In this interactive case challenge, Philip Grant, MD, leads you through key decisions in selecting first-line therapy for a 31-year-old male patient with clinical AIDS who has previously declined to start antiretroviral (ARV) therapy. This case will demonstrate how to select appropriate first-line ARV therapy based on treatment guidelines; Individualize choice of first-line ARV therapy based on likelihood of adherence and disease severity; make on-treatment decisions regarding first-line therapy based on treatment response; provide appropriate care and counsel for patients and their families; and provide accurate and appropriate counsel as part of the treatment team. Registration is required.
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Adherence to ART
Using a series of case vignettes, this CME-certified activity for physicians, pharmacists, and nurses provides clinical management insights from leading experts on the care of patients with HIV. Upon completion of this activity, participants should be able to implement first-line antiretroviral management strategies that are consistent with current consensus guidelines; appropriately individualize the care of patients receiving antiretroviral therapy to address adverse events, adherence, virologic failure, and other issues; integrate best practices in primary care interventions for HIV-infected patients; and manage common comorbidities present in HIV-infected patients, including conditions that occur more frequently as patients grow older. Registration is required.
This webinar on November 21 will provide information relevant to the sequencing of antiretroviral regimens for HIV-infected individuals and is intended for all healthcare providers actively treating patients with HIV. Registration, which is required, closes November 20, 2013 at 4 PM (PT).
In this training, Joseph J. Eron, Jr., MD, discusses recent clinical and laboratory findings concerning the potential for eradication of HIV infection. Upon completion of this activity, participants should be able to contrast the differences between functional and sterilizing cures of HIV infection; describe key barriers to eradicating HIV infection; analyze the role of very early antiretroviral therapy in potential approaches to curing HIV infection; utilize findings regarding very early antiretroviral therapy to manage patients with acute HIV infection; provide appropriate care and counsel for patients and their families; and provide accurate and appropriate counsel as part of the treatment team.
These five 75 minute archived lectures were originally presented as a series of live webcasts. Topics are: challenges faced by minority populations in accessing HIV care and the relationship between health outcomes for minority women and treatment adherence and retention in care; barriers to mother-to-child HIV transmission rate reduction and ethical dilemmas faced by patients and providers; improvement in the quality of service delivery and patient satisfaction, including a patient center medical home model; women-specific issues as related to antiretroviral treatment, including menopause, bone health and cardiovascular disease; and the management of common gynecological problems in women living with HIV.
This archived webinar, featuring speaker Angel Ribo, PA-C, MPAS, and hosted by the Valley AIDS Council, reviewed the Latino family dynamic and explored ways to utilize family-based approaches to improve patient care, adherence, and health outcomes for Latinos living with HIV. The webinar was part of the Minority AIDS Initiative (MAI) Series.
This webpage links to online case-based studies on a variety of HIV-related subjects, including: initial evaluation, dermatologic and oral manifestations, opportunistic infections, drug interactions, antiretroviral treatment, perinatal transmission, and more. The site also includes tutorials, which are not eligible for continuing education credits, on HIV integration, the OraQuick Advance Rapid HIV test, and routine HIV testing.
This document, by Michael J. Mugavero, MD; Carlos del Rio, MD; and David Rimland, MD, from Volume 29, Supplement 2 of the Federal Practitioner, examines models and tools used within and outside the VA system to improve HIV testing and effectively link patients to care. It explains the importance of early patient identification, retention, and engagement in care as critical determinants of treatment success and describes system-, provider-, and patient-level barriers that must be overcome. Studies of linkage and engagement, along with interventions and strategies, such as the use of active referral systems, peer navigators, and team-based care, are discussed to illustrate successes as well as lessons learned. Case studies describing patients with HIV at different stages along the continuum of care are shared to reinforce information and strategies that can help optimize treatment outcomes.
This interactive virtual presentation features Paul E. Sax, MD, addressing the difficulty of getting patients into care and retaining them with real-world suggestions for smoothing the way to better outcomes. Topics include: the importance of routine opt-out HIV testing and early diagnosis of HIV; advising patients regarding the rationale for current treatment guidelines recommending early antiretroviral therapy; strategies to optimize access to and retention in care; and accurate and appropriate care and counseling for patients, their families, and as part of the treatment team. Free registration is required.
This online presentation by Charles B. Hicks, M.D., is a case-based review of strategies to individualize and optimize HIV management in the primary care setting. Dr. Hicks looks at current guidelines for when to start antiretroviral therapy (ART), how to assess patients considering ART, and choices for initial ART. Registration, which is free, is required.
This webinar on October 22 will provide information relevant to the diagnosis and treatment of HIV patients with opportunistic infections, and is intended for all healthcare providers actively treating patients with HIV. Topics include the role of primary care in the management of HIV infection; ways to approach the initial evaluation, stratified management, follow-up, and assessment of new symptoms in HIV-infected patients; the importance of medication adherence; drug interactions; long-term treatment complications; health care maintenance issues; and facts affecting the care of the older adult living with HIV. Registration, which is required, closes October 21, 2013 at 4 PM (PT).
This online course, updated in 2009, is designed to help non-clinicians understand the basics of HIV treatment.
This six-session, self-paced course is designed to provide state programs and other stakeholders with basic knowledge about Community Health Workers (CHWS). It covers CHWs’ roles and functions, the current status of the CHW occupation, areas of public policy affecting CHWs, credentialing CHWs, sustainable funding for CHW positions, and examples of states successful in moving policy and systems change forward.
Participants in this archived self-study module will review cultural issues for Latinos living with HIV and ways to develop and enhance a successful provider-client relationship, and to empower clients to become adherent to HIV medications. The module is based on a webinar that featured speaker Ernesto Guevera, and was hosted by Special Health Resources for Texas, as part of the Minority AIDS Initiative (MAI) Series. Registration is required.
These nine self-study modules were created from a two-day face-to-face conference entitled, "Women & HIV International Clinical Conference (WHICC)" which was hosted at the Magnolia Hotel May 3-4, 2013 in Dallas, Texas. The goal of these modules is to “Empower clinicians to provide timely care to women living with or at risk of contracting HIV.” The topics are: Session 1: Maternal-Perinatal Transmission of HIV & Syphilis: An International Perspective; Session 2: The Intersection of Intimate Partner Violence & HIV+ Women; Session 3: Changes to the Ryan White Program & the Affordable Care Act; Session 4: Toward Eliminating HIV Heterosexual Transmission; Session 5: Medication Adherence & High Risk Prenatal Care; Session 6: Preconceptual Counseling of HIV Positive Women; Session 7: HIV Prevention (Pre-Exposure Prophylaxis); Session 8: Reproductive Health & the Care of HIV Infected Women; and Session 9: HIV Positive Women & Aging. Select the sessions you wish to view. Registration is required.
ART for HIV Prevention
In this free interactive virtual presentation, Eric S. Daar, MD, uses several patient cases to demonstrate key challenges in making treatment decisions. Dr. Daar also reviews current options for first-line antiretroviral therapy, evolving data for future first-line options, and key factors involved in selecting first-line therapy. A downloadable slide set for self-study is also available. Free registration is required.
In this CME-certified slideset, Andrew Carr, MBBS, MD, FRACP; Joel E. Gallant, MD, MPH; and Anton L. Pozniak, MD, FRCP, review the most clinically relevant data from key efficacy and adverse event studies of investigational and current agents as well as ART in resource-limited settings presented at the 7th IAS Conference on HIV Pathogenesis, Treatment, and Prevention. By the end of the activity, participants should be able to integrate new data on treatment strategies in resource-limited settings; devise management strategies based on studies of available and investigational agents for both HIV treatment and prevention; and apply best practices for the management and prevention of HCV reinfection and adverse events associated with antiretroviral therapy and HIV.
At the 23rd Annual CCO HIV and Hepatitis C Symposium, Roy M. Gulick, MD, MPH, reviewed the most recent data and guideline recommendations on the optimal use of antiretroviral therapy (ART) in HIV-infected patients. Topics include global guidelines for use of ART, new antiretroviral agents and treatment approaches to design optimal regimens for HIV-infected patients, appropriate care/counseling of patients/their families, pre-exposure prophylaxis (PrEP), and ART for HIV prevention. This module is part of the program: HIV and Hepatitis C Annual Update 2013.
In this comprehensive video program, Program Director William G. Powderly, MD, addresses four patient cases with Mohamed G. Atta, MD, MPH; Todd T. Brown, MD; and Priscilla Y. Hsue, MD, as they highlight the collaborative roles of HIV providers and specialists in selecting appropriate antiretroviral regimens and managing the comorbidities associated with aging, including cardiovascular disease, chronic kidney disease, and metabolic and endocrine problems. The related slide set is also downloadable. Free membership required to access the educational content.
This one-hour, self-paced course is designed to help clinicians think about antiretroviral treatment (ART) for people living with HIV as both effective treatment and prevention. The course includes a case study and is divided into four modules that review: 1) the stages of engagement in HIV care, 2) the connection between health outcomes and initiating ART at various CD4 cell counts, 3) the prevention benefits of ART, and 4) psychosocial considerations to consider when recommending ART.