EDUCATION

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HIV/AIDS OUTPATIENT (COMMUNITY PHARMACY) ROTATION

SITE:

  • Windsor Regional Hospital - Tecumseh Clinic
  • Well informed staff who are sensitive to the many needs of HIV infected people.  There is emphasis on providing patient information, both verbal and written, often in a private counselling area.
  • The aim of this rotation is to introduce the resident to patient monitoring and patient care services within a community pharmacy setting. 

DURATION OF ROTATION:

    2 weeks

PRECEPTOR:

    Linda Robinson, B.Sc.Phm.

GOALS:

The goal is for the resident to become familiar with the following:

  • pathophysiology and epidemiology of HIV infection
  • current guidelines with respect to the medical management of HIV infection
  • antiretroviral classes, names, dosages, pharmacokinetics, adverse effects, interactions, and resistance
  • the education and counselling of the HIV patient
  • the financial aspects involved in the procurement of HIV treatment
  • the role of the pharmacist in the healthcare team approach used in the management of the HIV patient
  • the day to day operation of an HIV outpatient pharmacy
  • the resources available for HIV information

OBJECTIVES:

At the end of this rotation the resident should be able to:

  • explain HIV infection using reference to laboratory parameters, prevention, risk factors and disease progression, briefly and simply
  • access the current DHHS Guidelines and recognize the general recommendations within
  • discuss the treatment of HIV, being familiar with the names and dosages of current recommended regimens, both with the preceptor and with patients.  A general knowledge of pharmacokinetics and pharmacodynamics of antiretrovirals should be obtained.  Resistance will be introduced in the context of genotype and phenotype interpretation
  • counsel a patient on HAART and/or HIV infection, either as a naïve patient or as a change in therapy with emphasis on adherence
  • advise patients and fellow healthcare workers on the various ways of obtaining HIV and related medications in Ontario
  • define his or her role in the treatment plans of HIV patients and how this fits into the overall healthcare team approach
  • explain how an HIV pharmacy operates and can be implemented
  • process any information requests regarding HIV and its treatment using various resources (literature, Internet, colleagues, etc.)

rev. September 2001