A Guide to Primary Care of People with HIV/AIDS - Canadian Public ...

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A Guide to Primary Care of People with HIV/AIDS Chapter 18: Keeping Up-To-Date: Sources of Information for the Practicing Clinician Figure 18-1. AIDS Education and Training Centers REGIONAL Northwest AETC Mountain- Plains AETC Midwest AIDS Training and Education Center (MAETC) New England AETC Pacific AETC New York/ New Jersey AETC Pennsylvania/ MidAtlantic AETC Southeast AETC Florida/ Caribbean AETC Texas/Oklahoma AETC Delta Region AETC Contact information for regional as well as national and international centers is available at http://www.aidsetc.org/ Accessed 3/04. 18 International AIDS Conference; biannual Table 18-1. Major AIDS Conferences Name Conference on Retroviruses and Opportunistic Infections; annual Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC); annual Infectious Diseases Society of America (IDSA); annual International AIDS Society Conference on HIV Pathogenesis and Treatment; biannual (Rio de Janeiro, July 2005) UCSF: Medical Management of AIDS; annual (San Francisco) International Association of Physicians in AIDS Care (IAPAC) Sessions; biannual Association of Nurses in AIDS Care (ANAC) Annual Conference; annual * Websites accessed 1/04. Website* http://www.ias.se/ http://www.retroconference.org http://www.icaac.org http://www.idsociety.org http://www.ias2003.org http://medicine.ucsf.edu/cme/ http://www.iapac.org/ http://www.anacnet.org/ 150 U.S. Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau
A Guide to Primary Care of People with HIV/AIDS Chapter 18: Keeping Up-To-Date: Sources of Information for the Practicing Clinician Are AIDS conferences useful for providers who are not HIV experts? A number of national conferences provide opportunities to obtain cutting-edge information (see Table 18-1). The range of offerings usually meets the needs of providers just learning about HIV as well as providers who are already HIV experts. What if you practice in a remote area? In remote geographic areas, the nearest HIV expert may actually be far away and attendance at conferences and meetings may not be feasible. In this situation, the regional AETC can be contacted to determine how to obtain direct educational programming. When distance prevents on-site attendance at educational programs, newer technologies may enable long distance participation. Satellite broadcasting and down-linking to local facilities may be available and has been a useful approach in various parts of the United States. Distance learning and web-based information also provide important sources of education when other programming is unavailable. Many sessions are videotaped or audiotaped. Videocassettes and audiocassettes may be distributed or purchased for a modest price. Is clinical consultation possible even if you are not affiliated with an HIV specialty practice? In areas of the country with no HIV clinical experts, a number of consultative and co-management options are available through the AETCs or statewide education initiatives to assure that patient care is of the highest quality. Informal discussions with experienced providers in the region are probably the easiest way to access expertise, especially since these providers may be available for formal clinical consultation when decisions are made about ART, such as when to initiate, modify, or discontinue therapy. Clinical consultations are available not only through the regional AETCs, but also from the National HIV Clinical Consultation Center, based at the University of California San Francisco (UCSF). This service provides a “warmline” — a toll-free phone number staffed from 6:00 a.m. to 5:00 p.m. PST by physicians, nurse practitioners, and pharmacists who are available to answer providers’ questions. During other times, or when the phone line is busy, voicemail messages can be left and calls returned. The HIV experts discuss options with callers, presenting pros and cons of various approaches with the goal of improving the capability of the provider to manage the current situation and others like it. The Center also refers callers to their local resources for expertise, consultation and training. National HIV/AIDS Clinical Consultation Center Warmline: 1-800-933-3413 WRITTEN RESOURCES What books and journals are most useful for primary care providers? Although a basic textbook of HIV/AIDS medicine provides a basic reference of core knowledge, it becomes outdated nearly as quickly as it is published, particularly in relation to ART. Small books such as the Pocket Guide included in this guide contain quick reference materials, are more frequently updated, and provide summaries that can be useful at the point of care. Other books provide specialized information related to the care of specific groups of persons with HIV. For example, A Guide to the Clinical Care of Women with HIV offers an excellent comprehensive overview of issues pertaining to the care of women, with useful tables, photographs, and practical information for the provider. Most major journals include articles about HIV. Clinical trials and review articles periodically appear in the major internal medicine journals. Two important peerreviewed HIV-specific journals, AIDS and JAIDS (Journal of the Acquired Immune Deficiency Syndromes and Human Retrovirology), include studies and review articles in the domains of basic science, epidemiology, clinical care, and HIV prevention. Other regularly published bulletins and journals offer review articles on basic aspects of clinical management that are useful summaries for the primary HIV care provider. The Johns Hopkins HIV Report provides summaries of current issues and controversies in HIV care authored by experts from the Hopkins HIV Service. Question and answer sessions with experts are often included as part of these publications. See Table 18-2 for a list of recommended publications. Also, a comprehensive list of HIV professional journals can be found at http://www.mednets.com/index.cfm/ fuseaction/articles_aids_aidsjournals Accessed 3/04. Can journal articles be accessed on the internet? To keep up with all of the HIV journals is impossible, especially when a practice is not exclusively devoted to HIV care. Several websites post information about newly published articles and can easily be scanned to seek relevant or noteworthy information (see Table 18- 3). Medscape, which has a specific section dedicated to HIV, and HIVInSite are two good sources of news. An abstract of almost any article can be retrieved through the National Library of Medicine’s website at PubMed. A useful list of websites, references and news may also be found at Medline Plus. The Kaiser Daily HIV/AIDS Report offers a daily news summary that includes both newspaper articles and major clinical or scientific releases that anyone can subscribe to by registering at the website. The Aegis website links to news summaries that can be quickly accessed to obtain the desired summary. 18 U.S. Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau 151
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