SLIDE 1 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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- 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…
SLIDE 6 … 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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