Presentations and conditions
- Ageing with HIV
- All stages of HIV infection:
- acute HIV
- advanced HIV and AIDS
- chronic HIV
- Chronic disease monitoring for people living with HIV:
- bone
- cancer screening
- cardiovascular
- Diagnosis of HIV
- Drug resistance
- HIV co-infections:
- hepatitis B
- hepatitis C
- human T-lymphotropic virus type 1 (HTLV-1)
- sexually transmitted infections (STIs)
- tuberculosis (TB)
- HIV prevention:
- HIV screening
- post-exposure prophylaxis (PEP) in:
- adolescents
- adults
- neonates
- pre-exposure prophylaxis (PrEP) in:
- Immune reconstitution inflammatory syndrome (IRIS)
- Manifestations of HIV:
- cancer
- cardiovascular
- dermatological
- gastrointestinal
- haematologic
- neurological
- ocular
- renal
- respiratory
- Medication-related adverse effects
- Opportunistic infections (OI)
- Reproductive health:
- contraception
- fertility
- menopause
- pregnancy, including neonatal management
- Vaccination
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
Presentations
- HIV in children and adolescents, including transitioning to adult services
- Mental health issues in the context of HIV infection
- Substance use in the context of HIV infection
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
- Antiretroviral therapy (ART) and other therapies:
- adverse drug reactions
- biomedical prevention
- drug-drug interactions
- initiation in treatment-naive people
- long-term management of antiretroviral (ARV) regimes
- managing drug resistance and treatment-experienced people
- monitoring in pregnancy and breastfeeding
- OI prophylaxis and treatment
- Epidemiology:
- Epidemiology, natural history, and pathophysiology of opportunistic infections
- HIV pathophysiology
- HIV virology and immunology
- Natural history of HIV infection
Investigations and procedures
- Anogenital human papillomavirus (HPV) screening
- Baseline investigations for new HIV diagnosis
- Cancer screening
- Cardiovascular risk assessment
- Chronic disease monitoring
- Diagnosis / Screening for opportunistic infections
- HIV monitoring
- HIV point of care testing
- HIV serology and confirmatory testing
- Resistance testing, including role of proviral DNA testing
- Contact tracing
- Engagement in care
- Legislation around duty of disclosure and risk of transmission to others
- Local support services, including non-governmental organisations
- Public health notification
- Risk factors for HIV acquisition
- Stigma and discrimination
