Enhanced Skills Program: OHTN HIV Care - HIV Hospice Setting Rotation Goals and Objectives





In addition to maintaining and fostering all key and enabling competencies in family medicine, as set out by the College of Family Physicians of Canada, the completion of the rotation in Casey House will enable acquisition of the following competencies in each of the following domains.


Medical Expert

At the end of the fellowship the resident will be able to:

  1. Perform a complete consultation, assessing all parameters relevant for an HIV/AIDS inpatient
  2. Demonstrate a comprehensive understanding and ability to manage common medications used for HIV/AIDS
  3. Demonstrate knowledge of the assessment and management of patients with advanced HIV/AIDS including management of opportunistic infections as well as the complications of aging and other comorbidities
  4. Manage symptoms and issues arising in palliation with HIV/AIDS including hydration and nutrition, pain management and intractable symptoms
  5. Identify issues in HIV/AIDS care relevant to different cultures, faiths and traditions
  6. Manage common HIV-associated malignancies
  7. Demonstrate skill in managing substance use and mental health issues in HIV/AIDS patients admitted to a hospice setting



At the end of the fellowship the resident will be able to:

    • Exhibit effective communication skills, including verbal and written presentation of patient consultations with the respectful and culturally sensitive use of language
    • Demonstrate sensitivity in determining the constitution of the patient’s family and/or other main social supports, communicate well with the patient’s supports and encourage their involvement in shared decision making when appropriate



At the end of the fellowship the resident will be able to:

  • Demonstrate an understanding of the roles and specific expertise of the HIV primary care provider and other providers in the care of the HIV positive patient in a hospice setting
  • Participate in the inter-professional care of patients, including family conferences, team meetings, rounds and discharge planning
  • Demonstrate an understanding of team function and methods to resolve conflicts within teams
  • Demonstrate an understanding of available community services in Toronto and Ontario and appropriately refer patients for community care



At the end of the fellowship the resident will be able to:

  • Manage time in order to balance the demands of practice requirements as well as non-clinical activities and personal life
  • Describe the spectrum of HIV/AIDS care delivery and their utilization
  • Demonstrate effective use of resources across the healthcare system and demonstrate awareness of the just allocation of healthcare resources
  • Describe the principles behind quality assessment and improvement initiatives


Health Advocate

At the end of the fellowship the resident will be able to:

  • Advocate for the biopsychosocial needs of patients and their families within the healthcare system and community  



At the end of the fellowship the resident will be able to:

  • Apply lifelong self-directed learning skills to keep up-to-date on advancements in HIV care
  • Appropriately apply evidence-based approaches and knowledge of the current HIV literature to inform clinical decision-making
  • Critically appraise medical information and successfully integrate information from a variety of sources



At the end of the fellowship the resident will be able to:

  • Identify and appropriately respond to unique ethical issues arising in the care of the HIV positive patient
  • Respect personal/professional boundaries with patients, residents, and faculty
  • Demonstrate insight into his/her limitations and respond appropriately to constructive feedback