Challenges in HIV Screening and Prophylaxis: PrEP鈥檌ng for the Future - *

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Failure to follow recommended screening protocols, particular for high-risk individuals, results in delayed diagnosis. Once diagnosed, many patients are lost to care increasing the risk of HIV transmission. Despite a high level of awareness of the evidence for pre-exposure prophylaxis (PrEP) use, uptake "/><meta id="metaKeywords" name="keywords" content="Education Lab | CME"/><meta name="robots" content="noindex, nofollow"/> <meta name="designator" content="cme"/> <meta name="designators" content="cme"/> <meta name="PostedDate" content="2014-06-30"/> <meta name="ModifiedDate" content="2014-09-11"/> <meta name="content_type" content="Education Lab"/> <meta name="additional_info" content="This activity is supported by an educational grant from Gilead Sciences Medical Affairs."/> <meta name="pageid" content="{B389C6BA-BF1C-45F7-B894-C16CC3B91FB8}"/> <meta name="authors" content="Cal Cohen MD, Richard Elion MD, Sally L. 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} .edlab-content { border-top: 3px solid #333333; } </style> <input name="main_0$hfActivityid" type="hidden" id="main_0_hfActivityid"/> <input name="main_0$hfAttemptid" type="hidden" id="main_0_hfAttemptid"/> <input name="main_0$hfStepid" type="hidden" id="main_0_hfStepid"/> <div class="edlab-page-wrap"> <div class="container"> <div class="flag-group pull-right"> <span class="flag-xl">CME</span> </div>  <div class="col-xs-4 edlab-menu-wrap"> <p class="support-info"> <em>This activity is supported by an educational grant from Gilead Sciences Medical Affairs.</em> </p> <div class="menu-wrap"><h5>Activity Contents</h5><ul class="edlab-menu"><li class="active"><a href="javascript:void(0)" title="Challenges in HIV Screening and Prophylaxis: PrEP鈥檌ng for the FutureCME Information">CME Information</a></li><li><a href="/web/20141129092605/http://www.healio.com/infectious-disease/education-lab/2014/07_july/challenges-in-hiv-screening-and-prophylaxis-preping-for-the-future/pretest" title="Challenges in HIV Screening and Prophylaxis: PrEP鈥檌ng for the FuturePretest">Pretest</a></li><li><a href="/web/20141129092605/http://www.healio.com/infectious-disease/education-lab/2014/07_july/challenges-in-hiv-screening-and-prophylaxis-preping-for-the-future/understanding-the-role-of-the-pcp-in-hiv-management" title="Challenges in HIV Screening and Prophylaxis: PrEP鈥檌ng for the FutureThe Scope of the Problem">The Scope of the Problem</a></li><li><a href="/web/20141129092605/http://www.healio.com/infectious-disease/education-lab/2014/07_july/challenges-in-hiv-screening-and-prophylaxis-preping-for-the-future/general-content" title="Challenges in HIV Screening and Prophylaxis: PrEP鈥檌ng for the FutureKey Elements of Screening and Education">Key Elements of Screening and Education</a></li><li><a href="/web/20141129092605/http://www.healio.com/infectious-disease/education-lab/2014/07_july/challenges-in-hiv-screening-and-prophylaxis-preping-for-the-future/patient-counseling" title="Challenges in HIV Screening and Prophylaxis: PrEP鈥檌ng for the FuturePatient Counseling">Patient Counseling</a></li><li><a href="/web/20141129092605/http://www.healio.com/infectious-disease/education-lab/2014/07_july/challenges-in-hiv-screening-and-prophylaxis-preping-for-the-future/educational-tools" title="Challenges in HIV Screening and Prophylaxis: PrEP鈥檌ng for the FutureEducational Tools">Educational Tools</a></li><li><a class="nomodal" href="/web/20141129092605/http://www.healio.com/infectious-disease/education-lab/2014/07_july/challenges-in-hiv-screening-and-prophylaxis-preping-for-the-future/posttest" title="Challenges in HIV Screening and Prophylaxis: PrEP鈥檌ng for the FuturePosttest">Posttest</a></li><li><a class="disabled nomodal" href="javascript:void(0)" title="Challenges in HIV Screening and Prophylaxis: PrEP鈥檌ng for the FutureEvaluation">Evaluation</a></li></ul></div> <style type="text/css"> .fixedMenu { position:fixed; 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bCssSet = false; } }); } </script> </div>  <div class="col-xs-11 column-wrap"> <div class="page-title"> <h1> Challenges in HIV Screening and Prophylaxis: PrEP鈥檌ng for the Future </h1> </div> <div class="content-wrap edlab-content theme"> <p class="trigger-link pull-right"><a href="#"><i class="fa fa-info-circle"></i> <span class="small">CME Information</span></a></p><script type="text/javascript">$j('#buttonShowOverview, .trigger-link a').click(function() {$j('#dripReg1').hide(); $j('#overviewTable').show(); $j('.modal-title').text('CME Information');$j('#modal').modal();$j('div.modal-content').addClass('cme-modal-content');$j('div.modal-dialog').addClass('cme-modal-dialog');});$j(window).load(function() {$j('#dripReg1').hide(); $j('#overviewTable').show(); $j('.modal-title').text('CME Information');$j('#modal').modal();$j('div.modal-content').addClass('cme-modal-content');$j('div.modal-dialog').addClass('cme-modal-dialog');});</script> <div class="module"> <p class="pull-right"> <input type="submit" name="main_0$ctl01$ctl01$ctl00" value="Take the CME Test 禄" onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions("main_0$ctl01$ctl01$ctl00", "", false, "", "/infectious-disease/education-lab/2014/07_july/challenges-in-hiv-screening-and-prophylaxis-preping-for-the-future/posttest", false, false))" class="btn btn-primary btn-xs posttest-btn theme"/> </p> </div> <h2>Overview</h2> <div id="main_0_ctl01_ctl01_divContentWrapper" class="cme-information"> <a name="ContentTop" id="ContentTop"></a> <a name="content"></a> <table id="overviewTablePage"><tr><td colspan="2"><b>Author(s)/Faculty: </b>Cal Cohen, MD; Richard Elion, MD; Sally L. Hodder, MD</td></tr><tr><td colspan="2"><b>Source: </b> Healio - Infectious Disease Education Lab</td></tr><tr><td><b>Type: </b> Multimedia</td><td><b>Articles/Items: </b> 5</td></tr><tr><td><b>Release Date: </b> 8/12/2014</td><td><b>Expiration Date: </b> 8/11/2015</td></tr><tr><td><b>Credit Type: </b> CME</td><td><b>Number of Credits: </b> 0.75</td></tr><tr><td><b>Cost: </b> Free</td><td><b>Provider: </b> <img src="https://web.archive.org/web/20141129092605im_/http://m1.wyanokecdn.com/c0cbf0684266731ba95e9d399b2e8567.gif?h=19&la=en&w=77" alt="Vindico Medical Education" width="77" height="19"></td></tr><tr><td colspan="2" class="intro">A substantial proportion of Americans with HIV remain undiagnosed and suboptimally treated. Failure to follow recommended screening protocols, particular for high-risk individuals, results in delayed diagnosis. Once diagnosed, many patients are lost to care increasing the risk of HIV transmission. Despite a high level of awareness of the evidence for pre-exposure prophylaxis (PrEP) use, uptake by HIV health care providers is poor, especially for at-risk women, placing them at higher risk for infection. The disparity in HIV diagnosis and care has been attributed to a number of factors, including difficulty in accessing high-risk individuals and attitudes towards screening among primary health care providers. Similarly, PrEP is suboptimally implemented. In order to improve the rates of HIV detection, diagnosis and prophylaxis, it is necessary to address the barriers among primary care physicians. 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Hodder MD<br/> Professor of Medicine<br/> Director, HIV Programs, Department of Medicine<br/> Rutgers, New Jersey Medical School<br/> <em>Newark, NJ</em></p> <p> <strong>Key Elements of Screening and Education</strong><br/> Richard Elion, MD<br/> Associate Clinical Professor of Medicine<br/> George Washington University School of Medicine<br/> <em>Washington, DC</em></p> <p> <strong>Patient Counseling and the Role of Pre-Exposure Prophylaxis</strong><br/> Cal Cohen, MD<br/> Director of Research<br/> Community Research Initiative (CRI)<br/> <em>Boston, MA</em> </p> <p><span style="text-decoration: underline;"><strong>External Reviewer:</strong></span><br/> W. David Hardy, MD</p> <p><span style="text-decoration: underline;"><strong>Accreditation:</strong></span><br/> Vindico Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.</p> <p><span style="text-decoration: underline;"><strong>Credit Designation:</strong></span><br/> Vindico Medical Education designates this enduring Material for a maximum of 0.75 <em>AMA PRA Category 1 Credit(s)</em>™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. </p> <p>Nurse practitioners can apply for <em>AMA PRA Category 1 Credit(s)</em>™ through the American Academy of Nurse Practitioners (AANP). AANP will accept <em>AMA PRA Category 1 Credit(s)</em>™ from organizations accredited by Accreditation Council for Continuing Medical Education. Nurse practitioners can also apply for credit through their state boards. </p> <p>This enduring material is approved for 1 year from the date of original release, August 12, 2014, to August 11, 2015.</p> <p><span style="text-decoration: underline;"><strong>How To Participate in this Activity and Obtain CME Credit:</strong></span><br/> To participate in this CME activity, you must read the objectives, answer the pretest questions, watch the videos, complete the CME posttest, and complete and return the registration form and evaluation. Provide only one (1) correct answer for each question. A satisfactory score is defined as answering 70% of the posttest questions correctly. Upon receipt of the completed materials, if a satisfactory score on the posttest is achieved, Vindico Medical Education will issue an <em>AMA PRA Category 1 Credit(s)</em>™ Certificate.</p> <p><span style="text-decoration: underline;"><strong>Disclosures:</strong></span><br/> In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, all CME providers are required to disclose to the activity audience the <strong>relevant financial relationships</strong> of the planners, teachers, and authors involved in the development of CME content. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. </p> <p><span style="text-decoration: underline;">Planning Committee and Faculty Members report the following relationship(s):</span><br/> <strong>Cal Cohen, MD</strong><br/> <em>Consulting Fee</em>: Bristol Myers Squibb, Gilead Sciences, Janssen Pharmaceuticals, Merck & Co.,Viiv Healthcare<br/> <em>Contracted Research</em>: Bristol Myers Squibb, Gilead Sciences, Janssen Pharmaceuticals, Merck & Co.,Viiv Healthcare<br/> <em>Expert Testimony</em>: Gilead Sciences</p> <p> <strong>Richard Elion, MD</strong><br/> <em>Consulting Fee</em>: Bristol Myers Squibb, Gilead, ViiV Healthcare<br/> <em>Speakers Bureau</em>: Bristol Myers Squibb, Gilead Sciences, Janssen Pharmaceuticals, Merck & Co,, ViiV Healthcare<br/> <em>Contracted Research</em>: AbbVie, Bristol Myers Squibb, Gilead Sciences, Merck & Co, ViiV Healthcare</p> <p> <strong>Sally L. Hodder, MD</strong><br/> <em>Consulting Fee</em>: Bristol Myers Squibb, Gilead Sciences, Janssen Pharmaceuticals, Merck & Co.<br/> <em>Contracted Research</em>: Bristol Myers Squibb, Gilead Sciences, Janssen Pharmaceuticals, ViiV<br/> <em>Ownership Interest (Spouse)</em> – Merck & Co. </p> <p><span style="text-decoration: underline;">External Reviewer reports the following relationship(s):</span><br/> <strong>W. David Hardy, MD</strong><br/> <em>Consulting Fee</em>: Bristol Myers Squibb, Boerhinger Ingelheim, Calimmune, Gilead Sciences, GlaxoSmithKine, Janssen Pharmaceuticals, ViiV Healthcare<br/> <em>Speakers’ Bureau</em>: ViiV Healthcare<br/> <em>Fees for Non-CE Services Received Directly from a Commercial Interest or its Agent</em>: ViiV Healthcare<br/> <em>Contracted Research</em>: Bionor, Gilead, ViiV Healthcare, Vertex<br/> <em>Ownership Interest</em>: Merck & Co. (<$5000)</p> <p> <strong>Ronald A. Codario, MD, FACP, FNLA, CCMEP</strong><br/> No relevant financial relationships to disclose. </p> <p><span style="text-decoration: underline;">Vindico Medical Education reports the following relationship(s):</span><br/> No relevant financial relationships to disclose. <p>Signed disclosures are on file at Vindico Medical Education, Office of Medical Affairs and Compliance.</p> <span style="text-decoration: underline;"><strong>Unlabeled and Investigational Usage:</strong></span><br/> <p> The audience is advised that this continuing medical education activity may contain references to unlabeled uses of FDA-approved products or to products not approved by the FDA for use in the United States. The faculty members have been made aware of their obligation to disclose such usage. All activity participants will be informed if any speakers/authors intend to discuss either non-FDA approved or investigational use of products/devices.</p> <p><span style="text-decoration: underline;"><strong>Copyright Statement:</strong></span><br/> Created and published by Vindico Medical Education, 6900 Grove Road, Building 100, Thorofare, NJ 08086-9447. Telephone: 856-994-9400; Fax: 856-384-6680. Printed in the USA. Copyright © 2014 Vindico Medical Education. All rights reserved. No part of this publication may be reproduced without written permission from the publisher. The material presented at or in any of Vindico Medical Education continuing medical education activities does not necessarily reflect the views and opinions of Vindico Medical Education. Neither Vindico Medical Education nor the faculty endorse or recommend any techniques, commercial products, or manufacturers. The faculty/authors may discuss the use of materials and/or products that have not yet been approved by the US Food and Drug Administration. All readers and continuing education participants should verify all information before treating patients or utilizing any product.</p> <p><strong><span style="text-decoration: underline;">CME Questions?</span></strong><br/> Contact us at cme@vindicomeded.com</p></td></tr></table> </div> <div class="modal-footer"> <button class="btn" data-dismiss="modal"><i class="fa fa-times"></i> Close</button> </div> </div>  </div>  </div>   <input name="globaluserid" type="hidden" id="globaluserid" class="globaluserid" value=""/> <input name="api_info_target" type="hidden" id="api_info_target"/> <div id="dmdjscript"> <script type="text/javascript">window.A8AJQ = jQuery</script> <script src="https://web.archive.org/web/20141129092605js_/http://js1.healio.com/dmd_api.min.js" type="text/javascript"></script> <script language="javascript" type="text/javascript"> window.A8AJQ(document).ready(function () { window._A8A.check_for_cookie(true); }); </script> </div>   <script type="text/javascript" defer="defer" src="https://web.archive.org/web/20141129092605js_/http://j3.wyanokecdn.com/healiotwo.min.js"></script> <script type="text/javascript" defer="defer" src="https://web.archive.org/web/20141129092605js_/http://j3.wyanokecdn.com/bootstrap.min.js"></script> <script type="text/javascript" defer="defer" src="https://web.archive.org/web/20141129092605js_/http://j3.wyanokecdn.com/moduleTracking141104.min.js"></script> <script type="text/javascript"> $j.nonCachedScript = function (url, options) { // Allow user to set any option except for dataType, cache, and url options = $j.extend(options || {}, { dataType: "script", cache: false, url: url }); // Use $.ajax() since it is more flexible than $.getScript // Return the jqXHR object so we can chain callbacks return $j.ajax(options); }; // Usage $j.nonCachedScript("https://web.archive.org/web/20141129092605/http://j3.wyanokecdn.com/cookieDFP.min.js").done(function (script, textStatus) { //console.log(textStatus); }); //caching $j(window).unload(function () { }); // Does nothing but try to break the bfcache.. bfcache helpful but generally bad in its implementation $j(document).ready(function() { //handle refresh request if (console.log != "undefined") console.log(window.location.href); var nc = $j.cookie('nc'); if($j.removeCookie('nc', { path: '/' })) if (nc == "1") window.setTimeout(window.location.reload(true),100); }); </script> <input type="hidden" name="MediaFramework_ItemId" id="MediaFramework_ItemId" value="650BB82C745E417E892B32261F531031"/></form> </body> </html>

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Challenges in HIV Screening and Prophylaxis: PrEP鈥檌ng for the Future - * | Infectious Disease Education Lab