Pre-Exposure Prophylaxis (PrEP) using the antiretroviral medication emtricitibine/tenofovir approved in countries around the world is a highly effective means of reducing transmission of HIV through sexual encounters and needle sharing.

This Johns Hopkins University course PrEPares you with essential information, concepts and practical advice regarding PrEP from leaders in the field. A first of its kind learning opportunity, both providers and patients learn from the same experts through content that meets the needs of both audiences, while facilitating the opportunity for a shared community space.

Lessons for healthcare workers provide background on foundational and cutting-edge research and PrEP guidelines, how to initiate a PrEP program, clinical management and providing culturally sensitive sexual health and primary care to diverse communities.

Lessons for PrEP enthusiasts, PrEP users or the PrEP curious provide information regarding who can benefit from PrEP, how to access services, what to expect and how to stick with your PrEP program long-term.

OBJECTIVES:

At the conclusion of the session, the participant will be able to:

1. Describe the differences between foundational PrEP studies and demonstration projects

2. Describe the basic pharmacodynamics of tenofovir/emtricitibine including mechanism of infection prevention and time

to protective concentration in mucosal tissues

3. List recommendations from PrEP for Prevention of HIV Infection in the United States clinical practice guidelines, USPHS

and CDC, including initial and ongoing screening and testing

4. Describe the need for PrEP as an HIV prevention tool for priority in often stigmatized populations

5. Indicate the components for integrating PrEP services into clinical practice

6. Outline guidelines for screening and treatment of sexually transmitted infections

7. Describe how to take a thorough sexual history and to engage with clients around sex in an affirming and non-

judgmental manner

8. List the baseline and follow-up laboratory monitoring required

9. Explain key aspects of patient education for HIV prevention and sexual health

10. Describe protocols for ongoing PrEP services and when to discontinue

FACULTY/ CREDENTIALS:

Jason E. Farley, PhD, MPH, ANP-BC, FAAN, Associate Professor

Johns Hopkins University School of Nursing

Chris Beyrer, MD, MPH, Professor

Johns Hopkins University Bloomberg School of Public Health

Yusuf Ariyibi, BA, Disease Intervention Specialist

Baltimore City Health Department

Joyce Jones, MD, MS, Clinical Associate

Johns Hopkins University School of Medicine

Neha Sheth Pandit, PharmD, AAHIVP, BCPS, Associate Professor

University of Maryland School of Pharmacy

Pierre-Cedric Crouch, PhD, ANP-BC, ACRN, Director of Nursing

San Francisco AIDS Foundation

Renata Arrington Sanders, MD, Assistant Professor

Johns Hopkins University School of Medicine

Jenell Coleman, MD, MPH, Associate Professor

Johns Hopkins University School of Medicine

Michele Decker, ScD, MPH, Associate Professor

Johns Hopkins University Bloomberg School of Public Health

Deborah Dunn, PA-C, MBA, Physician Assistant

Chase Brexton Health Care

Jordan White, MS, Desmond Tutu Fellow of Public Health and Human Rights

Johns Hopkins University Bloomberg School of Public Health

Gregory Lucas, MD, PhD, Professor

Johns Hopkins University School of Medicine

Demetre Daskalakis, MD, MPH, Acting Deputy Commissioner, Division of Disease Control, NYC Dept. of Health and Mental Hygiene

David Dowdy, MD, PhD, Associate Professor

Johns Hopkins University Bloomberg School of Public Health

Jessica LaRicci, PrEP Coordinator

Johns Hopkins University School of Nursing

Susan Tuddenham, MD, MPH, Assistant Professor

Johns Hopkins University School of Medicine

Joseph Cofrancesco, MD, MPH, FACP, Associate Professor of Medicine

Johns Hopkins University School of Medicine

Jill Crank, CRNP, MSN/MPH, Nurse Practitioner

Evergreen Healthcare

Paul Sacamano, MPH, ANP-BC, ACRN, PrEP Project Lead

Johns Hopkins University School of Nursing

Shima Ge, BS, PrEP Peer Navigator

Johns Hopkins University School of Nursing

ORIGINATION DATE October 02, 2017

RENEWAL DATE: November 30, 2019

EXPIRATION DATE: November 30, 2021

URL: https://www.coursera.org/learn/prep/

HARDWARE/SOFTWARE: Computer Hardware; Internet connection; Browser

MATERIALS: None

TARGET AUDIENCE: physicians, physician assistants, nurse practitioners, registered nurses, pharmacists, health education specialists, public health workers, social workers, case managers

PREREQUISITES: None

FORMAT: These seminars are enduring video presentations with online discussion forum and resources.

CONTACT INFORMATION: Office of The REACH Initiative, Johns Hopkins University School of Nursing (888) 788-7737

ACCREDITATION STATEMENTS:

CME activities with Joint Providers: 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 providership of the Centers for Disease Control and Prevention and Johns Hopkins University School of Nursing. The Centers for Disease Control and Prevention is accredited by the (ACCME®) to provide medical education for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Centers for Disease Control and Prevention designates this enduring material for a maximum of 10.75 AMA PRA Category 1 Credits™.

CEU: The Centers for Disease Control and Prevention is authorized by IACET to offer 1.1 CEU's for this program.

CECH: Sponsored by the Centers for Disease Control and Prevention, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 10.5 total Category I continuing education contact hours. Maximum advanced level continuing education contact hours available are 0. CDC provider number 98614.

CPE: The Centers for Disease Control and Prevention is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

This program is a designated event for pharmacists to receive 1.05 CEUs in pharmacy education. The Universal Activity Number is 0387-9999-19-191-H01-P.

Category: This activity has been designated as Knowledge-Based.

Once credit is claimed, an unofficial statement of credit is immediately available on TCEOnline. Official credit will be uploaded within 60 days on the NABP/CPE Monitor.

For Certified Public Health Professionals (CPH)

The Centers for Disease Control and Prevention is a pre-approved provider of Certified in Public Health (CPH) recertification credits and is authorized to offer 11 CPH recertification credits for this program.

DISCLOSURE: In compliance with continuing education requirements, all presenters must disclose any financial or other associations with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters as well as any use of unlabeled product(s) or product(s) under investigational use.

CDC, our planners, our content experts and their spouses/partners 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. Jason Farley and he wishes to disclose that he received grant from Gilead. Planning committee discussed conflict of interest with Dr. Farley to ensure there is no bias.

Content will not include any discussion of the unlabeled use of a product or a product under investigational use with the exception of Dr. Arrington Sander’s discussion of PrEP for adolescents, PrEP is not approved for adolescents < 18 years old; and Dr. Tuddenham’s discussion of STI screening, she will be discussing extra genital screening with NAAT currently recommended by CDC.

CDC did not accept commercial support for this continuing education activity.

Instructions for Obtaining Continuing Education (CE)

In order to receive continuing education (CE) for WD2928- PrEParing: PrEP for Providers and Patients please visit TCEO and follow these 9 Simple Steps before 11/30/2021

Complete the activity

Complete the Evaluation at https://tceols.cdc.gov/

Pass the posttest at 80% at https://tceols.cdc.gov/

Email [email protected] once the above is cpmpleted for CE

FEES: No fees are charged for CDC’s CE activities.