Introduction to Clinical HIV
Welcome to Module 1.
In this module, we will learn about how to conduct an initial history and physical examination of a newly diagnosed HIV-infected patent, and how to stage the severity of their disease. We will also discuss some of the challenges in delivering HIV care in resource-limited settings.
This module includes multiple parts to complete:
Recorded Lectures: View the weekly lectures.
- If you have trouble watching the lectures due to a slow Internet connection, try downloading the lecture or the transcript listed below each video. Right click the link and select "Save Link as" to download.
- You can turn on a searchable transcript that will appear on the righthand side of the lecture by selecting the “Transcript” icon on the video player’s tool bar. View the lecture in Fullscreen mode for best results.
- Full citations to literature cited in each lecture is listed in their corresponding transcript.
- Homework: Complete the homework readings provided (online and downloadable), then select the “homework assessment” link to complete the homework quiz. Weekly homeworks count toward your final grade. You may retake the quizzes multiple times.
- Readings: Readings and links to additional resources are available every week as optional (not required) learning material for motivated students. All readings are in PDF format.
- Weekly Quiz: The weekly quiz is based on content presented in the recorded lectures. Weekly quizzes count toward your final grade. You can have 2 attempts for every quiz.
- Discussion Board: Please use the discussion board to post questions that were not answered during the live lectures.
Learning Objectives
After completing this module, you will be able to:
- Describe the global epidemiology of HIV, its history, and current UNAIDS goals.
- Conduct an initial history and physical of a newly diagnosed HIV-infected patient.
- Stage patients’ HIV disease severity based on both CDC and WHO HIV classifications.
- Explain the challenges of delivering HIV care and the current strategies for meeting these challenges.
HIV Experts
The HIV experts that will present in this module include the following clinicians.
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Aliza Monroe-Wise, MD, MSc Affiliate Assistant Professor Department of Global Health University of Washington |
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Dr. Aliza Monroe-Wise is lead instructor and an infectious disease and internal medicine specialist engaged in HIV and viral hepatitis research and clinical education activities in Nairobi, Kenya. In addition to her research, she works with various institutions on antimicrobial stewardship efforts in Kenya. She is currently the Director of Clinical Services at Kenyatta University Teaching, Referral and Research Hospital and faculty in the University of Washington’s Department of Global Health.
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Simji Samuel Gomerep, MBBS, MPH, FWACP Professor, Department of Internal Medicine University of Jos, Nigeria |
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Dr. Simji Samuel Gomerep has a Bachelor of Medicine and Bachelor of Surgery in 2001 from the University of Jos, Nigeria. He was a Fellow of the West African College of Physicians in 2010 and received a Master in Public Health in 2020. He is Chief Consultant Physician and Infectious Diseases Specialist at Jos University Teaching Hospital (JUTH) and Senior Lecturer at the University of Jos Nigeria. Currently he serves as the Head of Infectious Diseases Unit, JUTH, Jos.
Global Epidemiology of HIV (10 minutes)
In this video, Dr. Aliza Monroe-Wise introduces global epidemiological data on HIV.
Video: History of UNAIDS Goals (28 minutes)
In this video, Dr. Simji Gomerep reviews the history of UNAIDS goals in this video.
Download:Video (32 MB) | Audio (12 MB) | Transcript
Video: What Is HIV? Definitions and Disease Progression (8 minutes)
In this video, Dr. Aliza Monroe-Wise defines HIV and discusses disease progression.
Download: Video (14 MB) | Audio (4 MB) | Transcript
Video: Acute HIV Infection (8 minutes)
In this video, Dr. Aliza Monroe-Wise reviews acute HIV infection in a patient.
Download: Video (19 MB) | Audio (9 MB) | Transcript
Video: Initial Evaluation of the HIV-Infected Adult (19 minutes)
In this video, Dr. Simji Gomerep shows you how to conduct a physical exam for a newly diagnosed PLHIV.
Download: Video (15 MB) | Audio (9 MB) | Transcript
Video: Service Delivery Models (10 minutes)
In this video, Dr. Aliza Monroe-Wise talks about various service delivery models used in HIV care and treatment.
Download: Video (15 MB) | Audio (5 MB) | Transcript
Video: Challenges with HIV Diagnosis and Care and Stigma (11 minutes)
In this video, Dr. Simji Gomerep discusses the important topic of stigma and how it presents different challenges within HIV diagnosis and care.
Download: Video (19 MB) | Audio (5 MB) | Transcript
Required Reading and Homework
The reading link(s) below will direct you to an external website (National HIV Curriculum or Avert). After reading, return to the course website to complete the homework assessment to receive credit. Multiple attempts on each homework assessment are allowed.
Global HIV Targets
Web link | PDF | Homework Assessment
HIV Diagnostic Testing
Web link | PDF | Homework Assessment
Acute and Recent HIV
Web Link | PDF | Homework Assessment
Initial Evaluation
Web link | PDF | Homework Assessment
Optional Homework
This homework is for your own enrichment and is NOT for credit. Completing it will not impact your grade.
Immunizations in Adults with HIV
Web Link | PDF | Optional Homework
Optional Readings & Resources
These readings reinforce the lecture and may clarify any concepts from the lecture you might not understand. They are not required but are available as an additional resource to supplement lecture/homework material.
- WHO Consolidated Guidelines on HIV Testing Services
- WHO Guidelines on HIV Prevention, Testing, Treatment, Service Delivery and Monitoring (2021)
- HIVMA 2020 HIV Primary Care Guidelines
- UNAIDS Global HIV & AIDS statistics — 2022 Fact Sheet
- DO-ART Trial of Community-based ART vs Standard Clinic-based services for HIV in South African and Uganda
Quiz
Go to Quiz 1
*Please note that in this sample course there is no access to the quiz.
Discussions
Go to Discussion 1
*Please note that in this sample course, there is no access to the discussion.