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Document 2155
DOCN M94A2155
TI Educating a national medical workforce in HIV/AIDS.
DT 9412
AU Stewart GJ; Dept of Clinical Immunology, Westmead Hospital, Sydney,;
Australia.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):369 (abstract no. PD0083). Unique
Identifier : AIDSLINE ICA10/94370420
AB Under the auspicies of the Australasian Society for HIV Medicine (ASHM)
and funded by the Australian Government, an ambitious mass education
programme for all Australian doctors was commenced in 1992. The first
goal was to reduce the rate of missed diagnoses of HIV infection
following clinical presentation. Twenty six articles and an editorial
were published in the Medical Journal of Australia from January to March
1993 and the contents bound into a full colour monograph entitled, Could
it be HIV?: The Clinical Recognition of HIV infection. This monograph
was distributed to all 43,000 practicing doctors in Australia and the
4,500 medical students in their clinical years. The monograph contains a
conceptual framework for understanding the spectrum and chronology of
HIV associated disease in addition to concise descriptions of each of
the organ based clinical features and practical advice on history
taking, decision making and pre and post test counselling. An article on
the legal liability of failure to diagnose created a great deal of
attention in the media. The contents are to be reinforced through a
nation-wide series of workshops supported by a slide kit covering the
major clinical photographs, figures, tables and the 36 case histories
that illustrate failure to diagnose. Diagnosis was targeted first since
all doctors have a responsibility to diagnose infection even though all
may not wish to provide care for HIV infected patients. This appeal to
professional responsibility avoids confrontation with prejudice. A
second phase is now in progress aimed at improving the national
workforces' skills in management of HIV associated disease and using the
same approach of publication in the national refereed journal followed
by production of a monograph, wide spread distribution and reinforcement
through workshops. Evaluation of this overall programme is in progress.
Lessons learnt from this programme are useful for other countries
concerned by the lack of knowledge within its medical workforce.
DE Acquired Immunodeficiency Syndrome/DIAGNOSIS Australia *Education,
Medical, Continuing Human HIV Infections/*DIAGNOSIS MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).