HIV-Hepatitis Expert/ACTHIV

Click here to apply for preceptorship.

Pre-Exposure Prophylaxis (PrEP) is an HIV prevention tool for HIV-negative people. Individuals at risk for HIV infection can take a pill daily which can reduce the risk of HIV by more than 90%. Both safe and effective, a combination of tenofovir and emtricitabine (called Truvada®) was approved for PrEP in 2012. Both of the preceptorship clinics provide PrEP: - Family Health Care was the first clinic in the KC region to offer PrEP on a consulatative basis and for patients receiving primary care at the FHC clinic, including for the many transgender individuals served at the clinic. - The Ward 86 PrEP Clinic offers PrEP navigation and clinical care services as part of a comprehensive sexual health program for anyone interested in PrEP.

Southwest Boulevard Family Health Care - Kansas City, Kansas

Southwest Boulevard Family Health Care (FHC), a non-profit safety net clinic provides healthcare and supportive services for a medically underserved population in the urban core of Kansas City since our founding in 1989. Family Health Care focuses on caring for poor and uninsured, underinsured individuals with chronic diseases (including HIV, Diabetes, and Hepatitis C) and on caring for pregnant women.  FHC’s service area is Wyandotte County, Kansas, which is the poorest county in Kansas and ranks dead last in health status.   For over twenty-five years, FHC has provided a "medical home”- a stable source of care for the uninsured and underinsured poor. The majority of individuals served at FHC are uninsured, individuals with HIV, Hepatitis C, diabetes, and other serious chronic diseases.   Family Health Care uses a comprehensive medical care model that provides team-based preventative assessments, acute care, and chronic disease management, on a sliding fee scale.  We emphasize early screening, diagnosis, treatment, and patient education which results in improved quality as well as years of extended life for patients.   Family Health Care provides medical, dental, mental health and other supportive services to special populations (currently we provide care for >400 individuals with HIV and about 200 with Hepatitis C).   (Family Health Care utilizes the University of Kansas Medical Center for hospitalizations and specialty services.)

Preceptor- Sharon Lee, MD   Dr. Sharon Lee is the Director of Family Health Care in Kansas City, Kansas. She earned  her M.D. from the University of Kansas in 1982. After completing her residency in Family Medicine at the University of Missouri, Truman Medical Center, Dr. Lee founded Family Health Care and other initiatives in Kansas City to serve the poor.  She currently provides not only general Family Medicine care to her community, but has also specialized in HIV and Hepatitis medicine and provides care for several hundred individuals with HIV and/or Hepatitis Infection.  In 1993, Dr. Lee returned to the University of Kansas and is now a Clinical Professor in the Department of Family Medicine. Dr. Lee is on national boards and speaks nationally and internationally on topics including women's health, substance abuse, HIV disease, and medical care for the poor. She has received several awards for her clinical and humanitarian work and was recently inducted into the University of Kansas Women's Hall of Fame.

Directions

HIV Clinic at SFGH "Ward 86"- San Francisco, California

Established in 1983 as one of the first dedicated HIV clinics in the country, the HIV Clinic of the UCSF HIV/AIDS Division is located at Ward 86 on the main campus of San Francisco General Hospital. Currently providing care for nearly 3,000 HIV-infected individuals in San Francisco, we offer a comprehensive array of medical services for people with HIV disease.   Ward 86 has an HIV-specialized electronic medical record, called HERO that has been in use since April 2000. Part of HERO includes a patient portal, called myHERO, which allows patients to have secure internet-based access to their own medical records and health-related information.   From its beginning as a county clinic with a staff of five, the HIV/AIDS Division has grown to encompass a network of specialty clinics, multiple research and clinical trials, an HIV education program, an international research program in East Africa and a vibrant community forum for clinicians and researchers. Our faculty serves in highly visible and influential positions in the World Health Organization, International AIDS Society, and HIV Medical Association, and frequent speakers at scientific meetings around the world. Our program has a visible presence in the lay press and our faculty are frequent conveners at high level scientific events. UCSF has been ranked as the top AIDS program in the country by US News and World Report for several years.

Preceptor- Monica Gandhi, MD    Monica Gandhi MD, MPH is Professor of Medicine and Associate Division Chief (Clinical Operations/ Education) of the Division of HIV, Infectious Diseases, and Global Medicine at UCSF/ San Francisco General Hospital. She also serves as the medical director of the HIV Clinic at SFGH ("Ward 86").. Dr. Gandhi completed her M.D. at Harvard Medical School and then came to UCSF in 1996 for residency training in Internal Medicine. After her residency, Dr. Gandhi completed a fellowship in Infectious Diseases and a postdoctoral fellowship at the Center for AIDS Prevention Studies, both at UCSF. She also obtained a Masters in Public Health from Berkeley in 2001 with a focus on Epidemiology and Biostatistics. Dr. Gandhi has been on numerous national and international working boards and committees to advance HIV research and care.

Directions