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Module 2: Core Skills for HIV Management in the Primary Care Setting

Module 2: Core Skills for HIV Management in the Primary Care Setting

Format

Interactive Monograph

Time to Complete

1 hour

Released

April 20, 2018

Expires

April 20, 2019

Educational Partner


This is Module 2 in the HealthHIV HIV Primary Care Training and Certificate Program.

Maximum Credits

1.00 / AMA PRA Category 1 CreditTM

Accredited Provider

This activity is jointly provided by Postgraduate Institute for Medicine and HealthHIV.

Commercial Supporter

This activity is not supported by educational grants.

Program Description

The CDC estimates that 1,107,700 persons aged 13 years and older are living with HIV infection, including 166,000 (15%) who are unaware of their infection.1 Over the past decade, the number of people living with HIV has increased, while the annual number of new HIV infections has remained relatively stable. However, gay, bisexual, and other men who have sex with men (MSM), particularly young black/African American MSM, are most seriously affected by HIV. By race, blacks/African Americans face the most severe burden of HIV. According to the CDC, during a lifetime, risk of HIV infection overall is 1 in 99, for Black MSM is 1 in 2, and for Latino MSM is 1 in 4.2,3

Current guidelines recommend screening all patients aged 15 to 65 for HIV. And it is now recommended that all patients with HIV receive antiretroviral therapy. In this activity you will learn how to how to effectively screen patients for HIV, manage initial considerations in HIV therapy, and gain a better understanding of the recommended guidelines for treating and managing HIV-infected patients.

Module 2 of HealthHIV’s HIV Primary Care Training and Certificate Program is designed to provide primary care providers and staff a sound overview of best practices regarding the identification and overall management of HIV infection. This activity will present two patients, one with acute infection and one with chronic infection that has not been diagnosed.

As a learner, you will have the opportunity to assess the clinical situation, using the initial chart information provided, and participate in a discussion with clinical experts to determine the key issues in each case.
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References
1. CDC. HIV in the United States: At A Glance. https://www.cdc.gov/hiv/statistics/overview/ataglance.html.
2. CDC. Lifetime Risk of HIV Diagnosis. http://www.cdc.gov/nchhstp/newsroom/2016/croi-press-release-risk.html.
3. CDC. 2016 Conference on Retroviruses and Opportunistic Infections.http://www.cdc.gov/nchhstp/newsroom/2016/croi-2016.html#Graphics.

Intended Audience

This activity has been designed to meet the educational needs of primary care physicians and other allied healthcare professionals who treat and care for patients with HIV/AIDS.

Educational Objectives

After completing this activity, the participant will demonstrate the ability to:

  • Identify appropriate patients and methods to screen for HIV
  • Describe methods to assess patients' willingness and readiness to begin antiretroviral therapy
  • Review considerations in selecting initial antiretroviral therapy
  • Discuss methods to assess and promote adherence to antiretroviral therapy

Disclosure of Conflicts of Interest

Postgraduate Institute of Medicine (PIM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

The faculty reported any financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity under the Faculty heading below.

Faculty

Kathy Brown, MD, FACP, AAHIVS
HIV Program Medical Director
Group Health Cooperative
Seattle, WA

Dr. Brown has no financial relationships to disclose.

Susan LeLacheur, DrPH, PA-C
Associate Professor of Physician Assistant Studies, Assistant Professor
Department of Health Care Sciences School of Medicine and Health Sciences
George Washington University
Washington, DC

Dr. LeLacheur has no financial relationships to disclose.

Donna E. Sweet, MD, MACP
Professor of Medicine
Director, Internal Medicine Education
University of Kansas School of Medicine – Wichita
Wichita, KS

Dr. Sweet discloses the following:
Consulting Fees: Pfizer
Fees for Non-CME/CE Services Received Directly from a Commercial Interest or their Agents (e.g., speakers bureau): Bristol-Myers Squibb and Gilead
Contract Research: Merck

Planners and Managers Disclosure

The following HealthHIV staff, Dana Cropper-Williams, Brian Hujdich, Michael Shankle, and Sibyl Wilmont state that they nor their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.

Dana Cropper-Williams, Brian Hujdich, Sibyl Wilmont, and Michael Shankle, MPH, have nothing to disclose.

Credit

1.00

Type

AMA PRA Category 1 Credit(s)TM

Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and HealthHIV.  Postgraduate Institute for Medicine is jointly accredited by the American Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Designation Statement

The Postgraduate Institute for Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM  . Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Disclosure of Unlabled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
 
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medication, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Media

Internet

Instructions

To obtain credit, a score of 80% 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.

Privacy Policy

Last Reviewed

This course originally launched 10/1/13 and was updated in January 2018.

SYSTEM REQUIREMENTS

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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