The Institute For Advanced Medicine Dental Clinics provides quality dental care for HIV+ patients. The goal when training residents is to teach them how to confidently treat HIV+ patients. Each resident rotates approximately four weeks at our clinic. During their rotation, they review cases, discuss medical issues relating to the care of their patients and advances in HIV care, the residents observe how we interact with patients, and they help treat some patients. This crucial exposure to HIV+ patients has helped young residents gain confidence and experience in treating medically compromised patients. Dental services are delivered at the two of the Institute for Advanced Medicine (IAM) outpatient clinics, The Morningside Clinic at St. Luke’s Hospital , The Samuels Clinic at Roosevelt Hospital. IAM serve HIV-infected persons in Midtown West, Upper West Side and Washington Heights- Inwood neighborhoods as well as Lower East Side of Manhattan who do not access routine HIV oral health care on a consistent basis or at all. The IAM offers a full range of oral health services and is complemented by an extensive community outreach program. he key program elements are: 1. Comprehensive oral health services to HIV-positive persons, including education and prevention services, targeting neighborhoods where there is high HIV prevalence 2. Outreach and marketing to providers, patients and the broader community 3. Community education and prevention services 4. Linkage to HIV primary care and psychosocial support services 5.Program evaluation and quality management There are several Ryan White recipient programs in NYC, but many do not offer the full continuum of collocated care available at the IAM, and few of them provide access to dental care. Ryan White recipients in the community include the Asian & Pacific Islander Coalition, serving the Asian Pacific Islander community, Callen Lorde Community Health Center, targeting the LGBT community, and Care
for the Homeless and Project Renewal, targeting the homeless, and the William F. Ryan Community Health Center, the AIDS Service Center of New York, African Services Committee, and Harlem United. While most of these organizations offer access to primary care, some are limited in terms of capacity and breadth of services. The IAM maintains both formal and informal relationships with all of these organizations in order to ensure linkages to care across agencies and programs. IAM has a collaborative relationship with Mount Sinai Hospital dental residency program. The Director of Dentistry and her team provide continuing education to the post-doctoral residents. Training is offered on identifying and treating unique oral lesions specific to HIV-positive patients, and managing adverse side effects of ARVs in the oral cavity. Our relationship with our residency program is reciprocal: IAM dentists send patients to hospital residents that need complicated maxioilofacial surgical procedures. We also have a preceptorship program through the AIDS Education and Training Center in which practicing General Dentists receive on-site training to enhance their skills in working with HIV-positive individuals.