HIV Education and Training

Clinical Education Initiative (HIV/Hepatitis C Center, Resource Center, STD Center of Excellence)

The Clinical Education Initiative (CEI) enhances the capacity of New York’s diverse health care workforce to deliver clinical services to improve health outcomes related to HIV, sexually transmitted diseases (STDs) and Hepatitis C (HCV). CEI provides both in-person and the latest distance learning and digital health technologies to:

  • provide progressive HIV, HCV, STD, and PEP/PrEP education to clinicians;
  • disseminate AIDS Institute clinical practice guidelines;
  • expand the base of providers able to diagnose and care for HIV, HCV and STD patients;  
  • foster partnerships between community-based providers and HIV, HCV and STD specialists.

CEI collaborates with the NY/NJ AIDS Education and Training Center (AETC), Physicians Research Network (PRN), American Conference for the Treatment of HIV (ACTHIV), and other educational organizations in order to maximize local resources and reach providers throughout New York State with an emphasis on keeping pace with advances in science, policy, program development and emerging strategies to improve health outcomes. Services and resources provided by CEI include:

  • CEI website  www.ceitraining.org – provides access to continuing and non-continuing education courses, overviews of popular topics, training, support, and other resources;
  • Statewide CEI Line (866-637-2342) - for access to case-based PEP/PrEP, STD, HIV and HCV educational consultation;
  • Mobile website;
  • Apps for Android, iPad, iPhone, and iPod devices;
  • Interactive case simulation tools;
  • QR code feature.

CEI has three Centers of Excellence

HIV/Hepatitis C Center – Mount Sinai at St Luke’s Roosevelt Hospital

The HIV/HCV Center develops continuing education accredited curricula and clinical education interventions relating to HIV, HIV/HCV co-infection and HCV mono-infection.  Each curriculum and intervention is created with input obtained from HIV and HCV care providers through ongoing clinical education needs assessments.

This Center delivers a mix of in-person and distance learning clinical education programs (including tele-consulting, webinar, webcasting, digital health and other emerging distance education technologies) to ensure access to clinical expertise and training in all areas of the state, with a focus on areas designated as Health Provider Shortage Areas (HPSAs), rural areas and other areas where HIV or HCV providers are in short supply. 

The HIV/HCV Center also houses the statewide CEI Line (866-637-2342) which provides access to case-based PEP/PrEP, STD, HIV and HCV educational consultation. 

STD Center of Excellence – University of Rochester

The STD Center develops curricula and clinical education interventions relating to STDs. Each curriculum and intervention is created with input obtained from STD care providers through ongoing clinical education needs assessments.

In order to ensure access to clinical expertise and training in all areas of the state, the STD Center delivers both in-person clinical education opportunities (which include intensive clinical preceptorships, an annual statewide STD conference and regional conferences) as well as distance learning opportunities (which include tele-consulting, webinars, webcasting, digital health and other emerging distance education technologies). Through this combined approach the STD Center is able to reach areas that are designated as Health Provider Shortage Areas (HPSAs), rural areas and other areas where STD treatment providers are in short supply. 

Working in conjunction with the HIV/HCV Center, the STD Center also provides case-based educational consultation on STD clinical care with the CEI Line (866-637-2342). 

Resource Center for Excellence – University of Rochester

The Resource Center enables CEI to employ the latest distance learning and tele-consulting technologies by staying abreast of the latest developments in distance learning modalities, adapting to ever changing platforms, and leading CEI into new technologies. The Resource Center also maintains the www.ceitraining.org website and all CEI digital technology tools, provides an on-line registration system, manages requests for training, maintains a provider database and also maintains an electronic reporting system to track clinical education activities. 

For more information:

Contact:

Cheryl Smith, MD
Clinical Education Initiative Medical Director
(212) 417-4513
cheryl.smith@health.ny.gov

Back to top of page

HIV/STI/Viral Hepatitis Training Services

Non-physician health and human services providers require ongoing training to provide effective prevention, screening, care and support services for HIV, sexually transmitted infection (STI) and viral hepatitis. HIV Education and Training Programs, within the AIDS Institute's Office of the Medical Director, implements three distinct training initiatives to meet these needs. Overall, these initiatives offer more than 350 training events annually in more than 100 different training courses.  These programs reach approximately 15,000 health and human services providers each year.  Emphasis is placed on keeping pace with advances in science, policy, program development and emerging strategies to improve health outcomes.  A growing number of trainings are available via webinar and other on-line formats. Select courses are approved for Office of Alcoholism and Substance Abuse Services (OASAS) credentialing towards the education and training requirements for renewal of CASAC/CPP/CPS certification.

The latest HIV/STI/viral hepatitis training information is always available at: www.hivtrainingny.org

Specific training initiatives in New York State (NYS) include:

  • Regional Training Centers
  • Centers of Expertise
  • Peer Certification

Regional Training Centers

Regional Training Centers in each area of the state offer a variety of trainings on HIV, STIs, and viral hepatitis that cover core prevention, testing and health care topics that include: HIV testing; integrated HIV/HCV rapid screening; HIV/HCV co-infection; access to healthcare coverage; critical social issues related to HIV, STIs and viral hepatitis; harm reduction; cultural competency and informational updates.  Based on regional demand and on-going needs assessments, training centers offer courses from a menu of more than 60 different trainings.  Each training center regularly offers job-specific training for staff that serve as certified Peer Workers, outreach workers, disease prevention specialists, case managers, social workers and other health and human service providers.  Regional training centers are uniquely poised to provide training about new state regulations that affect HIV, STIs, and viral hepatitis services.  

Centers of Expertise

To ensure the availability of advanced, state-of-the-art training in certain specialized topic areas, the AIDS Institute has established the Training Centers of Expertise in the following areas:

  • Drug User Health and Opioid Overdose Prevention
  • Hepatitis C and HIV/Hepatitis C Co-Infection
  • Promoting Sexual Health, HIV/STI/Hepatitis C Health Care and Secondary Prevention for Gay Men, MSM and Transgender Individuals
  • Trauma-Informed Care
  • Legal Issues
  • On-Line Training

Each Center of Expertise is responsible for offering trainings statewide.  Centers of Expertise possess demonstrated knowledge and experience in a specific topic area.  They are charged with translating the latest findings in research and practice into skills-building trainings to further the capacity of health and human services providers to deliver prevention, screening, care and support services to persons living with or at risk for HIV, STIs, and/or viral hepatitis. 

Centers of Expertise in Drug User Health and Opioid Overdose Prevention

The Centers of Expertise in Drug User Health and Opioid Overdose Prevention provides a range of training interventions designed to: 1.) promote drug user health, especially among those living with chronic HIV or HCV; and 2.) build capacity of a wide range of health, social service and first responder agencies to educate communities about opioid overdose prevention and respond to cases of suspected opioid overdose.

A large array of training topics are offered, including but not limited to: improving access to and participation in health care for people who use drugs (PWUD); linkage and retention in care and treatment adherence for PWUD living with HIV/HCV; co-occurring substance use and mental health issues; quality of life and pain management for PWUD; engaging young people who inject drugs in screening, prevention and health care; club drugs, sexual harm reduction and early screening and treatment of HIV/STDs; and other emerging topics in substance use.

Center of Expertise in Hepatitis C and HIV/Hepatitis C Co-Infection

Over the last several years, there have been significant advances in screening, treatment and important developments in policy issues related to Hepatitis C.  The Center of Expertise in Hepatitis C and HIV/Hepatitis C Co-Infection offers a range of training interventions designed to prepare non-physician health and human services providers to deliver HCV prevention services, conduct outreach, conduct screening via rapid and conventional testing methods, facilitate support groups, link patients with chronic infection to health care; provide an array of support services and work with clients who have HIV/HCV co-infection.  Trainings offered include topics such as: HCV screening and linkage to care; integrated HIV/STI/Hepatitis Screening; new developments in treatment; addressing substance use and mental health issues; working with young injectors; and a host of issues related to HIV/HCV co-infection. 

Center of Expertise in Promoting Sexual Health, HIV/STI/Hepatitis C Health Care and Secondary Prevention for Gay Men, MSM and Transgender Individuals

NYS epidemiological data indicates that men who have sex with men (MSM) represent the largest number of persons living with HIV/AIDS in NYS. MSM comprise approximately one half of all new HIV diagnoses, with young MSM being disproportionately affected. Furthermore, Gay men and MSM are also disproportionately impacted by STIs.  The Center of Expertise in Promoting Sexual Health, HIV/STI/Hepatitis C Health Care and Secondary Prevention for Gay Men, MSM and Transgender Individuals provides a range of training interventions designed to prepare non-physician health and human services providers to work with gay men, MSM and transgender individuals to: promote sexual health; encourage HIV/STI/ hepatitis C screening; address barriers to health care and treatment adherence; and promote secondary prevention with a focus on avoiding transmission of HIV to sexual or needle sharing partners. 

Center for Trauma-Informed Care

To prevent new HIV infections and link/retain all people with HIV in care, providers must have the capacity to engage the most vulnerable individuals, many of whom have significant experiences of trauma. The Center of Expertise in Trauma-Informed Care offers training, and online continuing education in Trauma-Informed Care (TIC).  This is an approach that shifts health and human services provider’s attitudes about, and interactions with clients, from “what’s wrong with you?” to “what’s happened to you?” Trainings offered include a peer-specific course on providing trauma-informed services and self-care; and a 6-month agency capacity building initiative to help organizations become more trauma-Informed by making specific service and administrative-level modifications to be responsive to both the needs and strengths of those with a trauma history.

Center of Expertise in Legal Training & Technical Assistance

Efforts to address legal issues including discrimination and stigma have been a critical component of New York’s response to HIV/AIDS since early in the epidemic.  The Center of Expertise in Legal Issues offers a range of training interventions designed to keep health and human services providers abreast of current and emerging state and federal regulations that impact the provision of HIV/STI/Viral hepatitis services and the lives of people living with or affected by these public health conditions. Trainings are available on topics including: antidiscrimination laws; confidentiality of health, substance use and mental health records; Employment rights and issues for persons with a history of incarceration; access to Medicare, Medicaid, ADAP and other Health Insurance Programs;  eligibility and complaint procedures related to the full range of government entitlements; housing access, discrimination and tenant’s rights; adolescent’s ability to consent to HIV/STI testing, family planning and a range health care services; and legal issues and considerations regarding aging and end of life.

Peer Certification

In response to recommendations included in the “Blueprint to End the AIDS Epidemic in NYS”, HIV Education and Training Programs has developed an initiative to offer a formal NYS certification to Peer Workers who meet certain standards.  The initiative is comprised of three tracts: a track for HIV Peer Workers; HCV Peer Workers and Harm Reduction Peer Workers. The certification process recognizes the growing body of research that demonstrates that patient health outcomes improve when a Peer Worker is involved in the care team.  Peer Workers with “shared lived experience” in common with patients are in a unique position to engage, communicate and share successful strategies for promoting wellness.  In order to be eligible for certification, a Peer Worker must have the lived experience of HIV, HCV or accessing harm reduction services, complete 90 hours of training, pass a case-based knowledge test, successfully complete a 500-hour practicum and agree to follow the NYS AIDS Institute Peer Worker Code of Ethics. A formal Peer Certification Review Board has been convened to review applications from Peer Workers and the certificate is awarded by SUNY Stony Brook. The bulk of the training required for certification are offered by HIV Education and Training Programs’ Regional Training Centers and Training Centers of Expertise.

Center of Expertise in On-Line Training

Given the rapid development of distance learning technologies, the popularity of webinars and digital learning tools and funding restrictions that limit the ability of health and human services providers to travel for trainings, the Center of Expertise in On-Line Training provides essential services to increase the capacity of AIDS Institute training programs by offering trainings via distance learning formats.

Contact:

Richard Cotroneo, MA
Director, HIV Education and Training Programs
Office of the Medical Director
(518) 474-3045
richard.cotroneo@health.ny.gov

Back to top of page

People Living with HIV/AIDS Leadership Training Institute (LTI)

The Leadership Training Institute (LTI) provides training to People Living with HIV/AIDS (PLWHA) in the areas of foundational skills-building, empowerment, motivation, HIV health care, health care advocacy, hepatitis C treatment, and peer-delivered harm reduction services.  The goal of this project is to provide an opportunity for individuals to achieve a level of understanding and mastery of their own health needs, treatment and psycho‐social support. These trainings ensure that participants understand the key components of their own health care and can address ongoing issues related to recovery, treatment adherence and behavioral health, while navigating a complex health care system. Completion of foundational training affords participants an opportunity to “do their own work” to promote personal wellness as a precursor to being able to take on a formal role to assist others.

Trainings are provided over 10 days, broken in three parts: “Self-Management of Chronic Conditions” (part one - 3 days), “Knowledge and Application of HIV, Hep C & Harm Reduction” (part two - 3 days), and “Transitioning from Peer to Employee” (part three - 4 days.) 

To assist participants in sustaining the breadth of information disseminated during LTI’s multi-level Foundational Training Series, each participant who completes the training is offered and matched with an LTI peer mentor. Participants are also expected to participate in program follow-up activities with mentors for six-months following completion of the initial 3-day training.  LTI mentors coach participants on utilizing their knowledge and skills to access health care services, building strong relationships with health care providers, planning and achieving health care related goals, advocating for their own care, and maintaining adherence to treatment and/or treatment regimens.  After the six-month mentoring period, graduates are encouraged to consider earning their AIDS Institute Peer Certification and joining consumer advisory bodies or quality improvement teams/committees where they receive health care and/or supportive services.

Overall participant satisfaction with the Foundational Training Series has been extremely positive.

For additional information:  http://lti.caiglobal.org

Contact:

Mary Beth Vannucci
LTI Contract Manager
Office of Planning and Community Affairs
Executive Office
(518) 473-2903
(877) 874-0776 (toll-free)
marybeth.vannucci@health.ny.gov

Back to top of page

New York State STD/HIV Prevention Training Center

The New York State STD/HIV Prevention Training Center (NYS PTC) is one of three training centers funded nationally by the Centers for Disease Control and Prevention (CDC) under the Disease Intervention Services Training Center (DISTC) Collaborative (2014-2019).  The DISTC delivers both nationally standardized intensive Partner Services training (e.g., Passport to Partner Services, Field Safety training), as well as disease intervention specialist workforce assessment, development, and evaluation. New DISTC initiatives include public health detailing, cross training for public health response/outbreaks, and expanded roles for disease intervention specialists in linkage to care. NYS PTC DISTC is housed within the Bureau of STD Prevention and Epidemiology.

Website:  nysptc.org
Website:  distc.org

Contact:

Sue Anne Payette
Disease Intervention Services Training Center (DISTC) Manager
NYS STD/HIV Prevention Training Center
Bureau of Sexual Health & Epidemiology
(518) 474-1692
Sueanne.payette@health.ny.gov

Back to top of page

Northeast Caribbean AETC Oral Health Regional Resource Center

The New York State Department of Health AIDS Institute recognizes the importance of oral health care delivery as an integral component of quality HIV primary care.  In addition, the AIDS Institute is under contract with the Northeast Caribbean AIDS Education and Training Center (NECAETC), www.nynjaetc.org as the Oral Health Regional Resource Center (RRC).  To address the varied needs and services associated with dental care, the AIDS Institute offers the following:

Clinical Practice Guidelines 

Oral Health Care for People with HIV Infection.  These guidelines are intended to provide dentists and other primary care team members with important clinical information to address the oral health needs of HIV patients in a multidisciplinary manner. 

Educational Presentations

The NECAETC RRC offers specialized trainings in HIV oral health care to meet specific agency and individual needs of dentists, dental hygienists, dental assistants and primary care clinicians while providing professional development credits.  Training is available in a variety of formats ranging from didactic presentations to case presentations, clinical consultations and customized preceptorships.  Available educational modules include but are not limited to the following:

  • diagnosis and management of oral lesions;
  • post-exposure prophylaxis and accident prevention;
  • legal and ethical dental issues; and
  • dental treatment modifications for HIV-infected patients.

HIVOral Health Resource Directory

This resource, organized by region and borough, is intended as a referral tool for providers and individuals seeking oral health services.

Technical Assistance

Technical assistance is available to oral health providers and administrators to assist in the development of new or expanded dental services, including HIV testing in the dental chair, responsive to the needs of HIV-infected persons.

Clinical Performance Quality Indicators

The Oral Health Guidelines Committee has developed quality of care performance indicators for HIV health care facilities that provide dental services.

For more information:

Contact:
Laura O’Shea
Syracuse Regional Office
Phone: (315) 477-8124
laura.oshea@health.ny.gov