STI & PrEP Updates

Learning Objectives Apply key findings from the DISCOVER trial to PrEP clinical decision-making Understand the gaps in PrEP research for cisgender women and adolescents Understand the use of on-demand pre-exposure prophylaxis Review Current treatment recs and emerging data on Gonococcal and Chlamydial infection Discuss diagnostic and management options for non-gonococcal urethriti

Training the Next Generation of Family Medicine Providers through Group Buprenorphine-Naloxone Visits

Introduction: The rise in opioid use disorders (OUD) and fatal overdoses highlight the need to expand access to and capacity for treating OUD. Medication Assisted Treatment (MAT), a medication/group visit model, done in the office setting, is an effective remedy for treating OUD. Understanding residents’ perspectives on their clinical training in MAT can inform the design of a more effective and responsive curriculum. Methods: A qualitative study using group semi-structured interviews with residents in an urban family medicine residency rotating through a federally qualified health center. Interviews centered on strengths and weaknesses of the MAT program, resident likeliness to prescribe MAT, and potential training that would boost confidence were conducted. Grounded theory was utilized to identify themes among transcripts. Results: Four interrelated themes emerged: modeling and mentorship, harm reduction, skills, and intent. Residents’ desire to treat and views on harm reduction, combined with their skills and mentorship, give them the confidence and intent to utilize MAT post-residency. Discussion: Residents have the desire to prescribe MAT post-residency but lack confidence to do so. This can be attributed to a lack of modeling, mentorship, and skills developed within residency. Addition of this into programs, combined with exposure to harm-reduction as a principle and practice, must be incorporated into programs and could play an important role in closing the “treatment gap” by training the next generation of providers in providing MAT

Improving Resulted Hemoglobin A1c Rates: A Feasibility Study for Point-of-Care Hemoglobin A1c Testing at an Urban Family Medicine Office

Study Aims: Our practice’s goal is to increase the number of up to date hemoglobin A1c for diabetic patients seen at JFMA in order to help improve glycemic control The aim of this study is to see if point of care (POC) hemoglobin A1C is a feasible way to increase the number of up to date hemoglobin A1C. We looked at various factors including timing, training, and flow.https://jdc.jefferson.edu/patientsafetyposters/1037/thumbnail.jp

Chronic Pain Management in Primary Care

Objectives: Understand the epidemiology of pain Appreciate the biopsychosocial factors that modulate pain experiences Learn about screening tools for assessing chronic pain in primary care setting Develop a comprehensive, multimodal treatment plan for chronic pain Learn about JFMA policies and community-wide resources Presentation: 50:1

Controversies in Prostate Cancer Screening

Objectives: Describe the epidemiological features of prostate cancer Be familiar with the two largest RCT\u27s informing professional organizations\u27 recommendations on PSA Recognize the needs in men with family history of prostate cancer, African-American men and transgender women Be able to counsel patients on the risks and benefits of PSA screenin

The Exciting World of ARV Drug-Drug Interactions

Learning Objectives Understand the basic pharmacokinetics of anti-retroviral medications Discuss the major considerations for the following medication classes: Corticosteroids PPI\u27s, Antacids, H2-blockers Statins Anticoagulants Learn to use the Liverpool HIV database to look up drug-drug interaction

Screening and Managing Unhealthy Alcohol Use in Primary Care

Learning Objectives Know how to: Use validated screening instruments for alcohol misuse Risk-stratify patients and provide appropriate interventions Prescribe the 3 FDA-approved medications for alcohol use disorders Refer patients to specialty treatment in Philadelphia Screening, Brief Intervention, Referral, and Treatment (SBIRT) Lecture Roadmap Background SBIRT Cases Medication-assistance Referrals Mutual help groups Question

Getting to the Source: Safety Findings in Cervical Cancer Screening Using External Lab Databases

Objective To investigate the feasibility of using external lab databases to locate Pap smear results completed at outside clinics.https://jdc.jefferson.edu/patientsafetyposters/1139/thumbnail.jp

Feasibility Study of Point-of-Care HgbA1c Machine

Overview of Study: Identify patients with type 2 Diabetes Mellitus via chart review of Team 1 provider schedules Patients seen on Team 1 who had not A1c in the last 3 month Observe the MA from start (MA collects blood tube) to finish (MA documents data in computer) Record the start and finish times Document the MA workflow through mapping Presentation: 12:2