Case Studies in HIV Primary Care: A STEP-HIV Initiative
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Release Date: December 23, 2021 |
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There are approximately 1.2 million people living with HIV in the Unites States, including 34,800 new infections per year. Roughly 50% of patients living with HIV (PLWH) have access to comprehensive HIV specialty care in a Ryan White Funded clinic. Access to HIV care has transformed HIV from a deadly condition to a manageable chronic condition. To reach all PLWH it is essential that all primary care clinicians can provide basic HIV and primary care to people living with HIV (PLWH). This is critical to achieve the UNAIDS’ ending the HIV epidemic goal of 90-90-90: 90% of PLWH diagnosed, 90% on treatment with antiretrovirals and 90% virologically suppressed on treatment. The primary care of PLWH can provide unique challenges as compared to the general population and some of those challenges will be discussed during this activity.
- Clinical data on mental health and substance disorders
- Laboratory management of PLWH
- Immunizations of PLWH
- Cancer screening in PLWH
Learning Objectives
- Work with your HIV team to incorporate resources and expert Screen for mental health andScreen for mental health and substance abuse and begin basic treatment
- Order routine labs for new and established patients with HIV
- Identify recommended immunizations for PLWH, including where recommendations vary from those for persons without HIV
- Incorporate appropriate cancer screenings for PLWH into care
Activity Faculty
 | Mamta K. Jain, MD, MPH, FIDSA Professor of Internal Medicine, Division of Infectious Disease UT Southwestern Medical Center |  | Sarah Smith, MHS, PA-C, AAHIVS Chief Quality Officer Philadelphia FIGHT Community Health Centers |
Faculty Bios
Mamta K. Jain, MD, MPH, FIDSA is a Professor in the Department of Internal Medicine at UT Southwestern Medical Center. She specializes in infectious diseases and conducts clinical trials to evaluate new therapies for HIV, hepatitis C, influenza, and now COVID-19.
Dr. Jain earned her medical degree at Baylor College of Medicine. She completed a residency in internal medicine at Baylor Affiliated Hospitals and received advanced training through an infectious diseases fellowship at UT Southwestern. She also earned an MPH in epidemiology/statistics at the University of Texas Houston School of Public Health – Dallas branch. Certified by the American Board of Internal Medicine in infectious diseases, she joined the UT Southwestern faculty in 2005. During the global COVID-19 pandemic, Dr. Jain has been at the forefront of conducting clinical trials for patients with COVID-19 in order to find effective therapies. Dr. Jain is a Fellow of the Infectious Diseases Society of America (IDSA) and is on the Board of Directors for HIV Medicine Association. She is also a member of the IDSA Guidelines Committee for Infection Prevention for COVID-19. Dr. Jain helped to co-author the primary care guidance for persons with HIV. Her research focuses on improving clinical outcomes for those with HIV and viral hepatitis, and she has received significant grant support for her work. She has delivered scores of international, national, and regional invited lectures, and published a number of academic articles.
Sarah E. Smith, MHS, PA-C, AAHIVS is currently the Chief Quality Officer of Philadelphia FIGHT Community Health Centers. She received her undergraduate degree in Exercise and Sports Science from Ursinus College in 2002 and received her medical training from Drexel University while completing a Master’s in Health Science in 2005. As FIGHT’s Chief Quality Officer she heads all quality improvement and risk management activities across 6 health centers and has led her health centers to numerous awards in the realm of quality improvement.
Sarah is a board-certified Physician Assistant with specialty training in HIV. She has been working in the field of HIV for the last 16 years and provides HIV, primary, mental health, substance abuse, and gynecological care to a large number of HIV patients. She is also certified by The American Academy of HIV Medicine (AAHIVM) as an HIV Specialist. Additionally, Sarah is a sub-investigator on numerous clinical trials studying new HIV and HCV treatments. In 2012, she also received a certification in Herbal Medicine from the Blue Heron Academy of Healing Arts and Sciences and in 2018 completed training in Mindfulness Based Stress Reduction (MBSR). Sarah is an active member in the American Academy of Physician Assistants (AAPA) and Pennsylvania Society of Physician Assistants (PSPA).
In support of improving patient care, this activity has been planned and implemented by American Academy of CME, Inc. and ACTHIV Institute. American Academy of CME, Inc. is Jointly accredited by the Accreditation 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.
Physicians
American Academy of CME, Inc., designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurse Practitioners and Nurses
American Academy of CME, Inc., designates this educational activity for 1.0 ANCC contact hours (0.4 Pharmacotherapeutic Contact Hours).
California
Provider approved by the California Board of Registered Nursing, Provider Number CEP16993 for 1.0 contact hours.
Physician Assistants
American Academy of CME, Inc. has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. Approval is valid until December 23, 2022. PAs should only claim credit commensurate with the extent of their participation.
Other members of the care team will receive a certificate of participation.
Target Audience
This activity has been designed to meet the educational needs of the HIV care team, including physicians (both specialists and primary care/family medicine), nurses, nurse practitioners, physician assistants, and pharmacists who are in practice but are newer to HIV medicine or who are in training. Other healthcare providers may also participate.
Disclosures
According to the disclosure policy of the Academy, all faculty, planning committee members, editors, managers and other individuals who are in a position to control content are required to disclose any relationships with any ineligible company(ies). The existence of these relationships is not viewed as implying bias or decreasing the value of the activity. Clinical content has been reviewed for fair balance and scientific objectivity, and all of the relevant financial relationships listed for these individuals have been mitigated.
Disclosure of relevant financial relationships are as follows:
Faculty Educators
Mamta Jain MD, MPH, FIDSA: Advisory Board/Consultant: Gilead Sciences; Grant/Research Support: Gilead Sciences, Janssen, Merck, GlaxoSmithKline/ViiV Healthcare, Regeneron, VasGene
Sarah Smith, PA-C: Advisory Board/Consultant: Gilead Sciences, Janssen, ViiV Healthcare; Speaker’s Bureaus: Gilead Sciences, Janssen, Merck
Planning Committee
John JD Juchniewicz, MCIS, CHCP, FACEHP, Natalie Kirkwood, RN, BSN, JD, American Academy of CME: No relevant financial relationships to disclose.
This activity contains discussion of off-label or investigational information.
The opinions expressed in this accredited continuing education activity are those of the faculty, and do not represent those of the Academy. This educational activity is intended as a supplement to existing knowledge, published information, and practice guidelines. Learners should appraise the information presented critically and draw conclusions only after careful consideration of all available scientific information.
Instructions on How to Receive Credit
The opinions expressed in this accredited continuing education activity are those of the faculty, and do not represent those of the Academy. This educational activity is intended as a supplement to existing knowledge, published information, and practice guidelines. Learners should appraise the information presented critically and draw conclusions only after careful consideration of all available scientific information.
Privacy and Contact
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Hardware/Software Requirements
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Copyright
© 2021. This CME/CE-certified activity is held as copyrighted © by American Academy of CME and ACTHIV Institute. Through this notice, the Academy and ACTHIV Institute grant permission of its use for educational purposes only. These materials may not be used, in whole or in part, for any commercial purposes without prior permission in writing from the copyright owner(s).