowledge Asynchronously

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What is the direct clinical impact?

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Case 1

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Homeless Unemployed Minimal Education Latent TB Syphilis HIV+

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Knowledge Sharing

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Case 2

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New immigrant Uncertain status History of viriological failure Known HIV drug resistance Provider told cannot access meds

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Case 3

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Active skier, mountain biker New HIV diagnosis Advanced disease Starts ART and prophylaxis New back pain Abnormal L-spine imaging

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