HIV Workforce Demand and Supply. E-Learning Technologies with Emphasis on the AETC National HIV Curriculum Project

Transcription

1 1 NORTHWEST AIDS EDUCATION AND TRAINING CENTER E-Learning Technologies with Emphasis on the AETC National HIV Curriculum Project David Spach, MD Principal Investigator, NWAETC Professor of Medicine, Division of Infectious Diseases University of Washington School of Medicine Last Updated: August 5, 2015 HIV E-Learning wit h Emphasis on Curriculum Workforce Demand and Supply National AETC HIV Curriculum Overview Role of Curriculum in AETC Trainings Other E-Learning Technologies HIV Workforce Demand and Supply

2 United States HIV Clinical Care Workforce Workforce Demand Workforce Supply HIV-Infected Persons in Care Demand per Patient Clinicians Providing HIV Care Capacity per Clinician Estimated HIV Prevalence in US, End of 2008 * *1,200,000 million Living with HIV *Estimated 1,178,350 Living with HIV in US Source: CDC and Prevention. MMWR. 2011;60 (No. 21): HIV/AIDS Incidence and Prevalence in US, People Living with HIV/AIDS New HIV Infections 0 Year Source: CDC and Prevention. MMWR. 2011;60 (No. 21):

3 3 Key Factors Contributing to U.S. HIV Workforce Shortage Inadequate Exposure to HIV During Training Clinician Supply Complexity and Scope of HIV Care Financial Disincentives Competition with Global Health Fields Reluctance to Work with HIV-Infected Clients Evolution of HIV Clinical Care in the United States AIDS care Hospital care Hospice care Chronic disease AIDS care ARV therapy Hospital care Chronic disease ARV therapy Chronic disease Hospital care AIDS care Chronic disease ARV therapy Hospital care AIDS care Changing HIV Clinical Care Needs Recruitment of HIV Providers HIV Provider Pool Training Clinical Practice Impact

4 4 Recruitment of HIV Providers HIV Provider Pool Medical School NP Training PA Training Training IM Residency FP Residency ID Fellowship HIV Fellowship Clinical Practice Recruitment of HIV Providers HIV Provider Pool Training Clinical Practice FQHCs HMOs Private Practice Academics Quality of HIV Care Provided by ARNPs, PAs, & MDs Findings from in Ryan White Clinics. Type of Clinic Setting 15% 20% 34% 15% 16% Hospital Based Clinic Community Health Center Health Department Community-Based Organization Academic Medical Center Source: Wilson WB, et al. Ann Intern Med 2005;143:

5 Adjusted Rate of Performance 5 Quality of HIV Care Provided by ARNPs, PAs, & MDs Findings from in Ryan White Clinics Adjusted Rate of Performance of Quality Measures by Clinician Type 1.0 ID Trained Gen Med HIV Expert Gen Med non-hiv Expert NP or PA Using HAART Viral Load Controlled PCP Prophylaxis Source: Wilson WB, et al. Ann Intern Med 2005;143: NW AETC Continuum for HIV Clinical Care Education 4 Advanced HIV Provider 3 Competent in HIV Clinical Care 2 Competent in Basic HIV Clinical Care 1 Competent in HIV Screening & Diagnosis What ideas do you have on how to increase the HIV workforce?

6 6 HIV Curriculum Goals of HIV National Curriculum Increase HIV Provider Capacity Improve Knowledge and Skill of HIV Clinicians HIV Curriculum Overview/Timeline NW AETC Initial Development ( ) NW AETC Pilot Testing Pre/Post and Question Bank ( ) HRSA Funding of National AETC Curriclum ( ) Award as Part of new NCRC (FXB*) with UW Contract (July 2015) Establish Core Competency Committee (July-August 2015) AETC Pilot of Full HIV National Curriculum (hopefully late 2016) Launch Full HIV National Curriculum (hopefully early 2017) *François-Xavier Bagnoud Center, School of Nursing, Rutgers John Nelson & Andrea Norberg

7 7 HIV Curriculum Components of AETC HIV Curriculum Core Concept Reviews Mini- Lectures Question Bank Case Studies Resources Exercises Master Bib Components of AETC HIV Curriculum Pre-Post Core Concept Reviews Mini- Lectures Question Bank Case Studies Resources Exercises Master Bib Exam

8 8 AETC HIV Curriculum Platform PreTest On Line Course Question Bank Case Studies Exam PostTest Topics and Evaluation Coordinated Across Entire Platform Modules in AETC HIV Curriculum Screening and Diagnosis Basic HIV Primary Care Antiretroviral Therapy Infectious Complications Prevention of HIV Special Populations HIV Curriculum: Modules

9 9 HIV Curriculum: Modular Format HIV Curriculum: Core Concepts/Concise Reviews S HIV Curriclum Core Concepts: Easy Search

10 10 HIV Curriculum: Min-Lectures/Videos HIV Question Bank HIV Question Bank

11 11 HIV Question Bank HIV Question Bank HIV Question Bank

12 12 HIV: Question Bank HIV: Question Bank HIV Curriculum

13 13 Self-Organize Into Learning Groups Self-Organize Into Learning Groups Direct or/ Administ rat or MD NP PA RN HIV Pre-Post Testing

14 14 HIV: PRETEST HIV Curriculum: Metrics Role of HIV Curriculum in AETC Training

15 15 Role of HIV Curriculum in AETC Training Discussion Would a certificate program be of interest? How do you see potential use of curriculum? Do you see potential groups of interest for use How do you think users want notice of new info? Other E-Learning Topics Additional Regional E-Learning Resources HIV ECHO HIV Web Study