ArticleJournal of general internal medicine2012
Factors affecting clinician educator encouragement of routine HIV testing among trainees.
Article in Journal of general internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Medical educators' perspectives on the barriers and enablers of teaching public health in the undergraduate medical schools: a systematic review.Global health action · 2022Pooled it
- A Cross-sectional Survey of Internal Medicine Resident Knowledge, Attitudes, Behaviors, and Experiences Regarding Pre-Exposure Prophylaxis for HIV Infection.Journal of general internal medicine · 2019Article
- Why Physicians Don't Ask: Interpersonal and Intrapersonal Barriers to HIV Testing-Making a Case for a Patient-Initiated Campaign.Journal of the International Association of Providers of AIDS Care · 2016Article
- An overview of recent evidence on barriers and facilitators to HIV testing.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2015Article
- Article
- Mitigating HIV health disparities: the promise of mobile health for a patient-initiated solution.American journal of public health · 2014Article
- Guideline-concordant management of opioid therapy among human immunodeficiency virus (HIV)-infected and uninfected veterans.The journal of pain · 2014Article
- Pediatric primary care provider practices, knowledge, and attitudes of human immunodeficiency virus screening among adolescents.The Journal of pediatrics · 2013Article
- Physician barriers to successful implementation of US Preventive Services Task Force routine HIV testing recommendations.Journal of the International Association of Providers of AIDS CareReview
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundAdoption of CDC recommendations for routine, voluntary HIV screening of all Americans age 13–64 years has been slow. One method to increase adherence to clinical practice guidelines is through medical school and residency training.
objectiveTo explore the attitudes, barriers, and behaviors of clinician educators (CEs) regarding advocating routine HIV testing to their trainees. DESIGN/
participantsWe analyzed CE responses to a 2009 survey of Society of General Internal Medicine members from community, VA, and university-affiliated clinics regarding HIV testing practices. MAIN MEASURES: Clinician educators were asked about their outpatient practices, knowledge and attitudes regarding the revised CDC recommendations and whether they encouraged trainees to perform routine HIV testing. Associations between HIV testing knowledge and attitudes and encouraging trainees to perform routine HIV testing were estimated using bivariate and multivariable logistic regression.
resultsOf 515 respondents, 367 (71.3%) indicated they supervised trainees in an outpatient general internal medicine clinic. These CEs demonstrated suboptimal knowledge of CDC guidelines and over a third reported continued risk-based testing. Among CEs, 196 (53.4%) reported that they encourage trainees to perform routine HIV testing. Higher knowledge scores (aOR 5.10 (2.16, 12.0)) and more positive attitudes toward testing (aOR 8.83 (4.21, 18.5)) were independently associated with encouraging trainees to screen for HIV. Reasons for not encouraging trainees to screen included perceived low local prevalence (37.2%), competing teaching priorities (34.6%), and a busy clinic environment (34.0%).
conclusionsClinician educators have a special role in the dissemination of the CDC recommendations as they impact the knowledge and attitudes of newly practicing physicians. Despite awareness of CDC recommendations, many CEs do not recommend universal HIV testing to trainees. Interventions that improve faculty knowledge of HIV testing recommendations and address barriers in resident clinics may enhance adoption of routine HIV testing.
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