Abstract:
The Clinician Scholars Program (CSP) was designed to expand the HIV care workforce by improving the clinical capacity of clinicians in underserved areas. This evaluation assessed program participants\' long-term practice changes and system changes. The year-long program combined mentoring, training, and on-site clinical observation. Qualitative interviews (N = 46) were conducted with Scholars at least 2 years following CSP, supplemented by a 2023 survey. Multiple coders analyzed transcripts using open coding. Thematic analysis explored practice changes and efforts to move patients along the HIV care continuum. Findings indicate positive long-term impacts of CSP regarding the HIV care continuum and care system engagement. Over 90% of Scholars remained working in HIV care, with 75% maintaining or increasing patient loads and 72% making changes to their clinical practice. This training model appears to enhance care along the HIV care continuum and may be adaptable to other contexts that address complex chronic conditions.
摘要:
临床医生学者计划(CSP)旨在通过提高服务不足地区临床医生的临床能力来扩大HIV护理队伍。此评估评估了计划参与者的长期实践变化和系统变化。为期一年的计划结合了指导,培训,和现场临床观察。在CSP之后至少2年对学者进行了定性访谈(N=46),由2023年的调查补充。多个编码器使用开放编码分析转录本。主题分析探讨了实践的变化和努力,以使患者沿着HIV护理连续体前进。研究结果表明,CSP对HIV护理连续体和护理系统的参与具有积极的长期影响。超过90%的学者仍然在艾滋病毒护理工作,75%维持或增加患者负荷,72%改变其临床实践。这种培训模式似乎可以增强HIV护理连续体的护理,并且可能适用于解决复杂慢性病的其他情况。