@article{87dfbd148cc1456aa0c735322295c810,
title = "Development of The Johns Hopkins University School of Nursing Adult/Geriatric Primary Care Nurse Practitioner Program in HIV Prevention, Treatment, and Care",
abstract = "In response to the call to create an AIDS Education and Training Center for Nurse Practitioner Education by the Health Resources and Services Administration, The Johns Hopkins University School of Nursing embarked on a transformative curriculum overhaul to integrate HIV prevention, treatment, and care into the Adult/Geriatric Nurse Practitioner Program. A six-step process outlined in the Curriculum Development for Medical Education was followed. A pilot cohort of Adult/Geriatric Nurse Practitioner students were enrolled, including 50% primary care setting and 50% HIV-focused primary care through a 12-month HIV continuity clinic experience. Through this pilot, substantive changes to the program were adopted. Programmatic outcomes were not compromised with the modification in clinical hours. The model of a 12-month HIV continuity clinical experience reduced the number of required preceptors. This model has important implications for the HIV workforce by demonstrating successful integration of HIV and primary care training for nurse practitioners.",
keywords = "HIV, Nurse practitioner, Primary care, Workforce",
author = "Farley, {Jason E.} and Jennifer Stewart and Joan Kub and Carolyn Cumpsty-Fowler and Kelly Lowensen and Kathleen Becker",
note = "Funding Information: While the pilot evaluation of our program resulted in significant curriculum improvements, the pilot group was limited, including only four students. We were not able to directly measure patient satisfaction and/or perceived cultural competence within the continuity clinical sessions. This would have provided greater understanding of the progam's ability to facilitate these aspects of care, both of which are associated with engagement and retention in care. Our program included financial support of 5% effort for participating preceptors as a result of grant funding. While costs may vary, our standard allocation for 5% effort on a median salary of $102,500 including necessary fringe benefits of 34.5% (total salary + benefits of $137,863) would be $6,933.13 per preceptor per year, based on the current preceptor salary mix. Once funding is no longer available, the costs of preceptor participation may not be sustainable and the program will likely have to pass these costs on to students. The program reduced the required number of clinical preceptors, thereby decreasing the effort of the program to obtain these vital human resources, which may help offset student costs associated with the program in the future. Importantly, there were no additional costs in this model associated with the required elective didactic coursework. Publisher Copyright: {\textcopyright} 2016 The Authors.",
year = "2016",
month = may,
day = "1",
doi = "10.1016/j.jana.2015.12.006",
language = "English (US)",
volume = "27",
pages = "223--233",
journal = "Journal of the Association of Nurses in AIDS Care",
issn = "1055-3290",
publisher = "Elsevier USA",
number = "3",
}