Primary Care of the HIV/AIDS Patient:
A Virtual Clinic
A Travel Guide to your "Mini-Fellowship"
What you do -- and the order in which you do it -- is up to
you. That said, here's a quick "travel guide" to the program.
It's a recommended path, one of several you might take.
First, sign in to the mini-fellowship. It's important that
you remember the name you use and sign in the same way
every time you use the program. (Note that if you use
different sign-on names, the program will keep track of
progress for each of those names; using one name makes it
easier to track your progress and get continuing
education credit.)
The first time you use the program, there are a couple of
disclaimer and credit screens. Click the mouse to hurry these along.
On your initial visit, we recommend you do the Orientation.
It only takes a few minutes and it's a good overview.
Next, we recommend you go into Examining Room A or B.
Here's how to decide:
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Enter Room A if you want to learn about pre-test assessment
and counseling (Visit 1), and assessment and possible treatment of early HIV infection (Visit 2).
Enter Room B if you already know about these (or simply
want to skip them for now). There, you'll meet your
patient a few years after her initial diagnosis and
workup, after she's begun to develop signs and
symptoms of advancing disease.
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In every encounter, you'll be asked to assess and counsel
your patient. In some of the encounters, you'll also be
asked (in a friendly way) to help make some decisions
about her care. Note that if you decide to start with B,
you'll be able to go back and pick up the Room A
encounters later. Room A is recommended, if you have
the time and interest.
At the end of each encounter, Dr. Bartlett will offer
to discuss issues raised by that encounter. Topics and
times will be given in advance, so you'll know what you're
getting into. We recommend you say, "yes." John Bartlett
is a clinician's clinician who's also a great teacher!
(By the way, you can elect to get any case discussion
at any time by going to the Conference Room.)
After completing your first encounter (Room A or Room B),
head down the hall to the Learning Resources Room. Go
through the door by clicking on it. When asked, take the
Clinic Disc and replace it with the Learning Resources
Disc. Push in the CD tray and wait a moment until you've
entered the LR Room. Pick the Patient Interviews kiosk
on the right. Select the Introduction and meet these
remarkable people. Do one or two more interviews; they
don't last more than a couple of minutes each.
Next, head over to the Lectures/Activities area (click
the bottom of the interviews kiosk). The topics are
arranged in order, with more theoretical or basic topics
at the top and more clinical topics at the bottom of
the kiosk. After you choose a topic, you can attend
mini-lectures (click on the left) or learn in a more
active way via the activities (click on the right).
The lectures can be done in their entirety (10 to 20
minutes each) or by subtopic. The activities generally
take from 2 to 4 minutes to complete. We recommend you do
the lectures and/or activities for one or two topics,
as desired.
You might then take a break, or head back to the clinic
and do your second encounter with Laurie Matthews. If
the latter, you'll need to shuffle the CD-ROMs as before.
To take a break, go to the Clinic Overview by clicking
the icon that looks like a fire evacuation diagram.
Click the EXIT sign in the right lower corner of the
overview. Alternatively, you can quit the program by
hitting the Alt+Q (Windows) or Command+Q (Macintosh) keys at
the same time. The program will automatically save your
location in the mini-fellowship. If you're in the middle
of an encounter with your simulated patient, we recommend
you complete the encounter before exiting. You'll be
asked if you want to save your location in the encounter
and can then exit the program if you decide to leave prematurely.
Take some time off.
When you come back to the program, sign in with the same
name you used before. Click the Restore button to pick up
where you left off the last time you were in your mini-fellowship.
IMPORTANT NOTE: If you want, you can start from
the beginning of the program at any time; if you select
this, all record of your progress up to that point will
be lost, so make sure you want to do this. If you simply
want to show someone the program from the beginning, try
signing in with a different name from the one you're
using for your mini-fellowship.
FINAL NOTE: It can take from 2-8 hours to complete
this program, depending on how much of it you decide to do.
At a minimum, we recommend you do the three patient simulation
encounters in Examining Room B, and a few of the interviews,
mini-lectures, and activities in the Learning Resources Room.
The second encounter in Room B is a particularly
important part of the mini-fellowship!