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Dieckhaus, Kevin D.; Vontell, Susan; Pfeiffer, Carol; Williams, Ann
2005 Journal Of Hiv/Aids & Social Services
Abstract The success of medical education is traditionally gauged by performance on written examinations. However, clinical proficiency in real-world situations is difficult to assess by written examinations alone. We developed a novel evaluation tool to measure the development of HIV-specific clinical skills using Standardized Patient Encounters (SPEs). Trainees were evaluated at baseline and after an HIV clinical training module by (1) self-reported confidence with HIV-specific clinical skills and (2) performance assessments using SPEs. Case scenarios were designed to incorporate unique issues associated with HIV that may present to a primary care provider. SPEs were scored based on written documentation including problem list and plan as well as a review of the videotapes by HIV specialists evaluating key elements of clinical skills and decision making. Improvements were noted in multiple facets of the encounters. The use of SPEs enables evaluation of clinical training interventions on the development of HIV-related clinical skill sets.
Tobias, Carol; Brown, Kate; Rajabiun, Serena; Drainoni, Mari-Lynn; Young, Steven R.
2005 Journal Of Hiv/Aids & Social Services
Abstract The substance abuse treatment and HIV health care systems have different treatment approaches, and many HIV-infected substance users fall through the cracks between systems. Providers are often challenged by the difficulty of engaging and retaining HIV-infected substance users in care and working across disciplines to coordinate services. A Kaleidoscope of Careis a cross-disciplinary curriculum in HIV and substance use, designed to train HIV health care and substance abuse treatment professionals in providing better care to the clients they share in common. It applies adult learning principles to engage diverse professionals in building skills to promote health and adherence, engagement and retention in care, harm reduction, and interdisciplinary collaboration. Early evaluation of the curriculum indicates that it has enhanced knowledge and built skills in serving HIV-infected substance users among providers from multiple disciplines.
Waddell, Richard D.; Kulig, Raymond P.
2005 Journal Of Hiv/Aids & Social Services
Abstract The epidemiology of HIV/AIDS in New Hampshire (NH) mirrors the rest of the nation (New Hampshire Department of Health and Human Services [NHDHHS], 2004); however, the demographics and physical setting of the state are different. With HIV seroprevalence at about 1% and many health care providers working in rural settings with few educational resources available to them, the challenges for keeping providers well informed about HIV/AIDS care and prevention issues are significant. The AIDS Education and Training Center for NH examined several distance learning modalities to determine which would be the best method for the monthly AIDS Seminar Series. The modalities included Real, Media Player and Quicktime, amongst others. This article describes the selection process and our experiences using on-line Webcasts as a way to enhance and achieve successful distance learning for health care providers working in HIV/AIDS in a rural setting. The terms streaming and webcasts are used interchangeably throughout the article. Though streaming is a method of transmission and webcast is an event, they have become intertwined and are often used to describe each other.
Rosen, David; Abedini, Bonnie R.; Jean-Baptiste, Rose; Richetti, Dion; Youngblood, Andrew; Spooner, Linda
2005 Journal Of Hiv/Aids & Social Services
Abstract This article describes a multi-disciplinary HIV clinical training model developed and implemented by the Division of AIDS Education at the University of Medicine and Dentistry of New Jersey (UMDNJ)-Center for Continuing and Outreach Education (CCOE), the New Jersey Local Performance Site (LPS) of the New York/New Jersey AIDS Education and Training Center (AETC). The Longitudinal Training (LT) model combines AETC, Minority AIDS Initiative (MAI) and other available training resources into an adaptable framework that can be implemented by any clinical training entity (e.g., other AETCs, Public Health Training Centers, Center for Mental Health Services grantees, state health departments, STD/HIV Prevention Training Centers, etc.) to provide needs-based, multi-discipline longitudinal training of healthcare providers so as to enhance the HIV care capacity of community health centers serving predominantly minority populations. In addition to describing the AETC and MAI Programs, this paper will discuss the methods used in developing the Longitudinal Training model and will include styles of training, identification of program successes and barriers, a composite case study and continuous outcome measures.
Millery, Mari P.; Messed, Peter A.
2005 Journal Of Hiv/Aids & Social Services
Abstract The purpose of this paper is to examine the concept of capacity building and describe an HIV/AIDS education program for social service providers that implemented capacity building in nine ethnic/racial minority communities in the U.S. Quantitative and qualitative evaluation data from the Targeted Provider Education Demonstration (TPED) will be presented to illustrate a capacity building approach. Training-of-trainers (TOT) was a central mechanism for transferring expertise to local communities, and program effectiveness was demonstrated by having 60% of all training programs in the last project year delivered by TOT trainees. Lessons learned about capacity building became a major outcome of the TPED evaluation. It was essential to provide technical assistance and address organizational development issues in participating community-based agencies. These agencies were utilized as a mechanism of rooting the interventions in the local communities in a sustainable way. Reinforcement of inter-organizational linkages facilitated growth of community capacity. A multi-level model of capacity building that emerged based on the TPED experience is discussed in the context of literature on capacity building.
Frank, Linda Rose; Day, Richard
2005 Journal Of Hiv/Aids & Social Services
Abstract This study examines the effectiveness of HIV clinical consultation offered by the Health Resources and Services Administration (HRSA) funded AIDS Education and Training Centers (AETC) program. The study demonstrates that the consultation provided is effective and useful in providing current treatment recommendations to clinicians in the field caring for HIV-infected patients. The study also shows that individual clinicians seeking clinical consultation from AETC consultants implement the recommendations provided.
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