As well as auditing testing rates, it is helpful to know whether HIV infections are actually being missed in your practice. The HIV specialist service could be asked to inform you if they ever see anyone with recently diagnosed HIV infection who has presented to your service within the last two to three years without being offered an HIV test.
On a broader scale, an exercise could be organised with other local dermatovenereologists, perhaps through the specialist association, and the HIV specialist service, whereby HIV case notes are reviewed over a fixed period of time for missed diagnoses in dermatology and venereology. The findings could be used to make improvements in the local area, for example by running educational sessions, revising local procedures, or developing new local standards.
You may wish to encourage colleagues in dermatology and venereology to increase HIV testing and help them improve their diagnostic skills in relation to HIV. The case histories in this resource are formatted in a way that makes them easy to share as part of a presentation. Alternatively, presenting case histories from your own practice might have the most impact.