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Entrustable Professional Activities (EPAs)

The three year Yale HIV Training Track curricular goals and objectives are based on the 12 following Entrustable Professional Activities (EPAs) that we believe are necessary to be an outstanding independent provider of HIV primary care at the end of your residency training. These EPAs inherently include the necessary competency, knowledge, skills, and attitudes to perform a discrete activity that defines your role as an HIV provider. All of the accompanying curricular materials (activities, lectures, readings, etc) are selected to support these EPAs.

HIV Primary Care EPAs

At the end of the three year Primary Care HIV Training Track, graduates should be able to independently:

  1. Perform HIV counseling and testing
  2. Assess patient with newly diagnosed HIV infection or new to care
  3. Initiate and monitor Antiretroviral (ARV) treatment
  4. Counsel a patient on reducing high risk behaviors
  5. Provide prophylaxis and treatment of opportunistic infections
  6. Manage HIV infection in setting of reproductive issues (infertility, pregnancy)
  7. Assess and manage patients with of HIV associated metabolic disorders ( lipids, HTN, CAD risk reduction, bone, renal, etc.)
  8. Provide Mental Health and Substance Abuse Management in clinical setting.
  9. Provide appropriate age-based and HIV-associated preventative services to patients.
  10. Management patients co-infected with HIV-HCV
  11. Provide care to GLBTQ patients with HIV
  12. Provide effective end of life/palliative care to patients

These EPAs and milestones guide and monitor the resident progress during the three year HIV Training Program. Residents are encouraged to review the evaluation process and discuss with their preceptor, supervising attending, and advisor.