HealthHIV's HIV PRIMARY CARE TRAINING AND CERTIFICATE PROGRAM™

Participants completing this free, online, self-paced, staged CME curriculum, composed of five courses grounded in a proven model of HIV primary care integration, earn a certificate of proficiency in HIV primary care integration.

STATEMENT OF NEED/PROGRAM OVERVIEW

The HealthHIV HIV Primary Care Training and Certificate ProgramTM is a free, online, self-paced, staged CME curriculum, based on a proven model of HIV primary care integration. Participants who complete the program, which is composed of five courses – HIV Management in Primary Care: Foundations Course; Core Skills for HIV Management in the Primary Care Setting; Considerations in the Management of HIV in Older Adults; Improving Communication in the Clinical Setting; and Assessment and Treatment Decisions in HIV/HCV Co-infection  – earn a certificate of proficiency in HIV primary care integration.

The recommendation for universal screening of adolescents and adults aged 15 to 65 years for HIV infection, issued by the United States Preventive Services Task Force (USPSTF) in April 2013, highlights the growing role for primary care physicians (PCPs) in HIV care. The effectiveness of standardized regimens for many patients, and the growing number of HIV patients, are two other significant factors leading to an expanded role for PCPs in managing HIV.

The HealthHIV HIV Primary Care Training and Certificate ProgramTM is a professional development course to help primary care clinicians develop new skills and professional competencies in order to optimize the quality of care they provide to patients infected with HIV. By participating in this web-based certificate program, you will be able to immediately apply lessons learned to your practice. All participants will receive a certificate documenting their completion of this online program from HealthHIV.

This program is based on HealthHIV’s STEP (Staged Training to Engage Providers) Model.

This program is for primary care providers (Medical Doctors, or Doctors of Osteopathic Medicine, Nurse Practitioners, and Physician Assistants) and other healthcare professionals who are responsible for caring for patients at-risk for or infected with HIV.

In total, there are five (5) sequential CME activities that you must complete before you can take the final program exam and receive your certificate. Each activity ranges between .75 and 1.0 credit hours and is approved for AMA PRA Category 1 Credits™. You must complete the activities’ pre- and post-tests as well as each self-assessment exam before you can continue on to the next activity. All activities are sequential in nature and act as a prerequisite to the next activity.

These activities are jointly provided by Postgraduate Institute for Medicine and HealthHIV.

This activity is not supported by educational grants.

ACTIVITIES

HealthHIV STEP Model Overview

HealthHIV developed the STEP (Staged Training to Educate Providers) ModelTM for HIV integration in primary care in response to limited existing models of HIV testing and care.

The model provides a staged framework for integration of HIV care into primary care. At its core, this dynamic model classifies community health centers and other primary care delivery sites, based upon where they fall in the spectrum of HIV care delivery.

The Stages of HIV Care were informed by the Health Services and Resource Administration’s HIV/AIDS Bureau Guidelines for HIV Clinical Care as well as various State HIV care plans and the WHO clinical staging for HIV/AIDS for Adults and Adolescents.

The Models of HIV Care were informed by using the National Association of Community Health Center’s “Integrating HIV Screening into Routine Primary and Dental Care: A Health Center Model” and the Centers for Disease Control and Prevention’s Program Collaboration and Service Integration Framework.


Target Audience

This activity has been designed to meet the educational needs of primary care providers (Medical Doctors, or Doctors of Osteopathic Medicine, Nurse Practitioners, and Physician Assistants) and other healthcare professionals who are responsible for caring for patients at-risk for or infected with HIV.


Educational Objectives

After completing each activity, the participant should be better able to:

ACTIVITY TITLE

LEARNING OBJECTIVES

ACTIVITY LAUNCH DATE/ EXPIRATION DATE

Activity 1: HIV Management in Primary Care – Foundations Course

° Describe HIV surveillance data and the implications for individual and public health° Discuss the natural history of HIV disease and the implications for individual and public health

° Explain the differences between risk-based and “opt-out” HIV screening and summarize the current recommendations

° Utilize the most appropriate HIV test in different clinical settings

° Summarize methods to reduce HIV transmission

Launch Date: 11/30/16Expiration Date: 11/30/17

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

° 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

Launch Date: 11/30/16Expiration Date: 11/30/17

Activity 3: Considerations in the Management of HIV in Older Adults

° Identify common comorbidities in older adults with HIV

° Describe the potential impact of long-term antiretroviral therapy on cardiometabolic risk and other comorbidities

° Design a strategy to manage both antiretroviral therapy and cardiometabolic risk factors in patients with HIV

° Implement evidence-based methods to encourage smoking cessation in patients with HIV

Launch Date: 11/30/16Expiration Date: 11/30/17

Activity 4: Improving Communication in the Clinical Setting

° Assess patients’ health literacy and health beliefs° Employ evidence-based techniques to foster open patient-provider communication

° Describe methods for coordination of care between primary care and specialist settings
° Identify barriers to patient adherence in HIV-infected individuals and methods to overcome these barriers

Launch Date: 11/30/16Expiration Date: 11/30/17

Activity 5: Assessment and Treatment Decisions in HIV/HCV Coinfection

° Identify indications for the treatment of chronic HCV infection and reasons to consider delaying HCV treatment in patients with HIV/HCV coinfection

° Explain the reported safety and efficacy of currently available treatments for HCV in patients coinfected with HIV

° List HCV/HIV drug combinations to avoid based on potential for drug-drug interactions

° Select guidelines-recommended monitoring for patients being treated for HCV/HIV coinfection

Launch Date: 11/30/16Expiration Date: 11/30/17

Faculty

Jonathan S. Appelbaum, MD, FACP, AAHIVS
Laurie L. Dozier Jr., MD Education Director and Professor of Internal Medicine

Interim Chair, Department of Clinical Sciences
Florida State University College of Medicine
Tallahassee, FL

Kathy Brown MD FACP AAHIVS
HIV Program Medical Director

Group Health Cooperative
Seattle, WA

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

Donna E. Sweet, MD, MACP
Professor of Medicine

Director, Internal Medicine Education
University of Kansas School of Medicine – Wichita
Wichita, KS

Christian B. Ramers, MD, MPH, AAHIVS
Assistant Medical Director – Research/Special Populations
Director – Graduate Medical Education
Family Health Centers of San Diego
Assistant Clinical Professor of Medicine
UC San Diego School of Medicine
San Diego, CA

 


Physician Continuing Medical Education
Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Postgraduate Institute for Medicine and HealthHIV. Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.

 

Credit Designation (for all 5 modules)

The Postgraduate Institute for Medicine designates this enduring material for a maximum of 4.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Activity Title

 Credit Hours

HIV Management in Primary Care – Foundations Course 0.75 AMA PRA Category 1 Credit(s)™
Core Skills for HIV Management in the Primary Care Setting 0.75 AMA PRA Category 1 Credit(s)™
Considerations in the Management of HIV in Older Adults 0.75 AMA PRA Category 1 Credit(s)™
Improving Communication in the Clinical Setting 1.0 AMA PRA Category 1 Credit(s)™
Assessment and Treatment Decisions in HIV/HCV Coinfection 1.0 AMA PRA Category 1 Credit(s)™

Method of Participation and Request for Credit

Participants must read the learning objectives, faculty disclosures, and complete each educational activity.  Once each activity is completed, you must pass the post-test with a score of 80% or better, and complete the online evaluation form.  Upon successful completion of each activity, you will be provided an immediate certificate to download or print for your files.

Fee Information: There is no fee for this educational activity.


Disclosure of Conflicts of Interest

Postgraduate Institute for 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 the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity:

Name of Faculty

 Reported Financial Relationship

Jonathan S. Appelbaum, MD, FACP, AAHIVS Fees for Non-CME: Merck
Katherine Brown, MD, FACP, AAHIVS            No financial relationship to disclose
Susan Lelacheur, DrPH, PA-C No financial relationship to disclose
Donna E. Sweet MD, MACP Consulting Fees: Pfizer Fees for Non-CME: BMS, Gilead, Merck
Christian B. Ramers, MD, MPH‪, AAHIVS Consulting Fee: Gilead Sciences and Bristol Myers-Squibb

Planners and Managers

The planners and managers reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity:

The PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, MBA, MSN, RN, and Jan Schultz, MSN, RN, CHCP have nothing to disclose. The HealthHIV planners and managers have nothing to disclose.

The following HealthHIV staff and consultants, Carmelita Whitfield, Brian Hujdich, and Michael Shankle, MPH, 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.

The PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, MBA, MSN, RN, and Jan Schultz, MSN, RN, CHCP have nothing to disclose. The HealthHIV planners and managers have nothing to disclose.

The following HealthHIV staff and consultants, Carmelita Whitfield, Brian Hujdich, and Michael Shankle, MPH, 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.

 

Disclosure of Unlabeled 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, medications, 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.

REGISTRATION

Click the corresponding link below to ensure you are enrolled in the proper curriculum and receive the correct certification.

Nurses are welcome to participate, but should check with their state board to determine if AMA credits count toward their continuing education contact hours.