Clinical Training

• Primary Care Clinic
  The core of clinical training will be in the primary care of patients living with HIV at the ACCESS HIV Clinic. Fellows will do at least four half-days per week of care for their own panel of patients in providing continuity of care throughout the one-year fellowship. ACCESS HIV Clinic is the largest outpatient provider of HIV care in Dallas and is affiliated with Parkland Health. This busy, urban HIV clinic provides comprehensive HIV care for over 6,000 patients including in-house case management, nutrition, social work, and pharmacy services. As the site of their HIV continuity clinic, this location provides unparalleled educational experiences in the outpatient management of HIV disease and its myriad complications in a robust, patient-centric environment staffed by expert HIV faculty.

• Inpatient HIV Consult Service
  HIV fellows will also have the opportunity to round on the inpatient HIV consult service at Parkland hospital. Here, fellows will provide infectious disease consultation for admitted patients with HIV and will manage a range of infectious complications in HIV, including disseminated fungal and mycobacterial infections, pneumocystis pneumonia, toxoplasmosis, Kaposi’s sarcoma, primary CNS lymphoma, multi-drug resistant bacterial infections, among others.

• Specialty Clinics
  There are additional specialty clinics available for fellows to rotate through based on clinical interest in the areas of sexual health and PrEP, high-risk OB and perinatal HIV, combined medicine-pediatrics clinic, hepatitis C co-infection, and correctional health HIV care.

Didactics

Fellows attend a weekly HIV didactic series which covers all aspects of HIV medicine care in a one-year rotating curriculum. Topics covered include

• ART management in both naïve and treatment-experienced patients
• Management of opportunistic infections
• Cancer screening
• Metabolic complications in HIV
• Impact of mental health and social determinants of health on HIV care

Fellows are also invited to participate in the weekly ID divisional case conference, at which they can present interesting cases to the ID and HIV faculty followed by a brief literature review.

Research and QI

Fellows can participate in the wealth of clinical and translational HIV research underway at UT Southwestern. A faculty research mentor will be identified, and fellows will be strongly encouraged to conduct clinical or translational research and disseminate this work at a regional or national HIV meetings such as:

• ID Week
• CROI
• ACT-HIV
• International AIDS Society

Potential research mentors can be seen on the ID faculty webpage.