Building an Infectious Disease Diversity, Equity, and Antiracism (ID2EA) Curriculum: A Single Center's Experience and Reflections.

In response to longstanding healthcare inequities unmasked by the Coronavirus Disease 2019 pandemic, the infectious diseases (ID) section at the Yale School of Medicine designed and implemented a pilot curriculum integrating Infectious Disease Diversity, Equity, and Antiracism (ID2EA) into ID educational training and measured program outcomes. We herein describe a mixed-methods assessment of section members on whether the ID2EA curriculum affected their beliefs and behaviors regarding racism and healthcare inequities. Participants rated the curriculum as useful (92% averaging across sessions) and effective in achieving stated learning objectives (89% averaging across sessions), including fostering understanding of how inequities and racism are linked to health disparities and identifying strategies to effectively deal with racism and inequities.

Community-Based HIV and Viral Hepatitis Fellowship Evaluation: Results from a Qualitative Study.

Purpose: The UMass Chan Medical School/New England AIDS Education and Training Center Community-Based HIV and Viral Hepatitis Fellowship was launched in 2014 to train physicians and nurse practitioners to become experts in outpatient management of HIV, hepatitis B and C, and latent tuberculosis. The purpose of this study was to identify areas of strength and improvement and understand fellows' perceptions of the program and its impact on their current positions and career trajectories.

Methods: Qualitative study utilizing a semi-structured interview guide with (11) fellowship graduates (8 MDs; 3 NPs).

Developing a Community of Practice for HIV Care: Supporting Knowledge Translation in a Regional Training Initiative.

Introduction: Ensuring knowledgeable, skilled HIV providers is challenged by rapid advances in the field, diversity of patients and providers, and the need to retain experienced providers while training new providers. These challenges highlight the need for education strategies, including training and clinical consultation to support translation of new knowledge to practice. New England AIDS Education and Training Center (NEAETC) provides a range of educational modalities including academic peer detailing and distance support to HIV providers in six states.

Knowledge, Beliefs and Practices Regarding Antiretroviral Medications for HIV Prevention: Results from a Survey of Healthcare Providers in New England.

Background: Antiretroviral treatment for HIV-infection before immunologic decline (early ART) and pre-exposure chemoprophylaxis (PrEP) can prevent HIV transmission, but routine adoption of these practices by clinicians has been limited.

Methods: Between September and December 2013, healthcare practitioners affiliated with a regional AIDS Education and Training Center in New England were invited to complete online surveys assessing knowledge, beliefs and practices regarding early ART and PrEP. Multivariable models were utilized to determine characteristics associated with prescribing intentions and practices.

DSM-5 changes on the horizon: substance use disorders.

The first edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) was published in 1952. This publication was the first formal attempt to provide a nosology to guide the diagnosis of mental disorders, including substance use disorders (SUD). There have been four iterations of the nosology since 1952, and the sequential publication of each new edition has provided the foundation for a more enlightened perspective on diagnosing the range of psychiatric conditions.

Out of sight, out of mind: the impact of 9/11 on HIV-positive persons.

Providing care and support for persons living with HIV (PLWHIV) is an enormous challenge for providers throughout the world. At the same time, the cost of care both financially and emotionally continues to be quite expensive. Signs of caregiver burnout and public apathy were already taking a toll on providers, PLWHIV, and their families when the 9/11 tragedy occurred.

The era of managed care: the struggle of cost containment and compassionate, effective care of persons with HIV/AIDS.

Managed care is an increasingly widespread way of delivering health care that combines medical care provider systems (doctors, nurses, clinics, hospitals) with the payor system (health insurance). This article gives a historical overview of managed health care, discusses managed HIV care, and managed care reform.

HIV education: a challenge to adult learning theory and practice.

While there are enormous bodies of literature that separately address adult learning theory and HIV disease education, there is a scarcity of literature that examines the way adult learning theory and education about HIV disease intersect. The author's focus is on successful, creative methods of combining these bodies of information in order to provide continuing education for health professionals. A review of the literature combined with the reported experience of AIDS Education and Training Centers (AETCs) from across the country identify useful strategies for successful HIV education.