Training goals: I plan to offer residents in Nnewi Nigeria relevant experience in evaluating and managing ambulatory HIV seropositive (HIV+) pregnant patients at all stages of infectious disease. This experience is currently lacking among the 08/GYN residents training in Nnewi, despite the high burden of HIV disease among pregnant women in Nnewi. Resident responsibilities will include the management of patients discharged from the hospital following an acute opportunistic infection, malignancy, or other HIV-associated complication, patients with recently diagnosed HIV infection initiating therapy, and managing patients with well controlled HIV infection. An important goal of this experience will be for Residents to establish a continuity of care for a cohort of HIV+ patients through a regular and focused interaction with these individuals. The Residents will also acquire experience in considering ethical issues related to HIV infection and AIDS (e.g., confidentiality I HIV disclosure/ partner notification issues, hospice options, conservatorships, and specific non- resuscitation orders). These goals are designed to be consistent with the six competencies outlined by the RRC/ACGME.

Nnamdi Azikiwe University Teaching Hospital | Nnewi, Nigeria.