HIV/STI Treatment and Prevention

HIV/STI Treatment and Prevention

 

HIV/STI Treatment and Prevention


What’s new in STI epidemiology, prevention, and treatment for Men Who Have Sex With Men (MSM)?

Rates of syphilis and gonorrhea have been increasing in the United States, and most cases occur in men who have sex with men (MSM). In this webinar, Dr. Kevin Ard will review recent trends in STIs and examine causes for these trends. He will also discuss the controversial impact of HIV pre-exposure prophylaxis (PrEP) on STI incidence among MSM. Dr. Ard will outline steps clinicians and health centers can take to address STIs in 2018.

 

Originally Presented On: April 23, 2018

Faculty: Dr. Kevin Ard

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HIV and STI Prevention among LGBTQ People

Originally Presented On: November 26, 2018

Faculty: Kevin Ard, MD, MPH

Date/Time: Monday, November 26, 2018 2pm-3pm ET
Faculty: Kevin Ard, MD, MPH
Rates of sexually-transmitted infections are increasing in the United States, and these infections disproportionately burden LGBTQ people. In addition, transgender women and gay and bisexual men continue to face high burdens of HIV infection. This clinically-focused webinar will highlight state-of-the-art approaches to HIV and STI prevention for LGBTQ people, ranging from well-established interventions such as pre-exposure prophylaxis and vaccinations to novel strategies, including antibiotic post-exposure prophylaxis for STIs.

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Pre-Exposure Prophylaxis (PrEP) for HIV: The Basics and Beyond

Originally Presented On: October 19, 2017

Faculty: Kevin Ard, MD

In this interactive webinar, Dr. Kevin Ard will review how to prescribe and monitor PrEP. Using patient cases, he will discuss unique considerations that apply to PrEP management for transgender people, serodifferent couples, those who are pregnant or trying to conceive, and adolescents. Finally, through real-world examples, participants will learn how to incorporate PrEP into diverse clinic settings. This webinar will be useful for both clinicians who are new to PrEP and those who are experienced PrEP providers, as well as administrators interested in a creating a PrEP program.

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Addressing Sexually-Transmitted Infections among MSM: A Clinical and Public Health Update

Originally Presented On: May 15, 2017

Faculty: Kevin Ard, MD, Division of Infectious Diseases, Massachusetts General Hospital

Rates of syphilis and other sexually-transmitted  infections (STIs) have been rising among MSM.  In this webinar, Dr. Ard will review current STI  epidemiology and trends among MSM, review  potential explanations for these trends, and  discuss current approaches to STI prevention,  screening, and care in this population.

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Black MSM and PrEP: Challenges and Opportunities

Originally Presented On: March 23, 2017

Faculty: Leandro Mena (University of Mississippi Medical Center School of Population Health and School of Medicine and Open Arms Health Care Center) and Latesha Elopre (University of Alabama at Birmingham School of Medicine)

Sponsors: The National LGBT Health Education Center

Although estimates of HIV incidence remain relatively stable in the United States (US), the epidemic continues to increase disproportionately among men who have sex with men (MSM). Notably, nearly half of new HIV infections occur in the South, where Black/African American, young MSM (YMSM, 18 to 35) are at greatest risk. PrEP is a highly effective HIV prevention strategy. While the data about its safety and efficacy in this population are encouraging, structural and social barriers that undermine optimal PrEP uptake, as well as suboptimal adherence and retention in PrEP-related, follow-up medical care must be addressed. In this webinar, two leading infectious disease providers and researchers from Mississippi and Alabama will address possible barriers and facilitators of PrEP uptake among Black MSM and highlight novel efforts to deliver PrEP services to Black MSM.

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Sexual Health among Transgender People

Originally Presented On: January 25, 2017

Faculty: Alex Keuroghlian, MD, MPH, Associate Director of Education and Training, The Fenway Institute

Sponsors: LGBT Health Education Center, School-Based Health Alliance

Engaging transgender clients in exploring sexuality – including intersectionality with gender identity and shifts in attraction associated with medical affirmation—is integral to the larger, clinical goal of affirming transgender identities and providing competent care. In this webinar, Dr. Alex Keuroghlian, MD MPH, will review recent research as well as existing best behavioral health practices and therapeutic considerations for sexual health among transgender clients, including the following topics: sexual identities and fluidity, sexual satisfaction following medical affirmation, and relational health. Attention is given to providing a transgender-affirming frame and discussing sexual health risk within the context of psychosocial stressors, including challenges related to gender affirmation and experiences of transphobia.

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Current Topics in HIV Pre-exposure Prophylaxis

Pre-exposure prophylaxis, or PrEP, is a pill taken once daily to help prevent HIV infection in uninfected people. In this webinar, Kevin Ard, MD, MPH will share updates on clinical approaches to managing patients on PrEP based on cutting-edge research data. Dr. Ard will also address common questions about the management of PrEP among HIV negative patients.

 

This webinar is supported by funding from Gilead Sciences, Inc.

Originally Presented On: August 31, 2016

Faculty: Kevin Ard, MD, MPH, Medical Director, National LGBT Health Education Center; Massachusetts General Hospital

Sponsors: National LGBT Health Education Center

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Addressing Social Determinants of Health among LGBTQ Latinx Young Adults

Originally Presented On: June 22, 2016

Faculty: Suyanna Barker, Community Health Action Department Director, La Clínica del Pueblo, Manuel Diaz-Ramirez, ¡Empodérate! Youth Center Manager, La Clínica del Pueblo, Alexa Rodriguez Transgender Program Coordinator for ¡Empoderáte! Youth Center

Latino(a) youth and young adult men who have sex with men or who identify as lesbian, gay, bisexual, and/or transgender often face stigma, discrimination, and language barriers that prevent them from accessing prevention and treatment at health care centers, and leaving them vulnerable to high rates of HIV and other health disparities. In this session, panelists Suyanna Linhales Barker, DrPH; Manuel Diaz-Ramirez, and Alexa Rodriguez, all from La Clinica del Pueblo, will discuss the social determinants of health that create barriers to prevention and care for young adult Latino(a)s. The panelists will draw on their experiences working with this population, including young Latinos living with HIV, and transgender latino(a)s in the Washington, DC area to give participants the tools to recognize barriers within their own organizations to better facilitate prevention and care opportunities for transgender and MSM Latino young adults.

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Preventing HIV with PrEP: A Clinical Update

Pre-exposure prophylaxis, or PrEP, is a pill taken once daily to help prevent HIV infection in uninfected people. In this webinar, Kevin Ard, MD, MPH will share clinical approaches to managing patients on PrEP based on cutting-edge research data, including recent findings reported at CROI. Through clinical case scenarios, Dr. Ard will help providers understand how to apply research findings to their own clinical practice. This webinar will also include a discussion of the status of new innovations in PrEP, such as injectable medications, rectal microbicides, and vaginal rings.

Originally Presented On: April 25, 2016

Faculty: Kevin Ard, MD, MPH, Medical Director, National LGBT Health Education Center; Massachusetts General Hospital

Sponsors: National LGBT Health Education Center, New England AIDS and Education Training Center, and supported by funding from Gilead Sciences, Inc.

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Syphilis among Men Who Have Sex with Men: Clinical Care and Public Health Reporting

Originally Presented On: June 9, 2016

Faculty: Kevin Ard, MD, MPH, Medical Director, National LGBT Health Education Center; Massachusetts General Hospital
Brenda Hernandez, Special Project Coordinator, Massachusetts Department of Public Health

The CDC reports that 83% of primary and secondary syphilis cases occur among gay, bisexual, and other men who have sex with men (MSM). With syphilis on the rise, health centers have an opportunity to prevent, screen, and treat syphilis among these vulnerable populations. In this webinar, Kevin Ard, MD, MPH will explain the diagnostic and therapeutic approach to syphilis based on the clinical stage of the disease, and will explain what to do when there are discordant results on diagnostic tests.  Dr. Ard will be joined by Brenda Hernandez, who will explain syphilis case reporting and partner services so that health centers can effectively work with public health departments to help control the epidemic.

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Can we end the epidemic? An update on HIV screening, prevention, and treatment

Originally Presented On: September 17, 2015

Faculty: Kevin Ard, MD, MPH, Massachusetts General Hospital & National LGBT Health Education Center

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

The advances in HIV treatment and prevention in recent years have greatly influenced how HIV medical and service providers approach HIV screening, prevention, and treatment. The approval of pre-exposure prophylaxis (PrEP), the advent of treatment as prevention, and the increased emphasis on the HIV continuum of care have all provided tools critical for ending the HIV epidemic. How can health centers and community-based organizations capitalize on these advances to implement more effective HIV prevention and care? How can we use these tools to work toward ending the epidemic? In this webinar, Kevin Ard, MD, MPH, will summarize new research findings and practice guidelines that inform HIV treatment and prevention, will identify barriers to effective HIV screening, prevention, and treatment, and will describe ways to overcome these barriers.

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Current Progress in PrEP and other HIV Prevention Technologies

Originally Presented On: January 29, 2015

Faculty: Ken Mayer, MD, Co-Chair and Medical Research Director, The Fenway Institute, Fenway Health, Director of HIV Prevention Research, Beth Israel Deaconess Medical Center, Professor of Medicine, Harvard Medical School

Sponsors: The New England AIDS Education and Training Center, and the National LGBT Health Education Center

Dr. Kenneth H. Mayer, a world-renowned expert in HIV research and care, discusses the current state of implementation of new HIV prevention technologies, with a primary focus on pre-exposure prophylaxis (PrEP). Dr. Mayer also touches on current progress being made in research on other technologies, such as vaccines and new delivery methods for PrEP.

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PrEP for HIV Prevention: Real World Clinical Case Studies

Originally Presented On: April 30, 2015

Faculty: Kevin Ard, MD, MPH, Division of Infectious Diseases, Massachusetts General Hospital, and Harvard Medical School

Sponsors: The New England AIDS Education and Training Center and National LGBT Health Education Center

Pre-exposure prophylaxis, or PrEP, is a pill taken once daily to prevent HIV infection in uninfected people. When taken consistently, PrEP has been shown to reduce the risk of HIV infection in people who are at high risk by up to 92%. Last year, the US Public Health Service released the first comprehensive clinical practice guidelines for PrEP based on evidence from clinical trials. But how does the prescription and management of PrEP translate into real-world clinical practice? In this webinar, Kevin Ard, MD, MPH, will present case studies that illustrate clinical challenges in caring for patients eligible for PrEP, and will discuss controversies regarding PrEP management.

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Optimizing Linkage, Engagement, and Retention in HIV Care for Adolescents and Young Adults of Color

Originally Presented On: April 14, 2015

Faculty: Lawrence Vinson, Youth Linkage to Care Project Manager, The SMILE Program, The Fenway Institute, Molly McHenry, NP, Sidney Borum Jr Health Center, Liz Salomon, EdM, Project Director, Connect to Protect (C2P) Boston, The Fenway Institute

Sponsors: National LGBT Health Education Center and National Center for Innovation in HIV Care

This webinar will provide an in-depth look at Boston’s SMILE in Caring for Youth program, an NIH-funded program that works with young people (ages 12-24) living with HIV, their providers, and their families/caregivers to facilitate practical and meaningful linkage to, engagement in, and maintenance of care. Recognizing the disproportionate impact that HIV has on youth of color, SMILE also works with the Connect to Protect (C2P) Boston coalition to address barriers through community mobilization and structural change. Project Manager of SMILE, Lawrence Vinson ,and a Nurse Practitioner at the Sidney Borum Jr. Health Center, Molly McHenry, will present their experiences engaging Boston youth into HIV care, and will describe how racial justice focused structural change initiatives can help this optimize this work. They will also describe how their program builds partnerships with clinicians and case managers at health centers and other community based organizations to help youth navigate the HIV Continuum of Care.

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Implementing PrEP for HIV Prevention: State-wide Initiatives and Provider Experiences

Originally Presented On: June 4, 2015

Faculty: Barry Callis, Massachusetts Department of Health; Marianne Buchelli, Connecticut Department of Health; Sarah Calabrese, PhD, Yale School of Medicine; David St George, PA, Fenway Health

Sponsors: The New England AIDS Education and Training Center and the National LGBT Health Education Center

Several state health departments across the country are making focused efforts to promote and support the wider use of pre-exposure prophylaxis for HIV prevention (PrEP) for high risk individuals who seek care in health centers, AIDS Service Organizations, and other health care and community-based organizations. In this webinar, you will learn about current PrEP initiatives by the Massachusetts and Connecticut Departments of Health, including how they are supporting health care providers in adopting PrEP into clinical practice and are facilitating access and coverage for patients. You will also hear from a provider about his experiences prescribing PrEP at a community health center, and from a researcher who will share initial findings from a national study on providers’ first-hand experiences with PrEP initiation and clinical management. The panelists for this webinar includes: Barry Callis, Director of AIDS Prevention and Education, Massachusetts Department of Health; Marianne Buchelli, Health Program Associate, Connecticut Department of Health; Sarah Calabrese, PhD, Yale School of Medicine; and David St George, PA, Fenway Health.

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Implications of the Updated National HIV/AIDS Strategy for ASOs, CBOs, and Health Centers

Originally Presented On: December 14, 2015

Faculty: Sean Cahill, PhD; Director of Health Policy Research, The Fenway Institute, Fenway Health, Boston, MA

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

Note: CME/CEU and HRC HEI Credit are not available for this on-demand webinar.

In July 2015 the White House Office of National AIDS Policy updated the National HIV/AIDS Strategy for the next five years (NHAS2020). NHAS2020 called for increased access to pre-exposure prophylaxis, and urged that HIV prevention for gay and bisexual men and transgender women be provided in a broader context of culturally competent care for LGBT people. It also called for the integration of HIV services into primary care settings, and for screening and referral for mental health and substance use services for PLWHA. On December 1st, ONAP will release an implementation plan for NHAS2020. This webinar will present highlights of the updated strategy and implementation plan and discuss their implications for AIDS Service Organizations, community-based organizations, and health centers.

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Addressing HIV Disparities among Men Who Have Sex with Men

Originally Presented On: January 28, 2016

Faculty: Gregorio Millett, MPH, Vice President and Director, Public Policy, amfAR

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

HIV diagnosis data released in December 2015 indicate that over the last decade HIV has become even more concentrated among men who have sex with men (MSM), and racial/ethnic and age disparities are becoming even more pronounced within the MSM population. In this webinar, Greg Millett, MPH, will explore the disproportionate impact of HIV on Black and Latino MSM, and on MSM in the South. He will examine racial/ethnic disparities along the HIV continuum of care for MSM, structural factors in vulnerability, and how data can drive resource allocation to more effectively prevent and treat HIV in the U.S.

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Care of the Older Adult with HIV Infection

Originally Presented On: October 28, 2015

Faculty: Howard Libman, MD, Professor of Medicine, Harvard Medical School, Director, HIV Program, Healthcare Associates, Beth Israel Deaconess Medical Center, Boston, MA

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

People with HIV infection are living longer than ever thanks to effective antiretroviral therapy and improved chronic disease care. However, older adults living with HIV have a higher incidence of coronary artery disease, and they contract cancers of the lung, liver, and anus at younger ages. In addition, HIV infection and its treatment have been associated with premature bone loss. In this webinar, Dr. Howard Libman, the Director of the HIV Program in Healthcare Associates at Beth Israel Deaconess Medical Center in Boston, will provide an overview of the care of older adults living with HIV infection and describe strategies for people working in health centers, AIDS service organizations, and other settings to improve management of comorbidities in in this population.

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New Era in HCV Management: Primary Care Innovations

Originally Presented On: September 24, 2015

Faculty: Marwan Haddad, MD, MPH, AAHIVS, Medical Director of HIV, HCV, and Buprenorphine Services, Community Health Center, Inc., Middletown, Connecticut

Sponsors: The National Center for Innovation in HIV Care and National LGBT Health Education Center

With the advent of new oral HCV regimens that are easy to administer and well tolerated with high efficacy and short duration, have we entered an era where HCV management and treatment can be or should be provided in primary care? This webinar will discuss the role primary care can play in HCV screening and management, review current recommendations for treatment in HCV mono-infected and HCV-HIV co-infected individuals (HIV-infected men who have sex with men are at higher risk for acute HCV infection), and address how to overcome challenges of integrating HCV into health centers and other primary care settings.

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Pre-Exposure Prophylaxis to Prevent HIV Transmission

Originally Presented On: May 9, 2014

Faculty: Kenneth Mayer, MD, The Fenway Institute, Beth Israel Deaconess Medical Center, and Doug Krakower, MD, Beth Israel Deaconess Medical Center

Sponsors: The New England AIDS Education and Training Center and the National LGBT Health Education Center

Although the HIV prevention medication known as PrEP, or pre-exposure prophylaxis, has been approved by the FDA for use in MSM for almost two years, many providers do not feel prepared or comfortable prescribing PrEP to their patients. In this webinar, Dr. Ken Mayer, Medical Director of The Fenway Institute, Fenway Heath, will update participants on what is currently known about PrEP implementation in real world settings, and what the barriers and facilitators are to expanding PrEP use. Dr. Krakower will then provide cases demonstrating potential strategies related to caring for patients on PrEP.

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Recent Breakthroughs in HIV Prevention for Transgender People and Men who Have Sex with Men

Originally Presented On: May 7, 2013

Faculty: Kevin Ard, MD, MPH, The Fenway Institute, Fenway Health, and Massachusetts General Hospital

Sponsors: The National LGBT Health Education Center

Health care providers now have an expanding number of effective HIV prevention tools at their fingertips, including behavioral and biomedical interventions. This session provides step by step guidance on how clinicians can be most effective at preventing new HIV infections in high-risk MSM and transgender patients. Included is a discussion of evidence-based High Impact HIV Prevention Programs as recommended by the CDC, and how best to optimize implementation of HIV prevention programs in patient centered medical homes (PCMH) and other primary care settings.

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Reducing HIV Health Disparities: Examining Funding, Policy, and Beliefs to Drive Local Action

Originally Presented On: February 17, 2016

Faculty: Jeffrey Crowley, Distinguished Scholar and Program Director, National HIV/AIDS Initiative, O’Neill Institute for National and Global Health Law, Georgetown Law Center

Sponsors: The National Center for Innovation in HIV Care and the National LGBT Health Education Center

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Much excitement has been generated in recent years by the National HIV/AIDS Strategy, scientific advances, and expanded health care access that leads many to assert that we can move toward ending the HIV epidemic in the United States. At the same time, there is frequently a disconnect between excitement about the national picture and the reality in local communities. This session will examine how policy change is made at the federal, state, and local levels, assess recent changes in federal funding and policy, and explore how personal and community beliefs and attitudes drive efforts to better respond to HIV. The end result will not lead to giving health centers, community based organizations, or other community stakeholders answers on how to set meaningful goals, but it will strive to give participants a framework for assessing their own community priorities, resources, and commitment to develop their own strategic goals for action.

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Rural Latino LGBT HIV Prevention: Community Building and Access to Care

Originally Presented On: January 14, 2014

Faculty: Scott Rhodes, PhD, Division of Public Health Sciences, Wake Forest University, Anna Leah Rick, Community Worker, California Rural Legal Assistance

Sponsors: Farmworker Justice and National LGBT Health Education Center

Farmworker Justice and the National LGBT Health Education Center are jointly presenting a new webinar on rural Latino LGBT health, with a focus on interventions that promote HIV prevention in LGBT communities.  Scott Rhodes, PhD, MPH, of Wake Forest School of Medicine, will discuss a promising new community-based participatory research project that aims to prevent new HIV and STI infections through building and supporting positive social networks and increasing community capacity among Latino gay, bisexual, and other men who have sex with men (MSM), and transgender people.  Next, Anna Rick of California Legal Rural Assistance will describe access to care issues for rural Latino MSM in California, and will discuss ways in which her organization works with parents of Latino LGBTQ youth (a population at higher risk for HIV) to engage them in supporting behaviors.  Free CME/CEU credit will be offered.

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Screening and Testing for Sexually Transmitted Infections in Gay, Bisexual and Other Men Who Have Sex with Men  

Originally Presented On: April 30, 2015

Faculty: Jeanne Marrazzo, MD, MPH, Professor, Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington

Sponsors: The New England AIDS Education and Training Center and the National LGBT Health Education Center

Gay, bisexual and other men who have sex with men (MSM) experience disparities in HIV and other STIs, and need screening specific to their risk level and sexual practices. In this webinar, Jeanne Marrazzo, MD, MPH, Professor at the University of Washington and Medical Director of the Seattle HIV/STD Prevention and Training Center, will review the CDC’s STI screening guidelines for MSM, providing additional insight into the recommended testing and diagnostic procedures for these STIs. Dr. Marrazzo will also describe research on the barriers to effective STI screening with MSM in primary care settings and make suggestions for overcoming these barriers.

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The Affordable Care Act and HIV:  Maximizing Opportunities for Coverage and Care

Originally Presented On: February 6, 2014

Faculty: Jeffrey S. Crowley, Distinguished Scholar/Program Director, National HIV/AIDS Initiative, O’Neill Institute for National and Global Health Law, Georgetown Law

Sponsors: The National LGBT Health Education Center

Jeffrey S. Crowley, Program Director of the National HIV/AIDS Initiative at Georgetown Law, and former director of the White House Office of National AIDS Policy, leads a discussion on the Affordable Care Act (ACA) and its implications for the care and coverage of people living with HIV/AIDS.  With the ACA, there is great potential for people with HIV to access a more stable and affordable system of care, and for people at high risk for HIV to gain more access to testing and prevention methods.  Mr. Crowley explains the key provisions in the ACA related to HIV care and treatment, and discusses how Ryan White and Medicaid coverage are affected.  Given the highly disproportionate rates of HIV in gay/bisexual men’s and transgender women’s communities, these changes brought about by the ACA stand to make a positive and significant impact on LGBT health outcomes for the future.

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Understanding the 2015 STD Treatment Guidelines for LGBT People

Originally Presented On: June 18, 2015

Faculty: Nick Van Wagoner, MD, PhD, FACP, Assistant Professor in the Department of Medicine, Division of Infectious Diseases, Assistant Dean for Students in the University of Alabama School of Medicine, Director of the Sexual Health Clinic, UAB Birmingham

Sponsors: The New England AIDS Education and Training Center and the National LGBT Health Education Center

The CDC has released the 2015 STD Treatment Guidelines, including revised recommendations for men who have sex with men (MSM), transgender people, and women who have sex with women (WSW). In this webinar, Nick Van Wagoner, MD, PhD, will update health care providers and other participants on STD risk and prevalence among LGBT subgroups, and share current recommendations for appropriate screening, treatment, and follow-up. He will also be discussing opportunities for enhanced STD control among LGBT people.

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Pre-exposure Prophylaxis for HIV Prevention: Clinical Cases

This module provides a deeper dive into pre-exposure prophylaxis (PrEP) for HIV prevention through clinical cases. The module contains three cases, each describing a different scenario where PrEP may be an option for the patient. The module also includes video interactions between providers and patients to help model conversations around PrEP.

This module will:

  1. Summarize CDC’s guidelines on prescribing and monitoring PrEP.
  2. Describe how to counsel patients about the use of PrEP.
  3. Explain up-to-date data that informs questions and controversies in PrEP management

You will need to or register to access the complete Learning Module content.

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Getting to Zero: Reducing HIV Incidence through Screening, Treatment, and Prevention

This module provides an overview of HIV incidence and prevalence in the United States, highlights groups most at risk for contracting HIV, describes the current state of HIV and STI screening, and explains biomedical and other interventions effective to curb the transmission of HIV. Using a case study, participants will be guided through effective screening and prevention methods, as well as communication strategies for talking to patients about their care.

This module will:

  1. Describe HIV incidence, particularly among men who have sex with men and transgender women.
  2. Identify the current recommendations for HIV and STI screening and the importance of screening high risk populations for prevention of HIV.
  3. Describe how biomedical interventions including treatment as prevention, PEP, and PrEP are effective tools for reducing the incidence of new HIV cases among high risk populations.

This activity has been reviewed and is acceptable for up to 1.0 Prescribed credits by the American Academy of Family Physicians. Participants should claim only the credit commensurate with the extent of their participation in this activity.

You will need to or register to access the complete Learning Module content.

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Taking A Sexual History

A Guide to Taking a Sexual History

Created by the Centers for Disease Control and Prevention (CDC), this online PDF guide offers tips for creating dialogue around sexual health issues, including a sexual history. The goal of the guide is to help providers determine STD risk among patients, and to determine how best to perform testing.

Ready, Set, Go! Guidelines and Tips For Collecting Patient Data on Sexual Orientation and Gender Identity (SO/GI)

This guide is designed to help your health center successfully collect SO/GI data, no matter where you are in the process. For those just beginning, the guide can be used from start to finish. If you have already created a system, but have encountered challenges and questions, this guide can help you address them. Even if your system is working smoothly, you will find resources and recommendations here that will help you move to the next level of data collection and analysis.

Patient Sexual Health History: What You Need to Know to Help

On online video published by the American Medical Association (AMA), intended to help physicians take a more thorough sexual history and respond to patients’ needs accordingly. The video emphasizes the pressing need for open and respectful communication between doctors and patients around sexuality.

HIV Risk Assessment & HIV Risk Reduction

Published by the Mountain Plains AIDS Education and Training Center as part of their HIV Provider Reference Series, this online PDF quick reference guide highlights strategies for HIV risk assessment, risk reduction, and HIV prevention, including sample questions to ask patients around sexual history, and general tips for dialogue, as well as resulting action.

The Proactive Sexual Health History

A 2002 article promoting the collection of patients’ sexual history by clinicians, arguing that such practices could decrease high-risk sexual behaviors among patients.

HIV/STD Information

NAM Aidsmap: Resources

The resource library for NAM, an organization committed to sharing information on HIV and AIDS in order to fight against the spread of infection. Resources include basic information, booklets on aspects of living with HIV, apps and online tools, charts offering information on antiretroviral drugs, news, briefing papers on prevention, and more.

AIDSVu Interactive Online Map

This online map allows viewers to explore the prevalence of HIV in various parts of the United States, using data from the U.S. Centers for Disease Control and Prevention (CDC) and state, county and city health departments. Users can filter data by race/ethnicity, sex, and age in order to better understand social determinants of health.

At the Intersection of HIV/AIDS and Cancer : A Qualitative Needs Assessment of Community-Based HIV/AIDS Service Organizations.

A 2013 article urging community-based AIDS service organizations (ASOs) to consider the impact of cancer on aging individuals living with HIV, and to improve care for those who are living with both cancer and HIV.

FDA Approved Use of HPV Vaccine to Prevent Anal Cancer in Men

A 2011 alert for clinicians published by the Fenway Institute, announcing the FDA’s approval of the HPV Vaccine to help prevent anal cancer in young men.

HIV/AIDS

The Centers for Disease Control and Prevention’s (CDC) page for basic information about HIV/AIDS. The website offers news, assessment tools to understand personal risk, a directory to find an HIV testing site nearby, and information on the Act Against AIDS campaign.

HIV Among Gay and Bisexual Men

Offers fast facts about the prevalence of HIV among gay and bisexual men, including information about HIV among black gay and bisexual men. This article includes data, challenges for prevention, information on what the CDC is already doing to decrease infection rates in this population, and additional fact sheets and resources.

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP)

Hosted by the Centers for Disease Control and Prevention (CDC) this center works with state and local health departments to promote public health surveillance, prevention research, and programs to diagnose, prevent, and treat cases of HIV in the U.S. The website features the NCHHSTP’s annual report, including strategic plans for upcoming years and priorities, a newsroom, and a communication center.

Sexually Transmitted Diseases and Men Who Have Sex with Men

This patient handout, published by the Fenway Institute, offers information on various STDs and their transmission, symptoms, treatment, and testing, to men who have sex with men. The handout also offers a brief list of resources.

The Body: The Complete HIV/AIDS Resource

An extensive resource library of HIV/AIDS information, including information on testing, diagnosis, medication, personal stories about living with HIV, HIV within various populations (including African Americans, gay men, Latinos, women, and more), news, research, videos, and slideshows. The site also hosts an “Ask the Experts” feature.

HIV/STD Screening, Testing and Prevention

Bisexual Health: An Introduction and Model Practices for HIV/STI Prevention Programming

Published by the National Gay and Lesbian Task Force, this report introduces bisexuality, its interaction with other identities (such as race/ethnicity, age, and gender), and its implications on health, and the impact of HIV infection on the bisexual community. The report also offers information on how to offer better HIV prevention and treatment methods for bisexual patients, using the BiHealth program at Fenway Health as a model.

Combating the Silent Epidemic of Viral Hepatitis: Action Plan for the Prevention, Care & Treatment of Viral Hepatitis

A publication sponsored by the United States Department of Health & Human Services, offering strategies to better prevent and treat viral hepatitis, and to help readers educate providers and communities to reduce health disparities.

Effective Interventions: HIV Prevention That Works

The Centers for Disease Control and Prevention’s (CDC) page on HIV interventions, offering information on medication adherence, High Impact Prevention (HIP), Anti-Retroviral Treatment and Access to Services (ARTAS), and condom distribution. The website hosts an e-Learning Center for providers, and links to other CDC HIV programs.

Hepatitis Risk Assessment Tool

A 5-minute Hepatitis Risk Assessment developed by the Centers for Disease Control and Prevention (CDC), featuring a number of questions and linking their answers to recommendations and explanations.

HIV Testing in Clinical Settings

The Centers for Disease Control and Prevention’s (CDC) page on HIV Testing in Clinical Settings, including existing data, a list of resources for healthcare providers, a list of recommendations and guidelines for testing, and helpful fact sheets, journal articles, and guidance on implementation of new testing methods.

HIV Presentations

A series of educational presentations, produced by the National Association of Community Health Centers, meant to train providers on implementing routine HIV screening. Topics include “Routine HIV Screening,” “Care Coordination for HIV+ Patients,” “Comorbidities for Patients Living with HIV,” and more.

National HIV/AIDS Strategy

A page published by the White House, through the Office of National AIDS Policy, on the current national HIV/AIDS strategy. The site offers an overview of the office’s existing priorities, as well as recent activities and next steps.

What Works in Youth HIV

One of the initiatives of the Office of Adolescent Health (OAH), intended to help youth-serving providers and organizations better prevent, test for, and treat HIV among their adolescent population. This webpage offers basic information on HIV infection rates among adolescents in the United States, steps providers and organizations can take to lower these numbers within their population, and tactics for getting youth involved in programs themselves to increase HIV awareness in their environment.

Screen, Test, Diagnose &Prevent: A Clinician’s Resource for STDs in Gay Men and Other MSM

A toolkit produced by the Sexually Transmitted Diseases Control Branch of the California Department of Public Health. The publication offers information on screening MSM for STDs, creating a welcoming care setting, and providing STD/HIV partner services. It also outlines the public health role of the medical provider, and includes a list of resources.

2015 Sexually Transmitted Diseases Treatment Guidelines

Published by the Centers for Disease Control and Prevention (CDC), this website offers updates to the 2010 guidelines for treating and detecting STDs. The page also links to the 2015 STD Treatment (Tx) Guide app, and includes a pocket guide and wall chart.

The Four Cs of HIV Prevention with African Americans: Crisis, Condoms, Culture, and Community

This 2010 article offers an argument for community-based participatory research as a means of lowering HIV infection rates among African Americans.

The Multicultural AIDS Coalition (MAC)

MAC is an organization dedicated to ending the HIV/AIDS epidemic through mobilizing communities of color, in order to eliminate social determinants of health such as incarceration, racism, homophobia, and substance abuse, among others. Their website offers contact information to receive technical assistance and capacity building, as well as news and outside resources.

Biomedical HIV Prevention

Pre-Exposure Prophylaxis (PrEP)

The Centers for Disease Control and Prevention’s (CDC) page on PrEP, including current data, resources for consumers, PrEP infographics and videos, fact sheets and brochures, resources for providers, reports on effectiveness, a PrEP consultation service for clinicians, and PrEP guidelines.

iPrex OLE

The PrEP Initative’s continued study on the safety of PrEP and its impact on the behavior of those taking PrEP long term. The website offers information about the study, the medication, and the PrEP initiative.

Microbicide Trials Network (MTN)

A collection of agencies and institutes dedicated to testing and improving the effectiveness of microbicides for preventing the sexual transmission of HIV. Their website includes a list of enrolling and past studies, sites, meetings, and people involved, as well as a news room and list of outside resources.

Nonoccupational Postexposure Prophylaxis

The AETC National Resource Center’s page for information on Nonoccupational Postexposure Prophylaxis. Includes background information on the prevention method, plans for testing, example antiretroviral regimens, and tips on patient education.

PEP

The Centers for Disease Control and Prevention’s (CDC) page on post-exposure prophylaxis. The site includes basic information on PEP, for whom it is an effective treatment, when PEP should be taken, its side effects, where to find it, and how to pay for it.

Protecting Yourself from HIV through Pre-Exposure Prophylaxis (PrEP): What You Need to Know

A 2012 publication by the Fenway Institute, providing information on how to get tested for HIV, the best ways to protect yourself, how to use PrEP, how to pay for it. Outside resources are included.

Best Practices in HIV Prevention: Translating Innovation into Action

On September 27, 2013, the National LGBT Health Education Center hosted a summit of 15 experts to discuss the most innovative and evidence-based HIV prevention strategies and how to implement these strategies into clinical practice. The summit brought together leaders in HIV prevention research, education, policy, and community engagement to share interventions, professional experiences, and research findings, and to debate next best steps to ending the epidemic among the vulnerable populations of gay and bisexual men and transgender women.

Watch a preview: 


Based on the findings from this summit, we have developed a multi-media educational course that includes the White Paper: Best Practices in HIV Prevention: Translating Innovation into Action, with accompanying videos and slides from the summit. All materials can be viewed for free and can be viewed separately or together.

CME/CEU Credits

Clinicians wishing to obtain CME/CEU credit must first read the entire White Paper (slides and videos are recommended, but optional) and then register and complete an evaluation. (Click here for more information about the CME/CEU credit we offer through the American Academy of Family Physicians.) For this course, up to 4.0 CME/CEU credits may be claimed, commensurate to the time it takes to complete the course. If you have any questions, please contact us at lgbthealtheducation@fenwayhealth.org.

To claim CME/CEU credit for your time, click here.

White Paper:

View and download: Best Practices in HIV Prevention: Translating Innovation into Action

Videos and Slides:

 

Setting the Stage

Harvey J Makadon, MD, Director, the National LGBT Health Education Center

Reaching Vulnerable Populations through Innovative, Targeted Interventions

African-American Gay and Bisexual Men

Darrell Wheeler, PhD, MPH, Loyola University Chicago

Gay, Bisexual and Transgender Youth

Robert Garofalo, MD, MPH, Ann & Robert Lurie Children’s Hospital of Chicago

Transgender Women

Sari Reisner, ScD, The Fenway Institute

Latino Populations

Cynthia Gomez, PhD, Health Equity Institute

Realizing Universal HIV Testing and Linkage to Care: Lessons from The Bronx

Donna Futterman, MD, Albert Einstein College of Medicine

Biomedical Interventions for HIV Prevention

Kenneth Mayer, MD, The Fenway Institute

Scalable Behavioral Interventions for HIV Prevention

Rich Wolitski, PhD, Centers for Disease Control and Prevention

Incorporating and Understanding of Syndemics and Resilience into Clinical Practice

Ronald Stall, PhD, MPH, University of Pittsburgh Graduate School of Public Health

Using Innovative Technologies to Optimize HIV and STI Treatment and Prevention

Patrick Sullivan, PhD, Emory University

To claim your CME/CEU credit, click here.

PrEP Talks

Pre-exposure prophylaxis, or PrEP, is a pill taken once daily to help prevent HIV infection in uninfected people. PrEP Talks will be a 90-minute session featuring Dr. Kevin Ard, Medical Director, National LGBT Health Education Center, The Fenway Health. Dr. Ard will be available to answer questions, detail recommended practices, and provide clinical strategies for prescribing, and managing PrEP with patients.

The next PrEP Talks session will take place on November 10th from 1pm-2:30pm ET

We recommend watching our most recent webinar with Dr. Ard “Current Topics in HIV Pre-exposure Prophylaxis before participating in PrEP Talks. This webinar covers the basics of prescribing and maintaining PrEP with patients.  It is available on-demand and provides free CME/CEU credit.

We also encourage participants to submit questions for Dr. Ard prior to the start of PrEP Talks. Questions can be submitted here.

Slides for PrEP Talks are available for download here.

Related News All News

Antiretroviral Preexposure Prophylaxis: Opportunities and Challenges for Primary Care Physicians

Pre-exposure prophylaxis (PrEP) presents an important opportunity to stop the spread of HIV. This article published in JAMA is written by Dr. Kenneth Mayer, Dr. Douglas Krakower, and Dr. Stephen Boswell, and highlights opportunities and challenges of PrEP, and the need for primary care clinicians to

Fenway Hosts Full House To Celebrate Second Guide To LGBT Health

On April 28, 2015, Fenway hosted a full house of local physicians, medical students, behavioral health professionals, and leaders of the American College of Physicians to celebrate the Second Edition. The reception welcomed attendees from many leading health care institutions, including Beth Israel

National Gay Men’s HIV/AIDS Awareness Day

Today is National Gay Men’s HIV/AIDS Awareness Day and is used to direct attention to the continuing and disproportionate impact of HIV/AIDS on gay, bisexual, and other men who have sex with men (MSM) in the United States. The CDC’s Morbidity and Mortality Weekly Report (MMWR) focuses