HIV Medicine Fellowship Overview

The HIV Medicine Fellowship is a one year, Texas Medical Board approved, program that provides comprehensive and 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 will care for patients with diverse clinical presentations, including opportunistic infections as well as chronic complications of HIV. Fellows will be 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 will 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. Amelia Court is the largest outpatient provider of HIV care in Dallas and is affiliated with Parkland Health and Hospital System. This busy, urban HIV clinic provides comprehensive HIV care for over 5,500 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

The fellow will also complete up to three months of inpatient training under the supervision of our expert HIV faculty on the inpatient HIV consult service at Parkland Hospital and Health System. For HIV training, Parkland is a one-of-a-kind place to care for patients living with HIV from literally around the world. A new, state-of-the-art, 17-story, 862-bed facility was completed in 2015 providing an amazing oasis for patients and training environment equipped with the latest in medical technology. Services include a Level 1 Trauma Center, the largest (busiest) emergency room in the U.S., and one of the busiest HIV inpatient consult services in the country. The Inpatient HIV consult service provides care for patients living with HIV with variety of opportunistic infections and malignancies including disseminated fungal and mycobacterial infections, pneumocystosis, toxoplasmosis, Kaposi’s sarcoma, primary CNS lymphoma as well as acute antiretroviral syndrome.

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, hepatitis C co-infection, and correctional health HIV care.

Didactic Training

Fellows will 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, and the impact of mental health and social determinants of health on HIV care. Fellows will also be invited to participate in our 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 Quality Improvement

Fellows will be encouraged to participate in the wealth of clinical and translational HIV research going on 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 or the International AIDS Society annual meetings. Potential research mentors can be seen on our ID faculty webpage.

How to Apply

All applicants should an updated curriculum vitae (CV), a brief 1-2 page personal statement of interest in HIV medicine, and at least 2 letters of recommendation. The deadline for application is October 15th for the next academic year. All applicants will be reviewed by the program leadership, and the top finalist(s) will be invited for either a personal or phone interview. If eligible, the chosen applicant will be strongly encouraged to apply for the HIVMA Clinical Fellowship. However, program funding is available to fund the one-year fellowship for fellows who do not secure an HIVMA fellowship slot.