The AETC Program

1
The AETC Program

• The AIDS Education and Training Centers (AETCs)
  are the training component of the Ryan White
  Comprehensive AIDS Resources Emergency (CARE)
  Act.
• It is a network of regional and national centers
  that train health care providers in a variety of
  HIV care and treatment issues
• The goal of the AETCs is to increase the number
  of providers who are competent and willing to
  clinically manage HIV infected patients.

2
(No Transcript)
3
Priorities of the AETC Program

• Reach providers caring for minority and
  disproportionately affected populations
• Enhance the skills of direct health care
  providers-- physicians, physician assistants,
  nurses, pharmacists, and oral health
  professionals.
• Improve the quality of HIV/AIDS care delivered by
  providing clinical support and meeting the
  training needs of direct health care providers.
• Provide trainings and clinical consultation on
  the clinical management of HIV/AIDS, the use of
  HAART, and the management of co-morbidities.

4
Training Levels

• Each AETC offers a variety of training
  activities that include the following
• Level I Didactic presentations, introductions,
  and updates
• Level II Interactive, skills building training
• Level III Hands-on clinical training
• Level IV Educational clinical consultation
• Level V Technical assistance, capacity building
  and referral

5
Level I Didactic Presentations

• Training activities are primarily didactic
  presentations, but can also include panel
  discussions, self-instructional materials,
  journal clubs, teleconferences, etc.
• Participants are often passive learners, with
  programs varying in length from brief lectures to
  conferences.
• It is suggested that level I activities account
  for lt 20 percent of the total effort.

6
Level II Skills Building

• Training activities are primarily interactive.
• Skills-building events are characterized by
  active trainee participation.
• Interactive learning is achieved by
• the discussion of patient cases
• role play
• simulated patients
• train the trainer activities

7
Level III Hands-on Clinical Training

• Trainees are actively involved with actual
  clinical care experiences involving patients.
• Activities include the following
• preceptorships
• mini-residencies
• observation of clinical care at either the AETC
  training site or the trainees worksite

8
Level IV Educational Clinical Consultation

• Training activities consist of patient-specific
  clinical consultation provided to individual or
  groups of health care professionals.
• Training is initiated by
• chart review
• clinical quality assessment process
• the trainee having a patient-specific clinical
  question
• The following are characteristics of this level
  of training
• Interaction between two clinicians
• Information provided on state of the art clinical
  care
• Communication via telephone, electronic media, or
  in person

9
Level V Technical Assistance

• Events focus on technical assistance and capacity
  building at the organizational level.
• Trainings utilize a consultation style approach,
  which is either organizational or AETC-driven.
• Topics cover organizational or program structure
  issues.
• Information resources and guidance to improve HIV
  clinical service delivery and performance is
  provided.

10

Race/Ethnicity of Training Participants Across
All Levels (N57,218 unduplicated participants)
1,593 missing information Multi-Racial
Includes Anyone choosing Two or More of the 6
Racial/Ethnic categories.
11

Profession of AETC Training Participants (N58,811
unduplicated clients)
73 missing information. Nurses include
Advanced Practice Nurses, Nurse Practitioners,
and Registered Nurses.
12
Number of Participants Trained By Level FY2005
The number is duplicated because the same
individual may attend more than one training
throughout the year.
13
Number of Training Events By Level FY2005
14
Number of Training Hours By Level FY2005
15
Summary

• 64 of participants are direct health care
  providers.
• 66 of training participants received Level I or
  Level II trainings.
• 50 of training events are Levels III and IV
  (Clinical Trainings and Consultations).
• Even though only 2 of participants attended a
  Level III training, these trainings accounted for
  44 of all training hours.

16
Contact Information

• Jill J. Ashman, PhD.
• Health Resources and Services
• Administration
• HIV/AIDS Bureau
• Division of Science and Policy
• JAshman_at_HRSA.gov
• [phone]