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Featured Trainer: Roberto Andrade, MD

Date of Report: 06/2010
Source: Texas/Oklahoma AETC

Roberto Andrade, MD

Roberto Andrade, MD is an Assistant Professor in the Department of Medicine, Section of Infectious Diseases, at Baylor College of Medicine and has served as the Clinical Director of the Texas/Oklahoma AIDS Education and Training Center Local Performance Site for the past six years in Houston, Texas. Originally from Ecuador, Dr. Andrade has worked extensively in HIV primary care, bringing years of experience in the treatment of infectious diseases, with expertise in the area of sexually transmitted diseases. He currently supervises the clinical training of Residents and HIV Fellows at Thomas Street Health Center, which provides HIV primary care to 4,784 persons living with HIV/AIDS (PLWHA) in Harris County. Concurrently, he has developed and provided oversight of the AETC annual HIV/AIDS update for Houston clinicians as well as the comprehensive preceptorship program for primary care clinicians serving PLWHA.

Dr. Andrade has been the recipient of many awards including the Fulbright and Gasworks L.L.P. Faculty Excellence Award (F&J) in Educational Leadership and devotes a portion of his time developing and participating in HIV research. Dr. Andrade has presented abstracts on a variety of HIV-related topics, including common challenges in antiretroviral therapy and STD co-infection at national and international conferences. More recently, he served as the course director of the first Syphilis-HIV symposium congregating nationally recognized health care authorities, providers, and educators in Houston, Texas.

Dr. Andrade's Top Five Strategies for Training New Providers
dot RECOMMEND that new providers complete an "HIV 101" course to obtain a basic overview of the medical management of an HIV infected patient.
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dot REGISTER new providers for a one-on-one full day of shadowing with an HIVexperienced clinician. This should include learning how to interview a new client, how to assess adherence, and how to approach complications in HIV-experienced patients.
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dot FAMILIARIZE new providers with the multidisciplinary aspects of treating HIV-infected patients, including a basic knowledge of psychiatric illnesses (most typically, depression), pain management and substance abuse.
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dot CONSIDER (strongly) a medical school-affiliated HIV fellowship (most are 12 months duration). It is considered a subspecialty after completing Infectious Diseases training. Some family practitioners (Family Medicine and Internal medicine physicians) have completed this training and have become HIV expert leaders in their community.
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dot UPDATE yourself regularly with on-line courses and/or live conferences (IAS, CROI, CCO); the rapid dynamics of HIV require staying abreast of the latest research, and rapidly evolving treatment guidelines.
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