IU School of Medicine Student Portal

Elective Title: 93ZI711 — INTERPROFESSIONAL COLLABORATIVE PRACTICE IN HIV PREVENTION AND CARE

Description:

This course is designed to provide learners with the foundational knowledge of HIV prevention and care by preparing them to work as a functional member of an interprofessional collaborative health care team. Learners will recognize that by joining an interprofessional health care team that they can improve outcomes relevant to HIV prevention and care.  Additionally, learners will apply collaborative leadership practices and team effectiveness by working in cooperation with those who provide care, others who contribute to or support the delivery of prevention and health services, and most importantly, people living with HIV/AIDS.


Elective Details:

Primary Contact for Add/Drops: Matthew Holley (maholley@iu.edu)

Director: Matthew Holley, Ph.D.

Campus: Indianapolis

Location:


Learning Objectives

  • HISTORY AND EPIDEMIOLOGY OF THE HIV EPIDEMIC
    1. Describe the history of the HIV epidemic in the U.S. including national responses and the mobilization of communities for prevention and care. (MK6)
    2. Describe the epidemiology of HIV. (MK6)
    3. Compare local, national and international epidemiological data (MK6)
    4. Identify risk groups and discuss the evidenced based risk reduction strategies (MK6)
    INTERPROFESSIONAL COLLABORATIVE PRACTICE (ICP)
    1. Define Interprofessional Collaborative Practice (ICP) and describe the characteristics of effective interprofessional collaborative practice. (SBP1)
    2. Discuss the potential tension between the concepts of professional interdependence and professional autonomy. (SBP1)
    3. Identify the benefits of collaborative practice, shared leadership and shared decision making for providers and patients. (ICS4)
    4. Discuss barriers to ICP including professional stereotypes and the hierarchy of health care professions from a sociological framework. (SBP1)
    5. Discuss the driving forces behind the current emphasis on ICP. (SBP1)
    6. Discuss the IPEC Core Competencies for Interprofessional Collaboration Competence. (SBP1)
    7. Describe how ICP can assist in the transition from a biomedical to a biopsychosocial framework for health and healthcare. (SBP1)
    8. Analyze the patient/family/caregiver role on the collaborative health team. (SBP1)
    9. Describe team behaviors that foster patient/family/caregiver participation in shared decision making and that support patient autonomy. (ICS4)
    10. Discuss characteristics of a patient centered care system vs. a profession centric care system. (P1)
    NATURAL HISTORY OF THE DISEASE
    1. Describe the natural history of HIV disease with and without antiretroviral therapy (ART). (MK2)
    2. Describe how HIV is transmitted. (MK2)
    3. Describe strategies to prevent HIV infection, including considerations for serodiscordant couples and other specific populations. (MK6)
    4. Discuss harm reduction strategies for people who engage in high risk sexual and substance-use behaviors. (MK6)
    PREVENTION, DIAGNOSIS AND TREATMENT
    1. Discuss US Dept of Health & Human Services guidelines & recommendations for prevention, screening, diagnosis, treatment, and management of HIV infection and HIV-related diseases in the United States. (MK4)
    2. Describe clinical manifestations of HIV infection. (MK3)
    3. Discuss Antiretroviral Therapy (ART) including decision making about initiation, common protocols and side effects . (MK4)
    4. Explain the importance of adherence in ART, factors that interfere in adherence and methods to optimize adherence. (MK7)
    HIV CARE DELIVERY MODELS
    1. Describe the HIV care continuum including testing, entry and retention in care, and treatment and successful viral suppression. (PC3)
    2. Distinguish between the roles of members of the HIV prevention and care team. (SBP1)
    HEALTH PROMOTION AND WELLNESS
    1. Discuss dimensions of wellness (emotional, environmental, financial, intellectual, occupational, physical, social and spiritual) (MK7)
    2. Discuss key health behaviors within the physical dimension (exercise & activity, weight control, sleep, smoking cessation, substance use) specifically as they relate to wellness in people with HIV/AIDS. (MK7)
    COMORBIDITIES AND COMPLICATIONS
    1. Identify potential co-morbid conditions in the HIV infected population including hepatitis B and C, diabetes mellitus, hypertension, cardiovascular disease, sexually transmitted infections, and tuberculosis. (MK3)
    2. Discuss diagnosis and treatment of these co-morbidities in the individual with HIV or AIDs (MK4)
    PSYCHO-SOCIAL ISSUES FOR PATIENTS AND PROVIDERS
    1. Discuss stigma and discrimination as barriers to prevention, care, and treatment. (MK7)
    2. Discuss the influence of psychosocial factors that increase vulnerability to HIV infection and interfere with adherence to care such as poverty, homelessness, substance abuse, mental illness. (MK7)
    3. Develop strategies and identify resources to address psychosocial barriers to patient care. (SBP3)
    4. Discuss the benefit of collaborative practice in supporting the psychological and emotional health of team members. (SBP1)
    5. Recognize attitudes or biases of team members that may interfere with treatment success. (P1)
    PUBLIC POLICY
    1. Discuss the history of the Ryan White Care Act and its current importance in HIV prevention and HIV care. (SBP3)
    2. Discuss the impact of other federal and state health policies on HIV Care in the US. (SBP3)
    3. Describe opportunities to Improve the HIV Care Continuum through changes in public policy. (SBP3)
    4. Identify the public policies that facilitate or create barriers to ICP in the ambulatory care setting including licensure laws and legislated scope of practice. (SBP3)
    5. Understand the role of the interprofessional team in advocating for policy change and reform in the health care system. (SBP3)
    SPECIAL POPULATIONS
    1. Identify HIV care needs and common health issues among high risk and vulnerable populations such as men who have sex with men, sex workers, transgender men and women, injection drug users (IDUs), adolescents and homeless youth and adults. (MK7)
    INTERPROFESSIONAL COLLABORATIVE PRACTICE IN HIV CARE
    1. Recognize the varying professional perspectives interprofessional teams bring to discussion of adherence to ART. (SBP1)
    2. Identify how ICP can contribute to improved outcomes at the individual, organization and system level across the continuum of HIV (SBP1)
    3. Contribute, as part of an interprofessional team, to the development of a plan of care for an HIV + individual, that comprehensively addresses biological, social and psychological domains at any stage of the HIV care continuum (SBP1)

Assessment

  • Professional Development Evaluation Form


Enrollment Information

Prerequisites: 4th year status

Availability with Max Students per Month:

AprMayJuneJulyAugSeptOctNovDecJanFebMar
00000020000020

Duty Hours: 40

Time Distribution: 50% Laboratory or Scholarly Research; 30% Lecture/Seminar; 10% Clinical; 10% Online

Elective Type Category: PD- Professional Development

Notes and Enrollment Information:

Add/Drop Contact Person: Matthew Holley (maholley@iu.edu
Course is primarily made up of small group sessions (30%), clinical work as an IPE team (10%), online modules (10%) and the community-based project (50%).  
 

Third Year Elective? No


Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: Yes

Skills Description:

See course description and overview of activities. 

Service Learning Included: None