• Case Studies in Making HIV Prevention Part of Everyday Care

  • Assessment

    Please answer the following questions based on what you learned in this activity.
  • 1. A 24-year-old man presents to urgent care 60 hours after a condomless sexual encounter with a partner of unknown HIV status. He is not on PrEP and appears anxious, stating he "probably overreacted by coming in." A rapid HIV test is negative. What is the most appropriate next step?*

  • Congratulations. The correct answer is B. PEP is most effective when started as soon as possible, ideally within 24 hours and no later than 72 hours after a substantial-risk exposure. A stigma-free response affirms that seeking care was the right decision, rather than minimizing his concern. Since a rapid HIV test is negative, addition baseline testing should not unnecessarily delay PEP initiation. Follow-up testing is recommended whether PEP is initiated or not but should occur 4-6 weeks after the exposure.

  • Sorry, the correct answer is B. PEP is most effective when started as soon as possible, ideally within 24 hours and no later than 72 hours after a substantial-risk exposure. A stigma-free response affirms that seeking care was the right decision, rather than minimizing his concern. Since a rapid HIV test is negative, addition baseline testing should not unnecessarily delay PEP initiation. Follow-up testing is recommended whether PEP is initiated or not but should occur 4-6 weeks after the exposure.

  • 2. A 32-year-old cisgender woman on daily oral PrEP tells you she keeps forgetting doses because of a chaotic work schedule and doesn't want her coworkers to see a prescription pill bottle. She's motivated to stay protected from HIV but wants something that fits her life better. What is the most patient-centered next step?*

  • Congratulations. The correct answer is C. Long-acting injectable PrEP (either CAB-LA, dosed every 2 months intramuscularly; or lenacapavir, dosed every 6 months subcutaneously) was developed specifically for patients whose adherence, privacy, or lifestyle needs make daily oral dosing difficult. It would be inappropriate to focus only on daily oral PrEP when the patient has suggested that this option does not fit her lifestyle. Presenting injectable options as an alternative supports informed, patient-centered choice and helps preserve continuity of protection. Efficacy of on-demand PrEP was established in studies conducted in men who have sex with men and transgender women; due to a lack of data, it is not recommended for people who may have HIV exposures due to vaginal sex. 

  • Sorry, the correct answer is C. Long-acting injectable PrEP (either CAB-LA, dosed every 2 months intramuscularly; or lenacapavir, dosed every 6 months subcutaneously) was developed specifically for patients whose adherence, privacy, or lifestyle needs make daily oral dosing difficult. It would be inappropriate to focus only on daily oral PrEP when the patient has suggested that this option does not fit her lifestyle. Presenting injectable options as an alternative supports informed, patient-centered choice and helps preserve continuity of protection. Efficacy of on-demand PrEP was established in studies conducted in men who have sex with men and transgender women; due to a lack of data, it is not recommended for people who may have HIV exposures due to vaginal sex.

  • 3. A patient is newly started on PrEP but has unstable housing, no reliable phone, and expresses discomfort discussing sexual health with the same primary care provider who sees his family. Which approach best reflects team-based PrEP care?*

  • Congratulations. The correct answer is B. Team-based PrEP care distributes support across roles so no single point of failure derails retention in care. Patient navigators address appointment and medication-access barriers, community health workers build trust and support outreach for patients with unstable contact information, and medication access coordinators help resolve cost and insurance barriers. Patients should be offered PrEP-related care with whichever provider they feel most comfortable seeing, which can improve rapport and engagement. Flexible, patient-driven follow-up options (phone, text, walk-in) improve retention for patients with housing or privacy constraints.

  • Sorry, the correct answer is B. Team-based PrEP care distributes support across roles so no single point of failure derails retention in care. Patient navigators address appointment and medication-access barriers, community health workers build trust and support outreach for patients with unstable contact information, and medication access coordinators help resolve cost and insurance barriers. Patients should be offered PrEP-related care with whichever provider they feel most comfortable seeing, which can improve rapport and engagement. Flexible, patient-driven follow-up options (phone, text, walk-in) improve retention for patients with housing or privacy constraints.

  • EVALUATION

    To receive your CME/CE credit for participating in this activity, please complete the following evaluation.
  • After participating in the webinar, please rate your current confidence in making HIV prevention part of everyday care.
  • Did your confidence improve?
  • Please rate your agreement with the following statements.*
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  • Please rate your agreement with the following statements.*
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  • Please indicate your agreement with the following statements about barriers to making changes.*
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  • What specific barrier(s) impact your ability to make the change(s) you indicated above? (Select all that apply)*
  • What additional education or resources would help you overcome these barriers? (Select all that apply)*
  • Which patient care challenges related to HIV prevention remain difficult in your practice? (Select all that apply)*
  • What is your overall rating of this activity? *
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  • Please indicate your agreement with the following statements.*
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  • Please provide the following informaiton to receive your CME/CE Certificate.

  • Date
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    2 digit month, 2 digit day, 4 digit year

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  • IF Other          

  • PHARMACISTS: Please enter your NABP Number.*
  • PHARMACISTS: Please enter your MONTH and DAY of birth only (MMDD Format - NO YEAR).*
  • Amount of Time Spent in Activity/Number of Credits Claimed*

  • This educational activity was certified for a maximum of 1.0 AMA PRA Category 1 Credits(TM), 1.0 ANCC Contact Hours, 1.0 AAPA Category 1 CME credits, and 1.0 ACPE Contact Hours.

  • 1.25

  • 1.0

  • 0.75

  • 0.5

  • 0.0

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