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HIV TELEECHO CLINIC Curriculum July 2016 - June 2017 HIV TELEECHO CLINIC People living with chronic medical conditions achieve better healthcare outcomes when they are treated by providers in their own communities who are knowledgeable about their condition. The HIV TeleECHO Clinic unites a multi-disciplinary team of experts in HIV care via video conference with healthcare providers treating HIV patients in rural, under served, and key population areas. Individual cases are presented by the treating provider and discussed by the group in order to provide consultative advice on t h e c l i n i c a l management of HIV patients. Relevant peer-reviewed articles, literature, and resources are circulated to participants to enhance their knowledge base and continuing medical education credits are provided. TELEECHO CLINIC FACILITATORS Michelle Iandiorio, MD - Associate Professor Project ECHO HIV, Medical Director NMAETC, Medical Director UNM DOIM, Division of ID Joel Gallant, MD, MPH Medical Director of Specialty Services Southwest Care Center, Santa Fe, NM UNM DOIM, Division of ID Adam Metcalf, LCSW UNM Truman Health Services Clinic Renee Mercier, Pharm D - Associate Professor UNM College of Pharmacy Elaine Thomas, MD - Professor UNM DOIM, Division of ID Karla Thornton, MD - Associate Director Project ECHO Professor - UNM Department of Internal Medicine Wenoah Veikley, RN, ACRN - Chief Operating Officer Southwest Care Center, Santa Fe, NM Project ECHO ® Sanjeev Arora, MD - Director Phone: 505 750-3246 (ECHO) Fax: 505 272-6906 Website: http://echo.unm.edu E-mail: [email protected] IT Support — 505 750-4897 Ana Portillo, NMAETC Program Coordinator Phone: 505 272-6574 Email: [email protected] The NMAETC is affiliated with the South Central AIDS Education and Training Center (AETC) which is supported by a cooperative agreement from the Health Resources and Services Administration (HRSA) and is part of the Ryan White HIV/AIDS program. HOW TO PARTICIPATE IN OUR HIV TELEECHO CLINIC Complete on-line registration Participate in didactic presentations and discussion of cases. Present cases via Zoom video connection or by telephone. Complete on-line evaluation forms to receive CME/CPE credit. Participants may be asked to complete periodic surveys evaluating knowledge and self-efficacy related to the treatment of HIV. Project ECHO ® has been funded by: Agency for Healthcare Research and Quality Grant #5UC1HS015135 and #1R24HS016510. The Robert Wood Johnson Foundation, The New Mexico Legislature and The New Mexico Department of Health. Revised 04/15/2015 slc HRRC-04-341

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HIVTELEECHO™

CLINIC

CurriculumJuly 2016 - June 2017

HIV TELEECHO CLINIC People living with chronic medical conditions achieve better healthcare outcomes when they are treated by providers in their own communities who are knowledgeable about their condition. The HIV TeleECHO Clinic unites a multi-disciplinary team of experts in HIV care via video conference with healthcare providers treating HIV patients in rural, under served, and key population areas. Individual cases are presented by the treating provider and discussed by the group in order to provide consultative advice on the clinical management of HIV patients. Relevant peer-reviewed articles, literature, and resources are circulated to participants to enhance their knowledge base and continuing medical education credits are provided.

TELEECHO CLINIC FACILITATORSMichelle Iandiorio, MD - Associate Professor

Project ECHO HIV, Medical DirectorNMAETC, Medical DirectorUNM DOIM, Division of ID

Joel Gallant, MD, MPHMedical Director of Specialty ServicesSouthwest Care Center, Santa Fe, NM

UNM DOIM, Division of ID

Adam Metcalf, LCSWUNM Truman Health Services Clinic

Renee Mercier, Pharm D - Associate ProfessorUNM College of Pharmacy

Elaine Thomas, MD - ProfessorUNM DOIM, Division of ID

Karla Thornton, MD - Associate DirectorProject ECHO

Professor - UNM Department of Internal Medicine

Wenoah Veikley, RN, ACRN - Chief Operating OfficerSouthwest Care Center, Santa Fe, NM

Project ECHO®

Sanjeev Arora, MD - DirectorPhone: 505 750-3246 (ECHO)

Fax: 505 272-6906Website: http://echo.unm.eduE-mail: [email protected]

IT Support — 505 750-4897

Ana Portillo, NMAETC Program CoordinatorPhone: 505 272-6574

Email: [email protected]

The NMAETC is affiliated with the South Central AIDS Education and Training Center (AETC) which is supported by a cooperative agreement from the Health Resources and Services Administration (HRSA) and is part of the Ryan White HIV/AIDS program.

HOW TO PARTICIPATE IN OUR HIV TELEECHO CLINIC

• Complete on-line registration

• Participate in didactic presentations and discussion of cases.

• Present cases via Zoom video connection or by telephone.

• Complete on-line evaluation forms to receive CME/CPE credit.

• Participants may be asked to complete periodic surveys evaluating knowledge and self-efficacy related to the treatment of HIV.

Project ECHO® has been funded by: Agency for Healthcare Research and Quality Grant #5UC1HS015135 and #1R24HS016510. The Robert Wood Johnson Foundation, The New Mexico Legislature and The New Mexico Department of Health.

Revised 04/15/2015 slc HRRC-04-341

2016July 5 Cancelled for Holiday12 HCV/HIV Topic: HCV Epidemiology & Screening 19 HIV Testing: Methods & Interpretation26 Current/Requested Topic: Outreach & Screening Strategies

August 2 HCV/HIV Topic: Extra-Hepatic Manifestations of HCV9 Guidelines for Opportunistic Infection Prophylaxis 16 Treatment Guidelines for ART-Naïve Patients23 HIV Case Management30 Current/Requested Topic: IAS Update

September 6 Cancelled for Holiday13 HCV/HIV Topic: Diagnosis of Cirrhosis20 ART Drug Interactions27 Current/Requested Topic

October 4 HCV/HIV Topic: Treatment Guidelines for Genotype 1a and 1b11 ART Resistance Basics18 Switching ART for Treatment-Experienced Patients25 Current/Requested Topic

November 1 HCV/HIV Topic: Treatment Guidelines for HCV non-genotype 18 STI: Screening & treatment15 Screening for Cervical & Anal Cancer22 Screening for Tuberculosis in HIV29 Current/Requested Topic: IDSA/ICAA Conference Update

December 6 HCV/HIV Topic: HCV Resistance13 Substance Use Disorder: Screening & Management20 Current/Requested Topic 27 Cancelled for Holiday

2017January 3 Cancelled for Holiday10 HCV/HIV Topic: Acute HCV Infection17 HIV Prevention Strategies24 CNS Infections in HIV31 Current/Requested Topic

February 7 HCV/HIV Topic: HCC Screening14 HIV Associated Neurocognitive Disorder21 Depression in HIV: Screening & Management28 Current/Requested Topic

March 7 HCV/HIV Topic: Medications to Avoid in Advanced Liver Disease14 HIV in Pregnancy21 Management of the HIV-Exposed Infant28 Current/Requested Topic: CROI HIV Update

April 4 HCV/HIV Topic: Vertical Transmission of HCV11 HIV In Youth18 HIV and Aging25 Current/Requested Topic

May 2 HCV/HIV Topic: Outreach & Screening Strategies9 Screening for Osteoporosis in HIV16 Vaccinations in HIV23 Malignancy in HIV30 Cancelled for Holiday

June 6 HCV/HIV Topic: HCV Genotype 313 Renal Disease in HIV20 Metabolic Complications in HIV 27 Current/Requested Topic

A TYPICAL HIV TELEECHO CLINIC

12:00 - 12:10 ...........Introductions12:10 - 12:30 ...........Didactic Presentation12:30 - 1:00 .............Case Presentations

WE AT ECHO WOULD LIKE TO INVITE YOU TO ENROLL IN THE HIV TELEECHO CLINIC

Project ECHO® & New Mexico AIDS Education and Training Center welcome you to participate in our weekly HIV TeleECHO clinic. The curriculum will build on itself and is designed to help providers not familiar with the treatment of HIV to become familiar and then proficient in the treatment of HIV in a primary care setting. We encourage providers to present cases for discussion.

CME/CPE are available for each hour for those who complete on-line registration and post-session evaluations.

Any healthcare provider (including physicians, physician assistants, nurse practitioners, nurses, medical assistants, pharmacists, social workers, case managers, mental health specialists, nutritionists, prevention specialists, DOH staff, etc.) with an interest in HIV who completes the on-line teleECHO registration.

All participants are also asked to complete an on-line

PIF (Participant Information Form) once a year and an on-line evaluation for each session attended. For confidentiality, HIPPA compliance, and professionalism, please identify yourself when you join each teleECHO clinic so that we can verify that you are a qualified healthcare professional. TeleECHO clinics are not open to the general public or patients.

Course Schedule: Weekly, Tuesdays at 12:00-1:00 PM, Mountain Time.

ADDITIONAL HIV EDUCATION RESOURCES

• Project ECHO-Indian Health Service-NMAETC HIV TeleECHO Clinic is held every 2nd Wednesday of the month from 12:00-1:00 PM Mountain Time.

• NMAETC provides additional HIV and HCV-related educational experiences to healthcare providers including individualized clinical educational experi-ences, in-person interactive trainings, clinical consultation, and technical assistance. Contact [email protected] to learn more.

Project ECHO-NMAETC HIV TeleECHO Clinic Curriculum 2016-17

GOALS OF THE HIV TELEECHO CLINIC

Participants will be enabled to:1) Increase knowledge of up-to-date evidence-based

HIV care.2) Provide optimal HIV care for people living with HIV

in our healthcare setting.3) Participate in our regional HIV community of practice

to share best practices.