HIV & Viral Hepatitis

Treatment and care of human immunodeficiency virus (HIV) infection in the United States has made great advances over the last decade. As more potent antiretroviral therapies have become available, the life expectancy of individuals living with HIV/AIDS has increased dramatically and HIV-positive care has continued to transition toward a chronic disease model. In addition to caring for an aging population that is living longer, approximately 50,000 new infections occur in the United States every year. As the HIV epidemic continues to evolve, it has become increasingly important for primary care physicians to become competent in providing up to date care to patients infected with HIV, along with other chronic infectious diseases.

The HIV & Viral Hepatitis Fellowship is a 12-month post-residency program that provides specialty training for family medicine physicians in the comprehensive care of patients living with HIV/AIDS and viral hepatitis. Placing specific emphasis on provision of care to underserved and rural HIV-positive populations, fellows become proficient in management of all aspects of HIV care, including antiretroviral management, diagnosis and treatment of opportunistic infections, and primary care of individuals with HIV. In addition, they will become proficient in the diagnosis and management of hepatitis B and C.

We care for patients in both the inpatient and outpatient settings, across a wide spectrum of ages, backgrounds and ethnicities.

Additional opportunities in viral hepatitis, TB, LGBTQ health, and refugee health are available as desired.

Fellowship training is also integrated with a continued Family Medicine experience, through continuity clinic and precepting of residents.

The HIV & Viral Hepatitis Fellowship is based at the Wellness Center at FMRI, a Ryan White grant recipient clinic that provides comprehensive interdisciplinary medical care to more than 600 individuals living with HIV/AIDS in Southern Idaho.

Salary / Benefits

  • Competitive salary.
  • Full benefits, including retirement package.
  • Vacation: 15 days/year.
  • CME allowance: $1500.
  • AETC support for conference attendance and clinical preceptorships.
  • Licenses and dues: Idaho board of medicine, DEA, board of pharmacy, certifications (BLS, ACLS, etc.), AAFP membership, AAHIVM accreditation.

Application

One or two fellows will be selected. Applicants must be board certified, or eligible for board certification, in Family Medicine. Please submit one copy of your CV and a concise personal statement detailing:
      • Prior educational, work, and public service experiences.
      • Reasons for pursuing additional training in HIV & Viral Hepatitis.
      • Any previous experience with care of patients living with HIV, hepatitis, or other infectious diseases.
      • Career goals
A letter of support from the applicant’s family medicine residency director, as well as two additional residency faculty members are also required (one copy of each is fine). The fellowship year starts August 1. Application deadline is October 15. Interviews will be offered to select candidates in November and December. The fellow will be selected in December or January. Send applications to: Family Medicine Residency of Idaho Attention: Director, HIV & Viral Hepatitis Fellowship 777 N. Raymond Boise, Idaho 83704

Curriculum

Fellows will participate in inpatient and outpatient care of HIV positive patients, hepatitis B and C patients, and TB patients. In addition, they will continue to maintain general family medicine skills and participate in resident teaching. Core fellowship activities include:
  • Weekly clinic schedule that includes 4-5 half days of HIV clinic, 1 half day of hepatitis C clinic, 1 half day of PrEP clinic, 1 half day of TB clinic (bimonthly), and 1-2 half days of family medicine clinic
  • Participation in University of Washington/Mountain West AETC educational opportunities, including weekly ECHO conferences for HIV and hepatitis C
  • Inpatient coverage for all HIV+ patients admitted to our residency service
  • Full participation in patient education and continuous quality improvement programs in our Wellness Center HIV clinic
  • Resident teaching in both formal and informal didactic formats, both for residents as a whole and also for our dedicated training track residents
  • Two outside externships/electives at AETC approved sites
  • National conference attendance (Ryan White, CROI, IAS-USA etc)

Training Facility

St. Luke’s Boise Medical Center

For more than 100 years, St. Luke’s Boise Medical Center has been committed to serving the needs of a growing region. Founded in 1902 as a six-bed frontier hospital, St. Luke’s Boise is now Idaho’s largest health care provider, and the flagship hospital of St. Luke’s Health System.

St. Luke’s Boise is known for its centers of excellence in cancer, heart, and women’s and children’s care. Among our many services, we are home to St. Luke’s Heart, St. Luke’s Mountain States Tumor Institute’s largest clinic, St. Luke’s Center for Minimally Invasive Surgery, and St. Luke’s Children’s Hospital, the only children’s hospital in Idaho.

Known for its clinical excellence, St. Luke’s Boise has been nationally recognized for quality and patient safety, and is proud to be designated a Magnet hospital, the gold standard for nursing care.

Visit Website

Saint Alphonsus Regional Medical Center

Saint Alphonsus Regional Medical Center in Boise, Idaho, is part of Saint Alphonsus Health System. With four hospitals and a variety of medical clinics, we serve the full range of the healthcare and wellness needs of the people in southwestern Idaho, eastern Oregon and northern Nevada.

Saint Alphonsus is dedicated to delivering advanced medical services in a spiritual, healing environment throughout southwest Idaho, eastern Oregon and northern Nevada. Through innovative technologies, compassionate staff and warm, healing environments, Saint Alphonsus strives to provide care that is focused on patients.

Founded in 1894 by the Sisters of the Holy Cross, Saint Alphonsus was the first hospital established in Boise—bringing healthcare to the poor and underserved. Now referred to as Saint Alphonsus Regional Medical Center, our licensed medical-surgical/acute care 381 bed facility serves as the center for advanced medicine and is poised to support the community well into the future.

Visit Website

Wellness Center

The HIV & Viral Hepatitis Fellowship is based at the Wellness Center, part of FMRI’s Emerald Clinic. Inpatient management of HIV-positive patients is at both of Boise’s regional referral hospitals, Saint Alphonsus and St. Luke’s Regional Medical Centers

Faculty

Marvin Alviso, MD

Dr. Marvin Alviso was born and raised in Manila, Philippines. He completed his BS in Biology from the University of Santo Tomas in Manila Philippines. He then continued on to complete his medical degree at the same University. He moved to Saginaw, Michigan in 2008 for his residency in Family Medicine at Synergy Medical Education Alliance and concentrated on HIV care for most of his electives. Marvin became a board certified Family Physician in 2010. Marvin then relocated to Boise, ID to complete a 4th year post graduate fellowship from Family Medicine Residency of Idaho for HIV for Primary Care. He received AAHIVM certification in 2011 and continues to carry this certification. He is currently doing HIV Primary care, family practice, and Refugee Health Screening. Marvin is also passionate about providing primary care for the Gay, Lesbian, Bisexual and Transgender population.

Penny Beach, MD

Dr. Beach grew up in Ohio and Maryland before moving to New England, where she attended Williams College and worked for 7 years as a newspaper reporter. She then attended Dartmouth Medical School and did her family medicine residency at FMRI, graduating in 2001. She spent over 8 years working with mostly uninsured patients and Spanish-speaking migrant farm workers in Nampa, Idaho before joining FMRI in 2010. She is married with 2 children. In her spare time she loves backpacking, playing the piano, nordic skiing, watching Boston Red Sox games, and her newest sport – curling.

Abby Davids, MD MPH

HIV & Viral Hepatitis Fellowship Director

Born and raised in the Midwest, Abby is a Buckeye at heart. She graduated from The Ohio State University with a degree in Political Science and International Relations, and then stayed at Ohio State for graduate and medical school, earning a dual MD/MPH in 2011. After medical school, she headed to the east coast for family medicine residency at the Greater Lawrence Family Health Center near Boston, MA, training in full spectrum family medicine at the nation’s first teaching health center and serving a predominantly urban immigrant population. Abby then moved to Boise for the HIV Fellowship here at FMRI. After completing fellowship she joined FMRI as faculty at the Emerald Clinic, focusing on teaching residents and continuing to provide HIV, hepatitis B and C, TB, and refugee care while practicing full spectrum family medicine. Abby has also worked with orphans and vulnerable children with HIV/AIDS in Ethiopia for many years, and has spent time doing HIV care in Zambia as well. She became the HIV & Viral Hepatitis Fellowship Director in 2016, and maintains AAHIVM accreditation as an HIV specialist. She is the Medical Director of the TB clinic, provides viral hepatitis care both at FMRI and in the correctional setting, and leads the Global Medicine Training Track with Margaret Mortimer. Abby dedicates all of her outpatient primary care time to the refugee continuity clinic. Abby speaks English and Spanish, and in her free time, loves to explore Idaho with her puppy, Juniper.

Current Fellows