Case Studies in Managing Women with HIV: A STEP-HIV Initiative
Release Date: November 30, 2021 |
 | Support for this activity has been made possible through educational grants from Gilead Sciences and ViiV Healthcare. |
Cisgender women comprised 19% of new HIV infections in the United States in 2018, and 85% of the diagnoses were attributed to heterosexual contact. However, HIV testing rates remain low among cisgender women with reported risk factors, and 1 in 9 women with HIV are unaware of their status. Additionally, cisgender women with HIV face unique challenges related to starting antiretroviral therapy (ART), side effects, family planning, and pregnancy.
- Clinical data on cis-gender women living with HIV
- Management of antiretroviral therapy in women of child-bearing potential
- Gynecologic care of women living with HIV
- Care of pregnant women who present and are taking antiretroviral therapy
- Management of women living with HIV in the United States who desire to breastfeed
After participating in the activity, learners should be better able to:
- Work with your HIV team to incorporate resources and expert guidance for managing cisgender women in order to improve sexual health and HIV outcomes
- Select optimal HIV treatment regimens based on most current treatment guideline recommendations, including pregnancy
- Integrate shared decision-making and patient counseling in treatment selection to ensure optimal adherence and patient satisfaction
Activity Faculty
 | William Short, MD, MPH, FIDSA Associate Professor of Medicine Division of Infectious Diseases Perelman School of Medicine University of Pennsylvania |  | Sarah Smith, MHS, PA-C, AAHIVS Chief Quality Officer Philadelphia FIGHT Community Health Centers |
William R. Short, MD, MPH, AAHIVS is an Associate Professor of Medicine with a secondary appointment as an Associate Professor of Obstetrics and Gynecology at the Perelman School of Medicine, University of Pennsylvania. Dr. Short graduated with his Doctor of Medicine degree from Hahnemann University. Subsequently he completed an internship, residency, and Chief residency in Internal Medicine followed by an Infectious Diseases Fellowship at the MCP/Hahnemann University. Locally, Dr. Short serves as the Associate Director of the Penn AIDS Clinical Trials Unit (ACTU) and maintains two active clinical practices one in the Penn Community Practice and the second in the Helen O. Dickens OB/GYN Clinic, where he is involved in the care of pregnant women living with HIV. Nationally, he serves on the following: Scientific/Clinical Member of the Department of Health and Human Services (DHHS) Panel for Treatment of HIV-infected Pregnant Women and Prevention of Perinatal Transmission; Member of the HIV Primary Care Guideline Panel; Advisor to the Antiretroviral Pregnancy Registry (APR); Vice-chair elect for the American Academy of HIV Medicine (AAHIVM) and finally as a Member of the Taskforce for the Elimination of Perinatal HIV Transmission in the United States and Co-chair of the Preconception Care for women with HIV working group.
Sarah E. Smith, MHS, PA-C, AAHIVS is currently the Chief Quality Officer of Philadelphia FIGHT Community Health Centers. She received her undergraduate degree in Exercise and Sports Science from Ursinus College in 2002 and received her medical training from Drexel University while completing a Master’s in Health Science in 2005. As FIGHT’s Chief Quality Officer she heads all quality improvement and risk management activities across 6 health centers and has led her health centers to numerous awards in the realm of quality improvement.
Sarah is a board-certified Physician Assistant with specialty training in HIV. She has been working in the field of HIV for the last 16 years and provides HIV, primary, mental health, substance abuse, and gynecological care to a large number of HIV patients. She is also certified by The American Academy of HIV Medicine (AAHIVM) as an HIV Specialist. Additionally, Sarah is a sub-investigator on numerous clinical trials studying new HIV and HCV treatments. In 2012, she also received a certification in Herbal Medicine from the Blue Heron Academy of Healing Arts and Sciences and in 2018 completed training in Mindfulness Based Stress Reduction (MBSR). Sarah is an active member in the American Academy of Physician Assistants (AAPA) and Pennsylvania Society of Physician Assistants (PSPA).
Accreditation and Credit Designation
In support of improving patient care, this activity has been planned and implemented by American Academy of CME, Inc. and ACTHIV Institute. American Academy of CME, Inc. is Jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physicians
American Academy of CME, Inc., designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurse Practitioners and Nurses
American Academy of CME, Inc., designates this educational activity for 1.0 ANCC contact hours (0.5 Pharmacotherapeutic Contact Hours).
California
Provider approved by the California Board of Registered Nursing, Provider Number CEP16993 for 1.0 contact hours.
Physician Assistants
American Academy of CME, Inc. has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. Approval is valid until November 30, 2022. PAs should only claim credit commensurate with the extent of their participation.
Other members of the care team will receive a certificate of participation.
Target Audience
This activity has been designed to meet the educational needs of the HIV care team, including physicians (both specialists and primary care/family medicine), nurses, nurse practitioners, physician assistants, and pharmacists who are in practice but are newer to HIV medicine or who are in training. Other healthcare providers may also participate.
Disclosure Statement
According to the disclosure policy of the Academy, all faculty, planning committee members, editors, managers and other individuals who are in a position to control content are required to disclose any relationships with any ineligible company(ies). The existence of these relationships is not viewed as implying bias or decreasing the value of the activity. Clinical content has been reviewed for fair balance and scientific objectivity, and all of the relevant financial relationships listed for these individuals have been mitigated.
Disclosure of relevant financial relationships are as follows:
William R Short, MD: Advisory Board/Consultant: Gilead Sciences, ViiV Healthcare; Honoraria: Janssen, ViiV Healthcare
Sarah Smith, PA-C: Advisory Board/Consultant: Gilead Sciences, Janssen, ViiV Healthcare; Speaker’s Bureaus: Gilead Sciences, Janssen, Merck
Planning Committee
John JD Juchniewicz, MCIS, CHCP, FACEHP, Natalie Kirkwood, RN, BSN, JD, American Academy of CME: No relevant financial relationships to disclose.
This activity contains discussion of off-label or investigational information.
The opinions expressed in this accredited continuing education activity are those of the faculty, and do not represent those of the Academy. This educational activity is intended as a supplement to existing knowledge, published information, and practice guidelines. Learners should appraise the information presented critically and draw conclusions only after careful consideration of all available scientific information.
Instructions on How to Receive Credit
The opinions expressed in this accredited continuing education activity are those of the faculty, and do not represent those of the Academy. This educational activity is intended as a supplement to existing knowledge, published information, and practice guidelines. Learners should appraise the information presented critically and draw conclusions only after careful consideration of all available scientific information.
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Copyright
© 2021. This CME/CE-certified activity is held as copyrighted © by American Academy of CME and ACTHIV Institute. Through this notice, the Academy and ACTHIV Institute grant permission of its use for educational purposes only. These materials may not be used, in whole or in part, for any commercial purposes without prior permission in writing from the copyright owner(s).