Jointly Provided by Postgraduate Institute for Medicine and DKBmed, LLC
Supported by an independent educational grant from Gilead Sciences, Inc.

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Recent success treating HCV and HIV is threatened by the rise of injection drug use (IDU) and the shifting demographics of people who inject drugs (PWID). As treatments become simpler, more effective, and more readily available, the responsibility to screen at-risk populations and manage patients to prevent and treat these dangerous infections has never been greater.

Join Kathleen Brady, MD, PhD, Alain Litwin, MD, and Sandra Springer, MD in a case based webinar to address ways that you can help fight against the surge in HCV and HIV. Topics include:

  • Identifying high-risk patient populations
  • Screening conversations and mitigating stigma
  • IDU and transmission rates
  • Managing HIV and HCV treatment
  • Pre-exposure prophylactic therapy initiation (PrEP)

At the conclusion of each webinar, participants will have an opportunity to engage in a live Q&A session with our expert faculty.


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Monograph

Table of Content

  • CME/CE
  • Introduction
  • Background
  • Role of Substance Use Disorder in HIV and HCV
  • Meet Mario
  • Screening for Substance Use Disorder
  • Screening for HIV
  • Screening for HCV
  • Mario Continued
  • MOUD Options
  • HIV Prevention
  • HCV Prevention
  • Meet Donn
  • Treatment for HCV in People with ODU
  • Meet Amanda
  • Meet Brian
  • Referral
  • Additional Resources
  • Post-test

This monograph was adapted from the live webinar HCV/HIV Virtual Roundtable: Treating HCV/HIV in People Who Inject Drugs. The learning objectives for this activity are:

  • Implement the most recent screening and diagnosis guidelines for managing patients at risk of or with HCV.
  • Discuss treatment options when first-line chronic inhaled antibiotics fail.
  • Identify barriers for initiating PrEP therapy for PWID and discuss interventions that could prevent HIV transmission.
  • Evaluate barriers to direct-acting antiviral (DAA) treatment initiation with patients with injection drug use (IDU).

Introduction

Jointly Provided by Postgraduate Institute for Medicine and DKBmed, LLC
Supported by an independent educational grant from Gilead Sciences, Inc.

Kathleen L. Brady, MD, PhD

Distinguished University Professor
Vice President for Research
Director, South Carolina Clinical and Translational Research Institute
Medical University of South Carolina

Dr. Brady is an experienced clinical and translational researcher and has been conducting scientific investigations and clinical work in the field of addictions and psychiatric disorders for over 30 years. Her research focuses on pharmacotherapy of substance use disorders, comorbidity of psychiatric disorders and addictions (e.g., posttraumatic stress disorder and bipolar disorder), gender differences and women’s issues in addictions, and the neurobiologic connections between stress and addictions. She has received numerous federal research grants and has published over 300 peer-reviewed journal articles and co-edited 10 books. She is the Vice President for Research at the Medical University of South Carolina. She is the principal Investigator of MUSC’s Clinical and Translational Science Award (CTSA), Principal Investigator of the Southern Consortium Node of the NIDA-funded Clinical Trials Network and Director of MUSC’s Women’s Research Center. Her dedication to furthering research careers has attracted a number of junior investigators and clinicians. She has served at the President of the Association for Medical Education and Research in Substance Use Disorders (AMERSA), the American Academy of Addiction Psychiatry (AAAP) and is currently the President of the International Society of Addiction Medicine (ISAM).

Alain Litwin, MD

Vice Chair of Academics and Research, Department of Medicine
Professor of Medicine, University of South Carolina School of Medicine Greenville
Professor, Clemson University School of Health Research



Sandra Springer, MD

Associate Professor of Medicine,
Department of Internal Medicine
Section of Infectious Disease
Yale School of Medicine

Dr. Sandra Springer is an associate professor of medicine in the Department of Internal Medicine, Section of Infectious Diseases at the Yale School of Medicine and the Infectious Disease physician at the VA Connecticut Healthcare System. She is triple board-certified in internal medicine, infectious diseases and addiction medicine. She has focused her clinical and research career on integrating substance use disorder and HIV treatment. In particular she has evaluated the use of medications for the treatment of opioid and alcohol use disorders among persons living with HIV involved in the criminal justice system to improve HIV viral suppression as well as reduce opioid and alcohol relapse post-release. She also was a working group member of NASEM’s historic meeting calling for action to integrate OUD and infectious disease treatment and currently appointed as NASEM committee member for ‘Examination of the Integration of Opioid and Infectious Disease Prevention Efforts in Select Programs’; and a current member of ASAM’s National Practice Guideline Expert PaneI for Medication Treatment for OUD; and current member of the IDSA and HIVMA Working Group on Infectious Disease Issues In the Opioid Epidemic. She has presented her work at numerous national and international conferences, and has published over 100 manuscripts, book chapters, and abstracts.

Jointly Provided by Postgraduate Institute for Medicine and DKBmed, LLC
Supported by an independent educational grant from Gilead Sciences, Inc.

CME/CE

Accreditation Information

Jointly Provided by Postgraduate Institute for Medicine and DKBmed, LLC
This activity is supported by an independent educational grant from Gilead Sciences Inc.

Target Audience
This activity has been designed to meet the educational needs of healthcare professionals who treat patients with HCV, HIV, and injection drug use.

Physician Continuing Medical Education

Joint Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and DKBmed, LLC. Postgraduate Institute for Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME).

Credit Designation Statements

The Postgraduate Institute for Medicine designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Educational Objectives

After completing this activity, the participant should be better able to:

  • Implement the most recent screening and diagnosis guidelines for managing patients at risk of or with HCV.Discuss treatment options when first-line chronic inhaled antibiotics fail.
  • Identify barriers for initiating PrEP therapy for PWID and discuss interventions that could prevent HIV transmission.
  • Evaluate barriers to direct-acting antiviral (DAA) treatment initiation with patients with injection drug use (IDU).

Disclosure of Conflicts of Interest

Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

The faculty reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity:

Faculty / Presenter Reported Financial Relationship

  • Kathleen Brady, MD, PhD
    • Consulting Fees: Genomind
  • Alain Litwin, MD
    • Consulting Fees: Merck & Co., Gilead Sciences Inc., Abbvie Inc.
    • Contracted Research: Gilead Sciences Inc.
  • Sandra Springer, MD
    • None

The planners and managers reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity:
The PIM planners and managers have nothing to disclose.

The following DKB planners and managers Stan Pogroszewski, Cade Schreger, and Rachel Deerr hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

How to Receive Credit

Participants wishing to earn credit must:

  • Read the content material in its entirety
  • Relate the content material to the learning objectives
  • Complete the post-test and evaluation form online

The estimated time to complete this activity is 1.0 hours.

Successful completion of the post-test is required to earn credit. Successful completion is defined as a cumulative score of at least 75%.

Course Viewing Requirements

Internet Explorer 8.0+ for Windows 2000, 2003, XP, Vista, or Windows 7, 8, or 10
Google Chrome 18.0+ for Windows, Mac OS, or Linux
Mozilla Firefox 13.0+ for Windows, Mac OS, or Linux
Safari 4.0+ for Mac OSX 10.5+

Contact Information

To contact Postgraduate Institute for Medicine (PIM) please visit www.pimed.com.
For technical issues, please contact info@dkbmed.com

Copyright © 2019. PIM and HCV/HIV Virtual Roundtable.
Presented by PIM in collaboration with DKBmed

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