Integrating HIV Pre-Exposure Prophylaxis (PrEP) Education During Medical Residency: Training Outcomes and Suggestions for Learning Effectiveness

Matilda Olajumoke Ogundare*, Fiona Allan, Ankita P. Desai, Sahera Dirajlal-Fargo, Nori Mercuri Minich, Barbara M. Gripshover

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Human immunodeficiency virus (HIV) infection is now preventable with pre-exposure prophylaxis (PrEP) drugs, however, barriers to PrEP implementation include primary-care physician (PCP) knowledge-gap and lack of comfort prescribing and managing PrEP. We hypothesized that integrating HIV-PrEP education during medical-residency would help address these problems and developed a 40-minute case-based lecture focused on the 2021 United States Preventative Services Taskforce (USPSTF) oral HIV-PrEP guidelines and integrated this into our residency’s core curriculum. We analyzed data from physician-trainees who voluntarily completed a pre- and post-lecture survey measuring HIV-PrEP “knowledge” and “self-assessed readiness to independently initiate and manage PrEP.” Independent group analysis was completed via the Mann-Whitney U and Pearson Chi-square 2-sided test with P-value <0.05 deemed significant. Of the total of 189 residents invited to the lecture, 130 (69%) completed the pre-survey while 107 (57%) completed the post-survey. Per knowledge-assessment: the median number of correctly answered questions rose from a pre-lecture baseline of 4/9 (44%) to 8/9 (89%) following the education intervention (P <.001). When asked about comfort initiating and managing HIV-PrEP on their own, 7/130 (5.4%) responded in agreement pre-lecture, but this rose to 55/107 (51.4%) post-lecture (P <.001). Our study revealed PrEP training during residency was effective per stated objectives and may be an important tool to increase PrEP delivery/uptake to achieve the target goals for the National HIV/AIDS Strategy.

Original languageEnglish (US)
JournalJournal of Primary Care and Community Health
Volume14
DOIs
StatePublished - Jan 1 2023

Keywords

  • HIV infections/prevention and control
  • anti-HIV agents/therapeutic use
  • education
  • graduate
  • medical
  • physicians
  • pre-exposure prophylaxis
  • primary care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Community and Home Care

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