HIV ECHO Sessions

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Email UNMCHIVECHO@unmc.edu with questions.

Session #1: "HIV 101" presented by Nada Fadul, MD, and case study by Daniel Cramer, APRN, on 11/7/24. Learning objectives: describe the origin of HIV infection, list the major modes of HIV transmission, identify the key points in the life cycle of HIV, and recognize the complications of untreated HIV infection.

Key takeaways:

• Everyone deserves an HIV test if they have ever had sex regardless of their age or background.
• In practice you should not limit yourself to age or sex or “risk” but rather minimize vulnerability.
• Person-centered language validates the patients and helps to de-stigmatize conversations around HIV.

Session #2: "HIV Prevention in Primary Care" presented by Dr. Jennifer Davis, MD, and case study by Shawna Sunagawa, PharmD, on 12/5/24. Learning objectives: review EBP HIV prevention strategies, details of HIV testing, and basics of PrEP.

Key takeaways:

• Per the CDC: Prescribe PrEP to anyone who asks for it, including sexually active adults and adolescents who do not report HIV risk factors.
• HIV is still out there and our patients are at risk.
• Please test everyone for HIV, and more than once if they are having sex.
• U=U (Undetectable = untransmittable).
• Testing and treatment are prevention.
• PrEP and PEP are effective ways to prevent HIV transmission.
• A positive HIV screening result needs follow-up confirmatory testing.

• HIV PrEP Medications | Healthysexual
• Ready, Set, PrEP | HIV.gov 
• PrEP | Planned Parenthood North Central States

Session #3: "STIs" presented by Dr. Sara Hurtado Bares, MD, with case study questions presented by Heather Saarela, BSPH.

Here are some of the learning objectives from the session:  

• Tips and tricks for taking sexual histories in a patient centered way
• General information over different sexually transmitted infections 
• Asymptomatic patients who are interested in STI testing
• How to conduct follow-up care and counseling for patients and their partners who have positive STI results

Here are some key takeaways:

• Practice, practice, practice – the more sexual histories you obtain, the more comfortable you will become 
• STIs are common and frequently asymptomatic; screening – at all exposed sites – is important 
• The most common cause for repeat positive testing is reinfection; remember to provide counseling and expedited partner therapy
• Viruses don't discriminate; anyone can have an STI

STI resources for providers and patients:

• STI treatment guidelines phone app for providers (from the CDC) - Provider Resources
• Websites that allow patients to anonymously notify their partners of an STI exposure:
  • Let Them Know
  • Anonymous STD Text Notification
  • tellyourpartner.org