Geographic Medicine and Infectious Diseases

HIV Concentration

A physician sitting near a microscopeFellows interested in a developing expertise in the care of HIV-infected patients will be interested in our HIV Concentration, led by Tine Vindenes, MD.

While becoming board-eligible in ID, you will gain extensive expertise in caring for people living with HIV and its complications. You will also receive additional specialized training in HIV care such as management of HIV-associated metabolic issues, management of anal dysplasia, and care of the HIV-HCV/HBV co-infected patient.  Fellows who choose this concentration will be able to provide the highest level of HIV care at the end of their training.

Clinical Experience

The Infectious Diseases clinic provides services for approximately 620 patients living with HIV. Patients come from diverse socio-economic, cultural, and ethnic backgrounds, reflective of the people living with HIV (PLWH) in Boston. We provide a wide range of specialized medical services both in the ID clinic and jointly with other departments, allowing broad clinical exposure for trainees. 

The clinic has:

  • A dedicated on-site social worker to assist clinicians and patients in issues such as insurance, housing, transportation, HDAP documentation, legal services to help patients with immigration concerns, divorce, and establishing health care proxies, as needed
  • A dedicated ID pharmacist
  • High-resolution anoscopy clinic
  • HIV-HCV/HBV co-infection clinic at Tufts MC as well as at the affiliated Lemuel Shattuck Hospital.
  • Dedicated experience to manage post-exposure prophylaxis
  • Multidisciplinary support for pre-exposure prophylaxis for HIV

Additional clinical experiences can include:

  • Prison based clinics
  • Telemedicine

Educational Experience

You will receive focused education on the management of HIV:

  • Didactic lecture series focused specifically on HIV
  • Training in interpretation of HIV genotypes
  • Participation in the fellow-led HIV Clinical Case Conference, which hosts invited speakers, and where complex HIV-related issues are discussed.
  • Paid attendance to a national or international HIV conference of your choice (e.g. CROI) during your fellowship
  • Oversight of monthly HIV Clinical Conference—organizing discussion of complicated HIV cases with internal and outside speakers 
  • Collaboration with dental students/residents at Tufts Dental School which provides dental care for PLWH
     

Research

Many opportunities for research are available for both 2-year, Clinician-Educator track fellows, and the  3- year, Physician-Scientist track. These opportunities include both local and international project.  Clinician-Educator track( 2-year) fellows are encouraged to choose a research project in the area of HIV or HIV-related care.  Our clinic also provides a wealth of opportunity for QI/QA projects

Teaching Opportunities

Fellows in this track will have specific opportunity to develop their expertise as Clinician Educators.  Teaching opportunities include leading small group discussions with pre-clinical medical students, as well as providing lectures to medical students on clinical rotations and house staff. 

View other concentrations: TransplantAntimicrobial Stewardship | Infection Prevention | Wound Care / HBO