HIV Specialist - March 2021 - 10

AT THE FOREFRONT

Now that you have completed
the HIV Clinical Leadership
Fellowship Program, where have
you taken your career?

University of Texas (UT) against
blue sky in Austin, Texas

opportunity to get a range of experience with different antiretrovirals,
clinical conditions and age groups. I've had experience managing HIV
in children, adolescents, pregnancy, and among older populations
aging with HIV. We also have a lot of experience managing opportunistic infections given the population we serve face multiple barriers
to timely diagnosis and many are acutely hospitalized for HIV related
illnesses. One other unique component of the program is a focus of
HIV resistance and salvage therapies. With the advent of newer single
tablet regimens with high genetic barriers to resistance multidrug
resistance is thankfully less common. Nonetheless, there is still a need
for clinicians who can navigate the nuances of drug resistance and
build a functional ART regimen for these patients. While many new
HIV clinicians can gain basic competencies in HIV medicine independent of a fellowship program, I do not believe they would have the
requisite skill set to manage the small fraction of patients who have
accumulated multiple drug resistant mutations over the years. This is
a great selling point for the fellowship. Lastly, I will say the fellowship
really exposes fellows to many wonderful leaders in the field, both in
clinical medicine, academics, and health policy. The opportunities for
mentorship are endless.

I have since returned to Austin, Texas with
my husband. Austin has been home to us for
quite some time and I always had the desire to
return here to build up our status neutral care
model. As the clinical lead for sexual health
programming, I oversee the clinical implementation of our status neutral care model
for CommUnityCare, which is one of the two
largest FQHCs in Texas. We are building a
care model that integrates HIV primary care
into existing primary care medical homes
because stigma associated with our traditional Ryan White clinics is a very real barrier to
some patients. Not to mention the geographic
barriers to accessing certain clinical sites given the limited availability of HIV primary care
services. Our leadership at CommUnityCare
also recognizes that prevention services are
of equal importance, which is why we are
concurrently scaling up the availability of
our PrEP and HIV prevention services. I also
work in our homeless healthcare settings doing more to build out alternative care models
for PWH experiencing homelessness. With
the highest uninsured rate in the nation and
a reticence to expand Medicaid practicing
medicine in Texas poses many unique challenges. However, there is an immense need
here. Many of our HIV medicine physicians,
both in Texas and nationally, have been practicing since the dawn of the AIDS epidemic.
So, there is a need to cultivate a pipeline of
upcoming clinicians who can carry the baton
and build on the gains that have been made in
HIV primary care. HIV

FIND OUT MORE AND APPLY TODAY | www.hivmedfellowship.com
Application and Selection Process
Applications are available online at www.hivmedfellowship.com. Applications are being
accepted for the 2022-2024 cycle starting on July 1st, 2021 and run through October 1st of
each application year. Once we receive your completed application, we may contact you for an
interview. Final cohort selection is completed by November 30th.
Ideal candidates are board-eligible graduates of a residency program in Family Medicine,
Internal Medicine, or Medicine-Pediatrics with a strong interest in HIV medicine or an interest in
building community programs to improve access to quality HIV care.

10

MARCH 2021

HIVSPECIALIST

WWW.AAHIVM.ORG

More questions? Visit the program
website or contact:
Gina Rossetti, M.D.
Director, HIV Clinical Leadership Program
grossetti@dhs.lacounty.gov
Jerry D. Gates, Ph.D.
PI and Director, AIDS Education and Training
Center at the Keck School of Medicine of USC
jdgates@usc.edu

SHUTTERSTOCK/ F11 PHOTO


http://www.hivmedfellowship.com http://www.hivmedfellowship.com http://WWW.AAHIVM.ORG

HIV Specialist - March 2021

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