HIV Medicine Fellowship Overview
The HIV Medicine Fellowship is a one-year, Texas Medical Board-approved program that provides comprehensive, rigorous training in both inpatient and outpatient HIV medical care. The focus of this training is HIV primary care but also includes training experiences in HIV PrEP care, sexually transmitted infections, perinatal HIV management, hepatitis C co-infection, and other chronic complications of HIV medicine. The primary target audience for this fellowship are graduates from an internal medicine, family medicine, or medicine/pediatrics residency seeking additional training in HIV primary care.
The UTSW HIV fellowship provides superior education for diverse physicians who wish to become experts in HIV medicine through working with a medically underserved patient population as well as through quality didactic activities. Fellows care for patients with diverse clinical presentations, including opportunistic infections as well as chronic complications of HIV. Fellows are able to participate in quality initiatives, including efforts focused on improving quality of care for patients living with HIV, as well as prevention of HIV in the community.
Mission Statement
The goal of the UTSW HIV fellowship is development of a diverse workforce of primary care clinicians with clinical expertise and dedication to treat people living with HIV. Fellows work closely with experts in the field of HIV medicine to care for a diverse group of patients with chronic complications of HIV as well as opportunistic infections.
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 Infectious Diseases faculty webpage.
Contact Us
Program Director
Associate Program Director
Antonio Atkins
GME Program Coordinator II