HIV Primary Care Resources
Welcome to the first distribution of the HIV Primary Care Compendium of Resources for Professionals Treating Patients Living with HIV/AIDS and At-risk Populations. This Resource is brought to you by the CBDPP (Community-Based Dental Partnership Program) team at Columbia University College of Dental Medicine, as supported by the Health Resources and Services Administration’s (HRSA) HIV AIDS Bureau (H65HA00014). To address HRSA’s call to promote shared communication, treatment coordination, and collaboration between oral health and primary care providers, we have developed this collection of shared resources. Our goal is to foster a learning network of providers who care for Patients Living with HIV/AIDS and At-risk Populations, including dentists, physicians, nurses, social workers, case managers, pharmacists, PAs, community health workers, to promote oral health and primary care integration. |
We will be compiling relevant information about what Patients Living with HIV/AIDS and At-risk Populations need to know from their multidisciplinary team:
In this issue 1. Didactic materials on oral lesions to be considered by the Primary Care Team 2. Clinical/applied learningreviewing head & neck screening and misdiagnosed path 3. Best practices for interprofessional education (IPE) 4. Lecture spotlight on upcoming AIDS Education & Training Center (AETC) programming 5. Broader resources publications, events, and beyond Our next issue will come out in 2025, stay tuned! |
What Should the Primary Care Team Consider? |
| Didactic: Mini lecture on Oral Health Considerations for Primary Care Team
This abridged PowerPoint lecture presents the most pertinent information slides from the extended lecture “Oral Health Considerations for Primary Care Team”. (Note, the full lecture can be made available by the Northeast Caribbean AETC for Continuing Education credits.) This mini lecture addresses the topics dentists would like other health professions teams to know about the manifestations of common oral diseases seen in both HIV seropositive and HIV seronegative patients, as well as highlighting important information dentists can provide to other health care professionals. This information is important for non-dental providers to know when and how to treat common oral lesions and conditions associated with HIV/AIDS and when it is most appropriate to refer. Click here to watch the abridged lecture |
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Clinical: Head & Neck Exams for Healthcare Providers
This video produced for the Northeast/Caribbean AETC (AIDS Education and Training Center) reviews the protocol for an accurate intraoral/extraoral exam. The video demonstrates the order and rationale for each step of the screening process. According to the American Dental Association and the Oral Cancer Foundation the best way to evaluate a patient for oral cancer is both visual and tactile. Secondary methods, including the emerging medical technologies have not yet been given a stamp of approval by either organization and the gold standard is still a complete and thorough head and neck exam. This exam in ‘real time’ can be completed effectively by the clinician in under two minutes and can easily be incorporated into daily practice.
Click here to view the video for a depiction of an accurate intra-oral/extra-oral exam
What Is Interprofessional Education? |
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Interprofessional education (IPE) refers to a pedagogical approach in which students from various health professions—such as medical, dental, nursing, pharmacy, and allied health schools—learn about, from, and with each other. The primary goal of IPE is to foster collaborative practice among future health professionals, ensuring that they are prepared to work effectively as part of a multidisciplinary team to improve patient outcomes.
Contributed by Christopher Bowers DMD MS
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| Accreditation Standards HHS Accreditation standards for IPE vary by health profession and are set by different accrediting bodies in the United States. In the Resources and Tools section, you can find summaries of IPE standards for medical schools, dental schools, nursing schools, and other disciplines within health and human services. |
| Practical Advice Key aspects of interprofessional education as it pertains to various disciplines in health and human services: 1. Collaboration and Teamwork 2. Understanding Roles and Responsibilities 3. Patient-Centered Care 4. Educational Structure 5. Leadership and Advocacy 6. Evaluation and Feedback Interprofessional education ultimately aims to break down silos between health professions, fostering a more integrated and cooperative healthcare system. By training students to work collaboratively from the outset of their careers, IPE helps ensure that future healthcare providers can deliver high-quality, patient-centered care through effective teamwork. |
Resources and Tools |
| Clinical Application Commonly Misdiagnosed Oral Lesions This video reviews common normal oral anatomical structures that are often mis-diagnosed as pathology. The video is intended for all healthcare providers. Click here to view the video on Identification of Oral Anatomical Structures Often Misdiagnosed as Pathology |
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| Recommended Reading The Oral Systemic Connection: A Collaborative, Interdisciplinary Clinical Companion for the Healthcare Provider. This book was written to provide a clinical chairside companion for healthcare providers. The oral lesions are presented in stages of development so that more than one clinical presentation of each disease or lesion is shown. This can be especially helpful when assessing stages of disease progression and provides clinical cases that are mild, moderate, or severe as well as how to treat these diseases. |
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Recent Publication from the CBDPP CDM HRSA Team: Orofacial Adverse Effects of Antiretroviral Therapy: Rationale for including dentists in medical team caring for HIV /AIDS patients. Jegede, A; Ahmed, Z; Ahluwalia, K. New York State Dental Journal; Vol. 83, Iss. 4, (Jun/Jul 2017): 10-11. TargetHIV IHIP (Integrating HIV Innovative Practices): IHIP includes implementation tools and resources, peer-to-peer technical assistance, and other capacity building support to help providers address needs and gaps in the delivery of HIV care and treatment along the HIV Care Continuum. User-friendly resources—including intervention guides, videos, fact sheets, and TA webinar recordings—will help you use and replicate innovative approaches to improve and expand the delivery of HIV care to your priority populations. TargetHIV BPC (Best Practices Portal): Providers can use the Best Practices Compilation to (1) Search for approaches that may work for their organization. (2) Share what works in their agency to improve the lives of their clients. (3) Nominate innovative programs to help the Compilation grow. Summaries of IPE standards
Accreditation Council for Graduate Medical Education (ACGME) |
Topics Covered in Future Distributions |
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Contributing Authors
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Contributors
The CDM Team would like to thank the following individuals and organizations for their efforts, support, and contributions to this Guide:
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References |
| The Office of the Professions is where to go to look up information for the field of dentistry or other oral healthcare providers licensed in NYS (Dental Hygienists and Registered Dental Assistants). You can find information on continuing education requirements, confirm which continuing education courses are required or mandatory to maintain licensure and how many hours of CE each profession need to complete yearly. It is run by the New York State Education Department. OSAP is now the Association for Dental Safety (ADS). They provide continuing education on the topic of safety in the dental office as well as provide access to education on dental infection prevention and patient safety. You can also watch the video “If Saliva was Red”, a video all health care providers should be familiar with. The Centers for Disease Control and Prevention (CDC) Division of Oral Health provides easy to access information about dental sealants, tooth decay, water fluoridation, gum disease, tooth loss and oral cancer. There are oral health tips for treating children as well as adults, and have links to information on Chronic Disease Indicators, and you can also access data for indicators from the National Oral Health Surveillance System (NOHSS) National Institute for Occupational Safety and Health (NIOSH) is part of the U.S. Centers for Disease Control and Prevention (CDC), in the U.S. Department of Health and Human Services (HHS). It has the mandate to assure “every man and woman in the Nation safe and healthful working conditions and to preserve our human resources.” NIOSH has information on working conditions for dentistry, needlesticks and respirators. Occupational Safety and Health Administration (OSHA) 1) https://www.osha.gov/dentistry The Occupational Safety and Health Act of 1970 (OSHAct) was passed to prevent workers from being killed or seriously harmed at work. The law requires that employers provide their employees with working conditions that are free of known dangers. The Act created the Occupational Safety and Health Administration (OSHA), which sets and enforces protective workplace safety and health standards. OSHA also provides information, training, and assistance to workers and employers. 2) https://www.cdc.gov/dental-infection-control/hcp/?CDC_AAref_Val=https://www.cdc.gov/oralhealth/infectioncontrol/index.html |
Disclaimer |
| Funding for this email distribution was made possible by Grant #H65HA00014 from the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) with zero percent financed with nongovernmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by the College of Dental Medicine, Columbia University, HRSA, HHS or the U.S. Government. The College of Dental Medicine does not approve or endorse individual contributors. |