Table 2.
Domain | Goals | Interventional elements | Metrics | Kirkpatrick’s level |
---|---|---|---|---|
Learner-oriented | To provide residents with the knowledge, skills, and attitudes required to provide primary care for PLWH and LGBT community | • Lectures and small group teaching: pre-clinic conferences, multidisciplinary HIV conferences • Relevant specialty and global health electives • References: BIDMC HIV Manual, Fenway LGBT Text, AAHIVM Fundamentals of HIV Medicine, and AIDS Clinical Care |
• Survey of perceptions • Resident focus group |
Perceptions |
• Performance on AAHIVM certification exam | Knowledge | |||
• Number of abstract submissions and presentations to relevant conferences • OSCE scores |
Skills | |||
To allow residents to apply knowledge and skills in the continuity of care with a robust number of HIV and LGBT patients | • Establishing resident continuity care clinics at Fenway Health • Distributing HIV patients among residents |
• Number of PLWH in resident continuity panels | Skills | |
Patient-oriented | To receive high-quality care from residents | • (Outgrowth of resident training) | • Chart audits for process measures of quality • Patient satisfaction |
Impact |
Institution-oriented | To develop a core faculty in HIV/LGBT care | • Program leadership meetings | • Number of faculty preceptors over time | |
To serve as a model for HIV primary care training | • All of the above | • Career trajectories of program graduates • Publications and other forms of dissemination |