The HIV Epidemic and Training in Internal Medicine
Sande, Merle A.
New England Journal of Medicine. 1989 Nov 9; 321(19): 1334-1338.
The authors outline the challenges that the human immunodeficiency virus (HIV) epidemic poses to medical education, and propose ways in which training programs in internal medicine can better incorporate and accommodate the disease. Cooke and Sande discuss the visible and hidden issues that affect trainees' attitudes toward caring for patients with HIV. They recommend that training programs clarify their own attitudes and policies involving care of these patients, that the impact of HIV on training be discussed openly with trainees, and that trainees be offered emotional and psychological support and assured of material help in cases of occupational exposure to or transmission of HIV infection. Cooke and Sande also recommend that clinical services be mixed to spare trainees unrelenting exposure only to acutely ill patients with HIV, and that trainees be helped through example to develop the virtues of compassion and empathy. (KIE abstract)
Aids; Attitudes; Caring; Compassion; Disease; Drug Abuse; Discrimination; Education; Empathy; Ethics; Health; Health Personnel; HIV Seropositivity; Homosexuals; Hospitals; Institutional Ethics; Institutional Policies; Insurance; Internal Medicine; Internship and Residency; Medical Education; Medical Ethics; Medicine; Occupational Exposure; Patient Care; Patients; Physicians; Psychological Stress; Residency; Social Discrimination; Values; Virtues;
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