KEMRI FACES building

Tuesday, May 1, 2007

rotation projects

[last updated 2007 Aug 9 by sophy]

Possible rotation CME topics and projects as requested by FACES staff (but always check in with the Google Live Docs CME/journal club list and FACES staff to make sure someone hasn't already done the one you're interested in!)

Rotation Projects and Topics of Interest

-compiled by FACES staff, last updated May 07-


-Change of ART regimen: Chart audit of the patients with change of ART regimen and document the reasons for ART change

-Death data- chart audit of patients who have died to document the CD4 count, WHO stage, reason for death , if they had been o ART and time to death after initiation of ART

-Structured observations of clinic visits to assess how prevention messages are incorporated in to the clinic visit based on what we think is our “Prevention with positives” package

-Development/ review of Paramedical staff curriculum

-Development of adherence counseling manual (expand on current SOP with more details)

-HIV education manual (expand on current SOP with more details)

-Tools for evaluation paramedical model (once indicators have been determined)

Default rates (and change over time as follow-up systems are put in place)

- Revision of site assessment tools

- Compilation of Desk job aid


-Mantoux test- current evidence on and recommendations of its value in diagnosis of TB

-What persons actually understand about taking meds when they leave clinic


-Clinic algorithms for common symptoms with broad differential diagnosis- goal would be to develop reasonable algorithm for differentiating and identifying and treating likely illness by history, exam and available investigations and medications.


E.g.-Chronic cough

-Persistent fever

-Persistent diarrhea

-Jaundice

-Hepatospenomegaly

Clinical mentoring on targeted history and exam based on common symptoms e.g. weakness, shorteness of breath, etc.

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