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The Prevention Benefit of ART for HIV-infected Patients

This course is designed to help clinicians to think about antiretroviral treatment (ART) for people living with HIV as both effective treatment and prevention.

This self-paced course is divided into four modules that will take approximately one hour to view:

• Module I provides an overview of the cascade of engagement in HIV care and introduces a case study that will be referenced throughout the course.
• Module II focuses on research that examines the connection between health outcomes and initiating ART at various CD4 cell counts.
• Module III looks at the prevention benefits of ART through the relationship between viral suppression in plasma and genital secretions, the relationship between viral load and transmission, and use of ART for both pre-exposure and non-occupational post-exposure prophylaxis.
• Module IV presents some psychosocial considerations that influence clinicians’ recommendations about initiating ART.

The Centers for Disease Control and Prevention designates this course for a maximum of 1.25 AMA PRA Category 1 Credits™.  For more information about obtaining  continuing education, please refer to Continuing Education on the drop-down menu below.

Target Audience

The primary audience for this course is physicians who treat people living with HIV.  In addition, anyone providing medical care or other support services to this population may find this information useful.

Course Objectives

This course has been designed for clinicians who treat people living with HIV and has three learning objectives.  After completing this course, clinicians will be able to:

1. Describe the relationship of suppression of viral load and reduction in HIV transmission.
2. Identify three topics to discuss with HIV-positive patients regarding the prevention benefits of ART.
3. Identify four issues for consideration when prescribing ART for patients with CD4 cell counts ≥500 cells/mm3.

Continuing Education

CME Activities with Joint Sponsors

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Centers for Disease Control and Prevention (CDC) and University of Texas Southwestern Medical Center.  CDC is accredited by the ACCME® to provide continuing medical education for physicians.

The Centers for Disease Control and Prevention designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™.  Physicians should only claim credit commensurate with the extent of their participation in the activity.

Instructions to obtain Continuing Education:

1. Completely view the course, The Prevention Benefit of ART for HIV-Infected Patients.

2. Select register for CME when complete.  Users will be directed to the CDC Training and Continuing Education Online (TCEonline) website at www.cdc.gov/tceonline.  First-time users must register as a new participant.  Select new participant to create a profile.  Return users should select participant login and use their previously established login name and password.  This will ensure an accurate transcript.

3. Once users have logged in, they can search and register for this course, The Prevention Benefit of ART for HIV-infected Patients.  Users can also keyword search by the course number WB2103.  When the course title appears, select the course, select CME, and then submit.  New users will be asked three demographics question.  Returning users will have an opportunity to update their information if needed.  Users will be directed to complete an evaluation for the course.

4. After completing the evaluation, participants complete the post-test.  Once the post-test and evaluation are complete, the course will be entered into the user’s personal transcript, and the user will be able to print a certificate of completion.  A record of the user’s course completion will be retained in the transcript and certificate section of the record.

For any questions or problems related to Continuing Education, please contact CDC Training and Continuing Education Online at 800-498-6260 or ce@cdc.gov.

Starting the Course

To start the course, click the Start Course button below.  This will direct you to the Effective Interventions website where you can click on the link to the HIP eLearning Center.  There you will be asked to sign-in or set up a new account.  Once you have logged in, it will allow you to return to the course, if you need to leave for any reason or if you wish to review the course more than once.  Upon returning to the course, you will be given the option of resuming the course where you left off or beginning again. 

If you select the Register with CME button, you will be directed to the CDC Training and Continuing Education Online (TCEonline) website at www.cdc.gov/tceonline.  After you register, that site will refer you to the login for the course.  After viewing the course, you will need to return to TCEonline to complete an evaluation and post-test, so you can receive credit for the course.  See Continuing Education above.

Disclosure Statement

This course has been developed by the Community Prevention and Intervention Unit of the University of Texas Southwestern Medical Center in collaboration with the Division of HIV/AIDS Prevention at the Centers for Disease Control and Prevention.  CDC, our planners, and our content experts wish to disclose they have no financial interests or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters with the exception of Dr. Jacobson, and she wishes to disclose financial support from the HIV FOCUS program of Gilead Sciences.  Presentations will not include any discussion of the unlabeled use of a product or a product under investigational use.  CDC does not accept commercial support.

Developers

This course has been developed by the Community Prevention and Intervention Unit of the University of Texas Southwestern Medical Center in collaboration with the Division of HIV/AIDS Prevention at the Centers for Disease Control and Prevention and is provided free of charge.

System Requirements

• Browser: Microsoft® Internet Explorer® 5.5 (or higher, but not 9.0), Google Chrome, or Mozilla Firefox on standard Microsoft® technologies (Windows® 98 or more recent)
• JavaScript enabled
• Pop-up blocker disabled
• Intel® Pentium® III Processor
• 256 MB RAM, minimum
• Broadband Internet connection
• Adobe Reader for PDFs
• Adobe Flash Player

The following system plug-ins are available for download and installation to optimize your learning experience:
http://get.adobe.com/reader/
http://get.adobe.com/flashplayer/
 

Navigation

Audio – The on-screen presentation is accompanied by audio narration.  The speaker symbol in the lower-left-hand corner of the screen can be used to adjust the volume.  A progress bar, located at the bottom of the screen, is synchronized with the narration.  Narration can be paused by selecting the double, parallel bars on the left side of the audio progress bar.  Selecting the button again will resume the audio.  To repeat the audio, right-click, hold, and drag the audio progress bar to the left or select the refresh button located to the right. 

Menu – This panel, which appears on the right-hand side of the screen at the end of each section, tracks your progression through the four modules of the course.  These modules are designed to be viewed consecutively.  You cannot move ahead of the current module but can return to any previously viewed module.  If you leave the course before completing it, you can resume where you left off.  However, we recommend that you view the course in its entirety at one time.  Click the menu selection next to the check mark to begin viewing that section.

Next – The “Next” button, located in the lower-right-hand corner of each page, will change color to blue after the audio for that page has finished.  To advance to the next page, click the blue “Next” button.

Back – The “Back” button, located to the left of the “Next” button, will change color to blue after you have viewed that page.  To return to a previous page, click the blue “Back” button.

Transcript – This link, located on the upper-right-hand corner of the screen, will generate text of the narration being read in a box at the bottom of the screen. To close the transcript box, click the red button with the “x” below the narration text.

References – This link, located to the left of the “Transcript” button, will generate a list of bibliographic references cited in the course as well as a list with links to web pages used throughout the course.  Click on the red “View or Print PDF” button to link to a print-ready document.

Links – Links to websites provide additional information about particular topics.  You can return to your place in the course by closing the link.  In addition, the course includes some hyperlinks, words in blue with blue underlines.  To access the hyperlink, click the term, and a text box of related information will appear on the screen.  To close the text box, click the red button with the “x” in the upper-right-hand corner of the box.  Abbreviated citations, where relevant, appear in the lower left-hand corner of the screen above the blue bar.  Access the full citation by hovering over the citation with your mouse or in the References link.

Videos – This course includes several short videos.  To advance to the end of the video without watching it, move the cursor to the far right of the progress bar and click the “Next” button.
 

Course Contact

For questions related to course content and technical assistance related to viewing this course, please contact us at our support email address: interventions@danya.com.