The Family Medicine Residency of Idaho (FMRI) HIV Primary Care Fellowship is a 12-month post-residency training opportunity that provides a suitable environment for the Family Medicine physician to gain additional experience providing comprehensive care to HIV-positive patients, including management of antiretroviral therapy and opportunistic infections. This fellowship will also place specific emphasis on provision of care to the underserved and rural HIV-positive populations.

The HIV Services Clinic at FMRI is a federal, Ryan White grant recipient clinic providing comprehensive interdisciplinary medical care to persons living with HIV/AIDS

• Gain extensive experience providing primary medical care for HIV-positive patients. This will include gynecologic management for female patients, as well as involvement in occasional obstetric and pediatric cases.
• Become proficient in the independent management of antiretroviral therapy regimens and opportunistic infection care.
• Participate in the medical co-management of all HIV-positive patients admitted to either tertiary care hospital system in Boise (St. Alphonsus and St. Luke’s Regional Medical Centers) by directly collaborating with infectious disease consultants.
• Publish one research or review article focusing on HIV primary care (target audience: family medicine physicians; target journal: AFP).
• Maintain family medicine clinical skills by conducting a general family medicine clinic and participating as junior faculty in the Family Medicine Residency of Idaho.

• 10% general family medicine, 70% HIV primary care, 10% didactic, 10 % research and teaching.
• Evaluation of fellow by HSC clinical director and FMRI director or co-directors.
• Participate in NW AIDS Education Training Center endeavors and opportunities, including attending the Pacific/NW AETC Asilomar faculty development conference.
• Participate in and assist ongoing HIV-related community health efforts (i.e. AETC presentations, interactive seminars with ALPHA, World AIDS day activities, etc.).
• Assist in development of disease management and patient education groups for HIV positive patients facilitated by members of the HSC team and patients.
•  Provide Idaho HIV update or other pertinent HIV primary care topic to community providers at medical grand rounds (Ada County Medical Educational Consortium).
• Provide 2-3 HIV-related noon conference presentations to FMRI residents/faculty and monthly HIV teaching topics to the residency inpatient medicine teams.
• Two externships (2-3 days) with HIV care providers at UW Madison Clinic, Seattle, Washington and Multnomah County HIV Services Center Portland, Oregon (or other NW AETC approved clinical sites).
• Attend annual Ryan White Care Act clinical conference and/or International AIDS Society conferences.

Clinical Objectives 

1. Six half-day clinic slots per week dedicated to outpatient HIV care.
   • Four clinics precepted by ID specialists, two urgent care clinics.
   • The fellow will see the majority of patients in precepted clinics and present to attending ID specialist.
2. One or two half-day clinics per week dedicated to general primary care clinical duties.
3. One half-day per week dedicated to chart review, laboratory review, primary medical issues, referrals, etc. for all patients at HSC.
4. One half-day per week dedicated to prevention case management and one-on-one behavior modification intervention at HSC.
5. Two days per month dedicated to assisting the HSC social worker staff with longitudinal efforts; i.e. ongoing development of free, rapid testing programs in Boise, assessing HIV awareness and risk factors in Latino communities in Boise, Nampa and Caldwell, etc.

Salary / Fringe Benefits / Associations

Five copies of letters of support from the applicant’s Family Medicine Residency Director, as well as two additional residency faculty members are required.  Send applications to:

Additional questions e-mail: info@fmridaho.org