Ryan White HIV Clinic

Ryan White HIV Clinic

The trainee will spend one half-day per week caring for the needs of HIV-infected patients from Charlottesville and surrounding areas. Under the direction of dedicated faculty, trainees assume primary responsibility for a panel of patients including issues related to antiretroviral therapy, prophylaxis and management of opportunistic infections, and social and financial aspects of case management. Trainees are expected to participate in all aspects of longitudinal care, phone consultation, and direction of referral to other specialists for their patients when needed. Trainees may also provide assistance to the Inpatient Infectious Disease Service as required when one of their patients is admitted to the hospital.

Other integrated resources for patients within the Ryan White Clinic include gynecologic evaluations, dedicated psychiatric providers, and full-time nursing and social work staffs. The clinic provides care for approximately 600 HIV-positive patients from Charlottesville and surrounding areas. Patients from the clinic may be enrolled in active clinical trials for existing or novel HAART regimens, and patients have expanded access to newer agents as they are required. Fellows will develop expertise in the diagnosis and treatment of complications of HIV representing the full range of opportunistic infections including PCP, CMV, MAC, PML, disseminated VZV; opportunistic malignancies, including lymphoma and invasive anal and cervical carcinomas; and complications of HAART including lactic acidosis and the development of drug resistance.

The clinic also encompasses the AIDS Resource and Consultation Center, which serves half of the Commonwealth of Virginia by providing workshops, lectures, HIV testing and counseling courses, and a preceptor program, and fellows are asked to participate in these activities on a volunteer basis.