HIV Consult Service

The HIV curriculum and educational experience is a cornerstone of our fellowship in which fellows have broad and in-depth exposure to the vast field of HIV and graduate with a high level of clinical proficiency. Los Angeles County is a national geographic hot spot of the HIV endemic in which disparities across the population disproportionately affects patients that receive their care at Harbor-UCLA 

Fellows rotate 25% of their fellowship on the HIV/Immunocompromised Inpatient Team consulting on all patients with known or newly diagnosed HIV. Our fellows have extensive exposure to the diagnosis and management of HIV, HIV prophylaxis (PrEP & PEP), HIV related opportunistic infections and AIDS-related malignancies in addition to common complications of antiretroviral therapy and immune reconstitution syndrome.  Linkage and retention to our Positive Care Clinic is easy and strongly supported by a multidisciplinary team of social and case workers.

Each fellow attends a half-day HIV continuity clinic and assumes the role as the primary provider for a panel of patients with HIV, compiled predominantly by patients initially seen while the fellow was rotating on the inpatient service. Fellows taking care of patients with HIV at Harbor-UCLA have a unique patient-physician longitudinal experience that truly impacts a patient’s life from a near-death defining AIDS defining illness as their inpatient consultant to seeing a robust immune recovery, building a trusted relationship, and tackling barriers of health and comorbid conditions as routine outpatient care.  The Harbor-UCLA Positive Care Clinic provides care to around 1000 persons with HIV.  The clinic boasts a robust multidisciplinary team that includes nurse practioners, dedicated nursing support, case managers, social work, in addition to access to DHS financial, legal, nutrition, and mental health support.

The faculty in the Division of HIV are all excellent clinicians highly invested in fellow education and improving the care provided to persons with HIV. They provide a cumulative of decades of hands-on experiences and share both guideline-based and historical management of disease but also the importance of the bedside art of medicine. Faculty members are in leadership roles optimizing care to outpatients throughout LA County for HIV and PrEP, part of the NIH guideline committee  for management of HIV and opportunistic infections, involved in, and prior, innumerable HIV clinical studies and ongoing prospective cohorts, and attend their own HIV clinics.

Meet our Faculty

A sample of the diversity of cases:

  • Disseminated histoplasmosis with HLH
  • Transverse myelitis due to acute HIV seroconversion
  • Transverse myelitis due to varicella-zoster
  • Reactivation chagas encephalitis
  • Disseminated histoplasmosis, CMV colitis, and DLBCL
  • CMV radiculitis and chorioretinitis
  • Anterior uveitis & Lues Maligna secondary to syphilis
  • CMV esophagitis
  • Pulmonary and CNS nocardia
  • Disseminated GI Kaposi’s sarcoma with protein wasting enteropathy
  • CNS toxoplasmosis…many
  • Progressive multifocal leukoencephalopathy
  • Acute HIV infection complicated by Guillain-Barre syndrome
  • Disseminated tuberculosis

Too numerous to count:

  • Pneumocystis pneumonia, cryptococcal meningitis, Kaposi’s sarcoma
We truly believe (of course with some bias!) that the HIV educational experience here at Harbor-UCLA is in the top tier of ID programs nationally.
Meet our Fellows