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Resource Directory for HIV Clinicians and Educators

HIVMA created this directory as a reference for HIV clinicians and educators across the trainee and provider continuum to help improve the delivery of HIV care and prevention. The resources include guidelines, clinical decision-making tools, continuing education opportunities, provider directories, and other resources.

 

Click on the links below for quick access to a section of interest. Please note that federal government websites may be altered or removed altogether. Users may want to reference archived versions, if they are available, from the Internet Archive Wayback Machine. 

 

Guidelines & guidance

Federal HIV Treatment and Prevention Guidelines – ClinicalInfo.HIV.gov

These guidelines are definitive, expansive, searchable reference tools for clinical decision-making across the spectrum of inpatient, outpatient, pediatric, and perinatal HIV care and prevention. The guidelines can be dense for rapid point-of-care referencing, but with sufficient use and familiarity, they may be used in this manner.

 

Antiretrovirals for treatment and prevention

Although the U.S. Department of Health and Human Services guidelines above provide quick reference tables for ART prescribing, this journal article provides a more in-depth review of ART prescribing across various clinical situations: when and what to start, switching and simplification, comorbid infections or other conditions, monitoring, resistance and prevention. These guidelines are more targeted to experienced HIV clinicians who are making ART treatment decisions.

 

HIV primary care

This comprehensive review of HIV primary care is maintained by leading HIV experts from IDSA’s HIV Medicine Association. In journal article format, it provides a review of all aspects of the care of persons with HIV beyond antiretroviral therapy (ART) prescribing. It also is available in mobile format via the IDSA Practice Guidelines App. This resource is a helpful tool for teaching or for updating internal HIV primary care practice guidelines.

 

Viral hepatitis

A collaboration between IDSA and the American Association for the Study of Liver Diseases, this guidance has become the definitive point-of-care resource for HCV clinical decision-making. It is organized in an intuitive, easy-to-use format that leads the clinician to clear, concise treatment recommendation tables underscored by supporting literature summaries. It also includes sections on HCV testing, management of treatment failures and resistance and an ever-expanding section on treatment of special populations.


Sexually transmitted infections

The complete CDC STI guideline website is also available in a mobile format, which many find convenient for point-of-care reference.


Transgender care

The guidelines from the University of California, San Francisco, are an accessible point-of-care reference and are widely recognized for their usefulness in helping clinicians initiate, monitor and titrate gender-affirming hormone therapy. They provide an evidence-grading system and information about surgical, legal and psychosocial aspects of gender-affirming care. The World Professional Association for Transgender Health publishes an internationally recognized standard for assessing patient readiness for medical and surgical gender-affirming care and is used extensively by behavioral health providers. This document also includes the pharmacologic basis of gender-affirming medications and their expected effects.
 
 

Clinical tools

Several tools are available for HIV clinicians to assist with medication management:

 

Conferences / online continuing education

These resources offer in-person conferences and online HIV-related continuing medical education. 


Curricula

The National HIV Curriculum and its Hepatitis, STD, and PrEP brethren from the University of Washington are outstanding resources for self-directed, modular online learning. Whether for the HIV specialist in training, residents or medical students on HIV electives, pharmacists, advanced practice providers or other allied health care professionals, these well-organized, extensive, multimedia resources have something for every level of need. They offer both self-evaluation and the ability to follow the progress of groups of learners.
 

 
The Core Curriculum of the American Academy of HIV Medicine offers narrated presentations of key areas in HIV medicine and is based on its textbook, Fundamentals of HIV Medicine. The modules are free but require registration. 


Training resources

Comprising the educational arm of the Ryan White Program, the eight regional AIDS Education and Training Centers and the AETC Support Center provide lectures, webinars, mentoring and online training resources. The AETCs are funded by HRSA’s HIV/AIDS Bureau.

The CDC-funded National HIV Classroom Learning Center conducts a state-of-the-art training program for the HIV prevention
workforce in communities hardest hit by HIV.

The Fenway Institute’s National LGBTQIA+ Health Education Center is a nationally known center of excellence for LGBTQIA+ care,
research and training. The website includes archived webinars, best practice guidelines and tools for practice transformation.


HIV training programs

A limited number of HIV clinical training opportunities are available for physicians, nurse practitioners, physician assistants and pharmacists in a variety of settings. These programs are geared toward residents or graduates of internal and family medicine residencies and NPs and PAs who seek the skills necessary to independently manage the care of people with HIV.

 

Clinical consultation / warmline support

The National Clinician Consultation Center provides real-time expert consultation and advice on managing HIV, hepatitis C, perinatal HIV, pre- and post-exposure prophylaxis and substance use management. Staff are trained on medical content and to support callers across all spectra of care settings and levels of expertise. NCCC is based at UCSF and funded by HRSA’s HIV/AIDS Bureau. Consultation lines include the following:

 

Telehealth

Project ECHO (Extension for Community Healthcare Outcomes) delivers best-practice care support and training in specialized medical treatments to primary care providers through videoconferencing technology. The number of Project ECHO sites is growing. Below is a non-exhaustive list. Please contact HIVMA to have your program listed.

 

HIV provider directories

These directories help locate providers of HIV, HCV and LGBT health services:
 

 

Resources uninsured or under-insured patients with HIV

The Ryan White HIV/AIDS Program supports the delivery of HIV care and treatment and related services for people with HIV without other options to pay for services. The program serves more than half of people with HIV in care. State and city health departments administer the AIDS Drug Assistance Program. Eligibility for services varies by state.

Pharmaceutical companies provide free medications through their patient assistance programs to individuals who do not have prescription drug coverage and meet eligibility requirements. They also offer assistance with cost-sharing, but such assistance may not count toward the health plan’s out-of-pocket limit, meaning that patients may need to pay for  medications once they have exhausted their drug company’s cost-sharing assistance.

 

Mentorship

The AAHIVM mentoring program matches new and experienced practitioners in one-on-one mentee relationships. Some
AETCs can also connect mentees with mentors from among their faculty and networks of HIV providers.

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