Informações sobre o curso
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. The Association of Nurses in AIDS Care is providing 9.1 contact hours, 1.2 of which can be use towards pharmacology contact hours for this course.  The Association of Nurses in AIDS Care is an approved provider of continue nursing education by the American Nurses Credentialing Center's Commission on Accreditation 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 2, 2017 RENEWAL DATE: EXPIRATION DATE: October 2. 2019 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. 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 0387-9999-17-232-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. CDC is an approved provider of CPH Recertification Credits by the National Board of Public Health Examiners. Effective October 1, 2013, the National Board of Public Health Examiners (NBPHE) accepts continuing education units (CEU) for CPH recertification credits from CDC.  Please select CEU as your choice for continuing education when registering for a course on TCEOnline. Learners seeking CPH should use the guidelines provided by the NBPHE for calculating recertification credits.  For assistance please contact NBPHE at http://www.NBPHE.org. 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. To receive continuing education (CE): Complete the activity Complete the Evaluation at www.cdc.gov/TCEOnline Pass the posttest at 80% at www.cdc.gov/TCEOnline FEES: No fees are charged for CDC’s CE activities.
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Beginner Level

Nível iniciante

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Aprox. 10 horas restantes

Sugerido: 6 weeks
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English

Legendas: English
Globe

curso 100% online

Comece imediatamente e aprenda em seu próprio cronograma.
Beginner Level

Nível iniciante

Clock

Aprox. 10 horas restantes

Sugerido: 6 weeks
Comment Dots

English

Legendas: English

Syllabus - What you will learn from this course

1

Section
Clock
2 hours to complete

Module 1

In this module, we describe PrEP and the evidence from the formative international studies that led to guidelines in the US and abroad recommending its implementation for HIV prevention. For patients, we discuss the importance of assessing your individual need and readiness to begin PrEP. For providers, we present case studies of implementation projects around the world. Please be sure to follow the link on the right below each video to complete a short speaker evaluation. Thanks!...
Reading
7 videos (Total 87 min), 1 quiz
Video7 videos
Module 1 Introduction0m
State of the Science34m
My Decision to Get on PrEP8m
Demonstration Projects22m
Is PrEP Right for Me?13m
Peer Summary4m
Quiz1 practice exercises
Based on provider-focused and shared content18m

2

Section
Clock
1 hour to complete

Module 2

In this module, we distinguish PrEP from post-exposure prophylaxis (PEP) and when each is most appropriate. We also review what's in the pipeline for other forms of PrEP medication and modes of delivery. For Providers, we explain the activity of tenofovir/emtricitibine against HIV infection, its general pharmacodynamics and the application of clinical practice guidelines in a community clinic....
Reading
7 videos (Total 68 min), 1 quiz
Video7 videos
PrEP and nPEP for HIV Prevention12m
PrEP: Pharmacodynamics / Pharmacokinetics11m
Emerging Data/Ongoing Trials for PrEP11m
Community-Based Implementation of CDC PrEP Guidelines13m
PrEP Pipeline13m
Peer Summary5m
Quiz1 practice exercises
Based on provider-focused and shared content18m

3

Section
Clock
4 hours to complete

Module 3

In this module, we review issues related to accessing and navigating the healthcare system that are relevant to priority populations for PrEP, including men who have sex with men (MSM), women, sero-different couples, adolescents, transgender persons, sex workers and persons who inject drugs or experience coercive sex. For patients, content covers self-advocacy and population-focused concerns and resources for PrEP services. For providers, we discuss the need and approach for tailoring PrEP for priority and often under-served communities with cultural humility....
Reading
13 videos (Total 190 min), 1 quiz
Video13 videos
PrEP for the Transgender Community34m
Adolescents & PrEP21m
Women in Sex Work Exposed to Violence or Coercion12m
PrEP in Women and Serodifferent Couples17m
Provider Considerations for Engaging Men Who Have Sex with Men with PrEP7m
PWID, HIV Infection and PrEP26m
Adolescents & PrEP12m
Women in Sex Work Exposed to Violence or Coercion12m
PrEP in Women and Serodifferent Couples13m
MSM Self-advocacy and Health Care Empowerment for PrEP4m
PrEP -- A new tool in the PWID toolkit?16m
Peer Summary- Module 39m
Quiz1 practice exercises
Based on provider-focused and shared content26m

4

Section
Clock
2 hours to complete

Module 4

In this module, we review issues related to accessing PrEP. For providers, we consider how to identify priority populations for PrEP in your service area, discuss the relative costs and outcomes for PrEP as a public health program, key elements of a PrEP business plan and the role of community outreach. For patients, barriers to accessing services are addressed....
Reading
9 videos (Total 125 min), 1 quiz
Video9 videos
Paying for PrEP: Patient Assistance Programs12m
Should your Clinic Offer PrEP? Build It and They Will Come19m
PrEP Implementation: A Community Based Nurse-Led Model13m
Business Case -- Cost-Effectiveness of PrEP17m
Integrating PrEP into Clinical Practice13m
PrEP Community Outreach in Baltimore24m
PrEParing For Pleasure -- Navigating Barriers15m
Peer Summary7m
Quiz1 practice exercises
Based on provider-focused and shared content18m

5

Section
Clock
2 hours to complete

Module 5

In this module, steps of the first clinic visit are reviewed, including payment for PrEP medication and services, lab work and sexual health assessment. The competencies for performing a thorough and non-judging sexual history, STI screening, and patient education and practical advice to offer clients regarding adherence are discussed....
Reading
9 videos (Total 127 min), 1 quiz
Video9 videos
The Initial PrEP Visit -- What Providers and Patients Should Know41m
HIV Prevention -- Sex, Sexual History and PrEP22m
Sexually Transmitted Infection Screening and PrEP13m
Laboratory Testing5m
Patient Education11m
How to Discuss Sex With Your Provider15m
How to Take PrEP and the Importance of Adherence8m
Peer Summary7m
Quiz1 practice exercises
Based on provider-focused and shared content20m

6

Section
Clock
3 hours to complete

Module 6

In this module, we review considerations for continuing PrEP beyond the first clinic visit, how to think about the quality of PrEP services, and when discontinuation may be appropriate. For patients, topics include medication adherence and risk reduction. For providers, recommendations for management of STIs, screening for and addressing barriers to medication adherence, models of care and case management and clinic retention are reviewed....
Reading
14 videos (Total 171 min), 1 quiz
Video14 videos
My personal Experience on PrEP9m
Discontinuing PrEP16m
Quality of PrEP Programs16m
Follow-up Labs -- Subsequent Visits3m
Sexually Transmitted Infections and PrEP -- Focus on Gonorrhea & Chlamydia20m
PrEP and Genital Ulcer Disease -- Syphilis, Herpes and Human Papilloma Virus25m
Models of Care & Case Management14m
Adherence and Retention9m
Lab Follow-up For Patients9m
Risk Reduction13m
Keeping it Real with Your Provider11m
How to Stay Adherent in the PrEP Program10m
Peer Summary8m
Quiz1 practice exercises
Based on provider-focused and shared content20m
4.5

Top Reviews

By KDJul 29th 2017

Extremely interesting for those looking to work in HIV related fields.

By CAAug 31st 2017

Was a really good course to understand PrEP better.

Instructor

About Johns Hopkins University

The mission of The Johns Hopkins University is to educate its students and cultivate their capacity for life-long learning, to foster independent and original research, and to bring the benefits of discovery to the world....

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