Presenters: Christina Madison, PharmD, Rob Phoenix, APRN, FNP-C, and Rosanne Sugay, MD, MPH, AAHIVM
Online CME Credit
Fee: Free
Provides 2.00 hours of CE/CME credit (Presented: December 14, 2022; Reviewed July 1, 2024; Expires June 30, 2025)
SB 325 Pharmacy-Based PrEP
Overview
This two-hour recorded webinar meets the 2 hour CE requirement for Nevada pharmacists to prescribe and dispense pre-exposure prophylaxis medication for people at risk of HIV infection.
This recording will provide pharmacists with an extensive review of the Nevada Board of Pharmacy regulations pertaining to the provision of pharmacy-based HIV prevention services, including both post-exposure prophylaxis (PEP) and pre-exposure prophylaxis (PrEP). Content will include HIV transmission, testing, and medications for prevention, counseling techniques for sexual history taking and patient medication adherence, current PEP and PrEP guidelines, case discussions, and information about resources to help patients access these medications. This program has been approved for CME/CEU through the University of Nevada, Reno School of Medicine Office of Continuing Medical Education. The Nevada Board of Pharmacy has approved pharmacy credit.
SB 325 Pharmacy-Based PrEP Program Resource
Learning Objectives
Following participation in this course, participants should be able to:
- Summarize the Nevada Board of Pharmacy regulations governing pharmacy-based PrEP and PEP
- Explain the process of HIV transmission and how HIV is treated
- Conduct a thorough and culturally competent sexual history and risk assessment
- Manage PEP and PrEP for a variety of patients
- Explain the importance of medication adherence to patients taking PEP or PrEP
- Summarize pharmacists’ scope of practice for HIV prevention services including PEP and PrEP
- Discuss case studies pertaining to PEP and PrEP
- Describe sources of funding and financial assistance for PEP and PrEP, including the clinical consultation
- Describe three challenges for the implementation of pharmacy-based PEP and PrEP programs and strategies to address them
The Pacific AETC-NV offers engaging and interactive online learning opportunities to increase healthcare providers' knowledge and awareness of HIV and STI-related health topics. To view all session topics available, please click on Pacific AETC Nevada’s E-Learning page for more online and on-demand learning opportunities.
Program Faculty
This program has been planned and will be presented by three PAETC-NV faculty who are experts in HIV care and prevention.
Christina Madison, PharmD, FCCP, AAHIVP, Founder, The Public Health Pharmacist. Associate Professor of Pharmacy Practice, Roseman University of Health Sciences, Faculty, Pacific AIDS Education and Training Center- Nevada, Henderson, NV
Rob Phoenix, APRN, FNP-C, Owner, Huntridge Family Clinic, Faculty, Pacific AIDS Education and Training Center- Nevada
Las Vegas, NV
Rosanne Sugay, MD, MPH, AAHIVM, Physician, UMC Wellness, Medical Director, Pacific AIDS Education and Training Center- Nevada, Las Vegas, NV
The Pacific AETC is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award $3,887,700.00. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.
Step One - Pacific AETC Nevada’s E-Learning Registration:
Please follow the link to register with the Pacific AETC Nevada’s E-Learning program. In order to continue funding and provide educational programming for health professionals around HIV/AIDS, we need all participants to register through PAETC-NV.
Step Two - UNR Med CME Login for receiving CME/CE credit:
This webinar requires you to login into the University of Nevada, Reno School of Medicine, Office of Continuing Medical Education’s (UNR Med CME) website to complete your registration. If you do not have a UNR Med CME account, you will need to make one.
Once you have signed into the UNR Med CME websites, follow the instructions below to watch the webinar and collect your CME, CE, and pharmacy credit.
Instructions for receiving CME/CE credit:
- Click on the registration button above
- Click on the course to register
- After registration, you will click “begin the activity”
- YouTube will be embedded into the website
- Watch the YouTube video
- Click to claim credit
- Enter the activity code that was provided to you in the email confirmation
- Claim credit and generate the certificate
If you have any questions, please email us at paetcnv@med.unr.edu.
Evaluation and Claim Credit
- Once you begin the video, you must watch it in its entirety to claim credit. Fast-forwarding has been disabled. You may pause the video briefly if needed. Do not close the browser window as doing so will require you to start over.
- Once you have reached the end of the video, a button to continue will appear that will take to evaluation and start the process for receiving a certificate.
- Failure to complete the process will result in the credit not being awarded to you.
- Should you need to restart the process, or download a copy of a certificate at a later time, please see the instructions for accessing the online portal here: Evaluation and Claim Credit
For questions concerning the online evaluation or your certificate, please contact our office at (775) 784-4791 or email us at cme@med.unr.edu.
Accreditation Designation Statements
The University of Nevada, Reno School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The University of Nevada, Reno School of Medicine designates this enduring material for a maximum of 2.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Education Credit
The University of Nevada, Reno School of Medicine approves this program for 2.00 hours of nursing continuing education credit.
The University of Nevada, Reno School of Medicine is a provider of continuing education credit through the Nevada State Board of Pharmacy. This program is approved for 2.00 hour of continuing education credit for pharmacists.
As an accredited provider of continuing medical education through the Accreditation Council for Continuing Medical Education (ACCME) the University of Nevada, Reno School of Medicine must ensure balance, independence, objectivity, and scientific rigor in all its educational activities. In order to assure that information is presented in a scientific and objective manner, The University of Nevada, Reno School of Medicine requires that anyone in a position to control or influence the content of an accredited activity disclose all financial relationships within the prior 24 months with any commercial or proprietary entity producing health care goods or services relevant to the content being planned or presented. All relevant financial relationships have been mitigated. Following are those disclosures.
The following presenter has disclosed the following relationship with a commercial interest.
Presenters
Christina Madison, PharmD, FCCP, AAHIVP: Speakers’ Bureau or Honoraria: Janssen Therapeutics (HIV treatment)
Rosanne Sugay, M.D., MPH, AAHIVS: Speakers’ Bureau or Honoraria: Gilead Sciences (HIV treatment)
Rob Phoenix, APRN, FNP-C, HIV-PCP: Grant/Research Support: Gilead Sciences; Consultant: Gilead Sciences, Lupin Pharmaceutical, Janssen Pharmaceutical, ViiV medical; Speakers’ Bureau or Honoraria: Gilead Sciences, NAPO Pharmaceutical, ViiV Medical; Ownership Interest: Huntridge Family Clinic-100%
All other presenters, planners or anyone in a position to control the content of this continuing medical education activity have indicated that they do not have financial relationships with ineligible companies related to the content of this activity.
https://ahead.hiv.gov/
https://aidsinfo.nih.gov/understanding-hiv-aids/fact-sheets/19/58/fda-approved-hiv-medicines
CDC PrEP Guidelines, 2021. Figure 2. (Page 23)
CDC PrEP Guidelines, 2021. Figure 3. (Page 27)
CDC PrEP Guidelines, 2021. Figure 4a. (Page 30)
CDC PrEP Guidelines, 2021. Figure 4b. (Page 31)
CDC PrEP Guidelines, 2021. BoxA (Page 34)
CDC PrEP Guidelines, 2021. Table 4 (Page 39)
CDC PrEP Guidelines, 2021. Figure 5. (Page 40)
CDC PrEP Guidelines, 2021. Table 5. (Page 44)
CDC PrEP Guidelines, 2021. Table 6 (Page 48)
CDC PrEP Guidelines, 2021. Table 7. (Page 50)
CDC PrEP Guidelines, 2021. Figure 7. (Page 53)
CDC PrEP Guidelines, 2021. Table 8. (Page 64)
CDC PrEP Guidelines, 2021.
Based on slide by R. Landovitz, Ryan White Clinical Conference 2022
https://www.cdc.gov/hiv/basics/testing.html https://www.cdc.gov/hiv/basics/testing.html https://www.cdc.gov/hiv/basics/testing.html
https://www.cdc.gov/hiv/pdf/programresources/cdc-hiv-npep-guidelines.pdf
https://www.cdc.gov/hiv/workplace/healthcareworkers.html
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https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-life-cycle
https://journals.lww.com/stdjournal/Fulltext/2017/12000/Selecting_an_HIV_Test___A_Narrative_Review_for.5.aspx
https://www.leg.state.nv.us/App/NELIS/REL/81st2021/Bill/7959/Overview
Lennox JL et al. Lancet. 2009; 74 (9692): 796-806
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National LGBT Health Education Center and National Association of Community Health Centers. (2014). Taking Routine Histories of Sexual Health: A System-wide Approach for Health Centers. https://www.lgbtqiahealtheducation.org/wp-content/uploads/COM827_SexualHistoryToolkit_August2014_v7.pdf
paetc.org
https://targethiv.org/library/sexual-history-taking-toolkit
U.S. Centers for Disease Control and Prevention. A Guide to Taking a Sexual History. https://www.cdc.gov/STD/treatment/SexualHistory.pdf
US DHHS; 2016. US Public Health Service. A Clinical Practice Guideline. March 2018:1-77.