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HIV-Prevention Barriers and Solutions for an African-American Transgender Woman

HIV-Prevention Barriers and Solutions for an African-American Transgender Woman


Patient Case Study

Time to Complete

30 minutes


June 29, 2017


December 31, 2018
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This activity is part of the IMPACT on Health Disparities in HIV Prevention curriculum. This CME/CE-certified, sequenced learning initiative, including both live and online activities, provides clinicians with expert counsel and resources to help them optimize HIV prevention efforts in at-risk populations.

To learn more about the initiative, please go here.

See Related Activities at the bottom of this page for more of the curriculum.

Maximum Credits

0.50 / AMA PRA Category 1 CreditTM
0.50 / CNE Contact Hour

Accredited Provider

Jointly provided by Haymarket Medical Education and AKH Inc., Advancing Knowledge in Healthcare

Commercial Supporter

Supported by an educational grant from Gilead Sciences, Inc.

Program Description

Despite a substantial body of evidence that transgender women, assigned male at birth but self-identifying as women, are at high risk for HIV transmission, there remains a lack of insight into the burden of HIV among transgender women because of limited inclusion in national HIV surveillance systems. The Centers for Disease Control and Prevention reports that the percentage of transgender people who received a new HIV diagnosis is more than 3 times that of the national average. There is also a critical need for prioritized prevention and awareness programs targeted specifically to transgender women, as many are not aware of their HIV risk status and are not seeking effective prevention or screening care. This case vignette exemplifies the extent of these challenges and offers guidance on overcoming these barriers to care for an African American transgender woman at risk for HIV.

Intended Audience

Primary care and internal medicine clinicians (MDs/DOs, physician assistants [PAs], nurses [RNs], and nurse practitioners [NPs])

Educational Objectives

After participating in this activity, clinicians should be better able to:

  • Describe the role of HIV-prevention strategies in individuals at increased risk for infection
  • Counsel/educate at-risk individuals about HIV-prevention strategies
  • Employ HIV-prevention strategies for individuals at risk for HIV infection
  • Implement practical, evidence-based strategies to ensure that HIV-prevention services are delivered to patients in a culturally competent manner

Conflict of Interest Disclosure Policy

In accordance with the ACCME Standards for Commercial Support, HME requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. HME resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational activities.


Tim Cavanaugh, MD
Medical Director, Transgender Health Program
National LGBT Health Education Center
The Fenway Institute
Boston, MA

Dr. Cavanaugh has no relevant financial relationships to disclose.

Accredited Provider Disclosure

Marcello Morgan, MD, of Haymarket Medical Education, and Dorothy Caputo, MA, BSN, RN, Lead Nurse Planner of AKH Inc., Advancing Knowledge in Healthcare, have no relevant financial relationships to disclose.




AMA PRA Category 1 Credit(s)TM

Accreditation Statement

Haymarket Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

Haymarket Medical Education designates this enduring material for a maximum of 0.50 AMA PRA Category 1 CreditTM  . Physicians should claim only the credit commensurate with the extent of their participation in the activity.




CNE Contact Hour(s)

Accreditation Statement

AKH Inc., Advancing Knowledge in Healthcare is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Designation Statement

This activity is awarded 0.50 contact hours.

Disclosure of Unlabeled Use

This CME activity may or may not discuss investigational, unapproved, or off-label use of drugs. Participants are advised to consult prescribing information for any products discussed. The information provided in this CME/CE activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options for a specific patient's medical condition.


The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Haymarket Medical Education, AKH Inc., Advancing Knowledge in Healthcare, and Gilead Sciences, Inc. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

If you have any questions relating to the CME accreditation of this activity, please contact HME at

If you have any questions relating to the CE accreditation of this activity, please contact AKH at

If you have any questions relating to your certificate or other issues with this activity, please contact


To obtain credit, a score of 70% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.


Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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