This free half-day conference will focus on the role of the emergency department and urgent care medical provider in (1) STI/HIV assessment, screening, treatment, and care; (2) conducting a culturally sensitive sexual history; and (3) HIV prevention including nPEP and PrEP in acute settings.
This conference is restricted to New York State clinical providers including physicians, physician assistants, nurses, and nurse practitioners working in emergency department and urgent care settings. Ticket requests from clinical providers who do not practice in an emergency department or urgent care setting will be placed on a waitlist and will be notified should space become available.
Objectives
At the conclusion of the conference, participants should be able to:
1.Review current STI/HIV assessment, screening, treatment and care recommendations
2.Examine the importance of taking a culturally sensitive sexual history
3.Describe the role of HIV prevention including nPEP and PrEP in the acute setting
Statement of Need
In June 2014, the Governor of New York announced the Plan to End AIDS in NYS by 2020. This three point plan includes the following components: (1) identify persons with HIV who remain undiagnosed and link them to care services, (2) link and retain HIV positive persons to maximize HIV virus suppression, and (3) provide access to pre-exposure prophylaxis (PrEP) for high-risk persons to keep them HIV negative.
Expanding the knowledge of the emergency and urgent care providers is evident in research presented that estimates 20 percent of the 1.1 million HIV infected people in the U.S. are unaware of their status. The early diagnosis and treatment of HIV positive individuals and linkage to treatment is vital in order to prevent increased transmission rates, and to maximize therapeutic outcomes. Many individuals utilize the ED as their sole resource for medical care and therefore represent an important avenue for increased HIV testing. The necessity for proper screening and assessment is shown, because STDs are biologic markers of risk, particularly for HIV acquisition and transmission among some MSM. The importance of testing in the ED can reduce the morbidity and transmission in HIV and STD’s. Studies have found high HIV seroprevalence (3.5% to 11.8%) and asymptomatic sexually transmitted disease prevalence rates (9.7% to 13.6%) in some inner-city EDs. EDs serve populations that have limited access to health care and place responsibility on the ED to provide preventative care. Several studies have shown that screening procedures for HIV in the ED setting effective, but fewer have implemented STD screenings.
Accreditation
Continuing Nursing Education
The University at Albany School of Public Health is an Approved Provider of continuing nurse education by the Northeast Multi-State Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
This offering is approved for 4.0 nursing contact hours.
Continuing Medical Education
The School of Public Health, University at Albany is accredited by the Medical Society of the State of New York (MSSNY) to provide continuing medical education for physicians.
The School of Public Health, University at Albany designates this live activity for a maximum of 4.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Medical Society of the State of New York relies upon planners and faculty participants in its CME activities to provide educational information that is objective and free of bias. In this spirit and in accordance with the guidelines of MSSNY and the ACCME, all speakers and planners for CME activities must disclose any relevant financial relationships with commercial interests whose products, devices or services may be discussed in the content of a CME activity , that might be perceived as a real or apparent conflict of interest. Any discussion of investigational or unlabeled uses of a product will be identified.
Antonio E. Urbina, MD: Advisory Panel (Merck, Gilead, Theratechnologies)
Other planners and faculty participants do not have any financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials.
