In this episode, Alexander Wong, MD, FRCPC, discusses how to optimize treatment and engagement in care for individuals with HIV and substance use disorder, including:

• Barriers to care for persons with substance use disorder
• Colocating HIV and other services (eg, addiction care medicine, social services)
• Leveraging a multidisciplinary approach to care
• Integrating a low-barrier model to foster an environment of open discussion
• Best practices for opioid agonist therapy implementation
• Considerations for cultural dynamics to provide personalized treatment plans
• Importance of supporting his team members

Presenter

Alexander Wong, MD, FRCPC
Associate Professor
Division of Infectious Diseases
Department of Medicine
University of Saskatchewan
Regina, Saskatchewan, Canada

Link to full program:
https://bit.ly/3xicSeF

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In this episode, Jennifer Cocohoba, PharmD, AAHIVP, and David Koren, PharmD, MPH, AAHIVP, FIDSA, cover the most impactful LA ART and LA PrEP clinical studies presented at AIDS 2024, including:

• The PURPOSE 1 study of twice-yearly lenacapavir injections vs daily oral tenofovir as PrEP in cisgender women
• An open-label extension of HPTN 084 evaluating LA CAB safety during pregnancy
• 48-week data from the IMPAACT 2017/MOCHA study of LA CAB + RPV in adolescents with HIV
• A substudy of FLAIR evaluating the efficacy, safety, and tolerability of SC self-administration of LA CAB + RPV
  

Presenters:

Jennifer Cocohoba, PharmD, AAHIVP
Professor of Clinical Pharmacy
Department of Clinical Pharmacy
University of California San Francisco School of Pharmacy
San Francisco, California

David Koren, PharmD, MPH, AAHIVP, FIDSA
Adjunct Clinical Professor
Temple University School of Pharmacy
Clinical Pharmacist Specialist
Temple University Health System
Philadelphia, Pennsylvania

To access all of our new podcast episodes, subscribe to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts, or Spotify. 

See the full program here.

In this episode, Tristan J. Barber, MA, MD, FRCP, and Glenn J. Treisman, MD, PhD, discuss the importance of screening, diagnosing, and treating PTSD in people with HIV. They illustrate their discussion through a patient case and provide strategies for accomplishing this, sharing their own experiences and approaches to thinking about PTSD, structuring appointments, and integrating care.

Presenters:

Tristan J. Barber, MA, MD, FRCP
Consultant in HIV Medicine
Royal Free London NHS Foundation Trust
Honorary Associate Professor
Institute for Global Health
University College London
London, United Kingdom

Glenn J. Treisman, MD, PhD
Eugene Meyer III Professor of Psychiatry and Medicine
Johns Hopkins University School of Medicine
Baltimore, Maryland

Downloadable slides:
https://bit.ly/4dBu929

Program:
https://bit.ly/3WB2VCO

In this episode, Colleen F. Kelley, MD, MPH, and Jemma Samitpol discuss key considerations to improve the patient experience among transgender persons with HIV, including:

• Unique circumstances faced by transgender people trying to access HIV care (eg, stigma, discrimination)
• Best practices to improve access and linkage to HIV care
• Ways to integrate gender-affirming care into HIV care
• Creating a welcoming and inclusive environment
• Offering same-day HIV treatment
• Addressing potential drug–drug interactions with gender-affirming hormone therapy (GAHT), including ART and natural remedies
• Understanding and communicating expectations of GAHT (eg, treatment response, timing of effects)
• Providing information on the safety of gender-affirming surgeries
• Importance of providing person-centered care (eg, mental health, substance abuse, housing, harm reduction)
• Strategies on how to promote a gender-affirming environment (eg, wearing pronoun buttons, staff training)
• Consequences to the lack of gender recognition laws
• How to “be an ally” for transgender people with HIV

Presenters

Colleen F. Kelley, MD, MPH
Professor of Medicine
Division of Infectious Diseases
Department of Medicine
Co-Director, Emory Center for AIDS Research
Associated Dean for Research, Emory at Grady
Emory University School of Medicine
Atlanta, Georgia

Kritima Jemma Samitpol
Tangerine Clinic Supervisor
Institute of HIV Research and Innovation
Bangkok, Thailand

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In this episode featuring faculty from the United States and Europe, Aadia I. Rana, MD, and Laurence Slama, MD, PhD, discuss the subtleties of deciding among HIV treatment options in people with adherence challenges.

Listen as they debate the potential risks and benefits of long-acting ART in this population, considerations for people with viremia or resistance, recommendations concerning proviral DNA genotyping, and how to interpret guidelines and provide truly patient-centered care.

Presenters

Aadia I. Rana, MD​
Professor of Medicine​
Division of Infectious Diseases​
University of Alabama at Birmingham Heersink School of Medicine​
Birmingham, Alabama

Laurence Slama, MD, PhD​
Doctor​
Department of Infectious Diseases​
Hôtel Dieu University Hospital​
University Paris Cité​
Paris, France

Follow along with the slides here.

See the full program here.

Get access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast channel on Apple Podcasts, Google Podcasts, or Spotify.

In this episode, Gregory Huhn, MD, MPHTM, presents a case study of a person with a long HIV treatment history, exploring when and how to consider agents with novel mechanisms of action.

Listen as he discusses:

• The importance of engaging with patients to understand their perspectives and improve their satisfaction with their HIV care
• Options in people with multiclass resistance
• Studies of agents with novel mechanisms of action:
  • BRIGHTE (fostemsavir)
  • TMB-301/-311 (ibalizumab)
  • CAPELLA (lenacapavir)
    

Faculty

​​Gregory Huhn, MD, MPHTM,
Interim Chief, Division of Infectious Diseases
Senior Director of HIV Services
Cook County HIV Integrated Programs
Interim Medical Director, The RMR CORE Center
Professor, Division of Infectious Diseases
Rush University Medical Center
Chicago, Illinois

Follow along with the slides.
https://bit.ly/4fHmxg5

Get access to all of our new podcast episodes. Subscribe to the CCO Infectious Disease podcast on Apple Podcasts, Google Podcasts, or Spotify.

In this episode, Yvonne Gilleece, MB BCh, BAO, FRCP, uses a case study to illustrate why giving people space and time to engage in HIV care on their terms is key to overcoming potential shame and stigma.

She discusses how people can be very vulnerable when engaging in HIV care, and trauma-informed care can help address these vulnerabilities in a safe, respectful way. Listen as she gives her perspectives on:

• Trauma-informed care
• Overcoming stigma and shame
• Staying in care
  

Presenter:
Yvonne Gilleece, MB BCh, BAO, FRCP
Honorary Clinical Professor and Consultant in HIV Medicine & Sexual Health
Brighton & Sussex Medical School and University Hospitals Sussex NHS Foundation Trust
Chair of the British HIV Association
Lead for HIV & Women
Lead for HIV & Hepatitis
Brighton, United Kingdom

Content based on an online CME program supported by an educational grant from Gilead Sciences, Inc.

Link to full program:
https://bit.ly/3xicSeF

Get access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts, or Spotify.

In this episode, George Lau, MD, FRCP (Edin, Lond), FHKAM (Med), FHKCP, FAASLD, MBBS (HKU), and a patient discuss opportunities to optimize care for people living with hepatitis B virus (HBV), including:

• Consequences to poor adherence to antiviral therapy
• Strategies to promote medication adherence (eg, patient education, setting up routines)
• The role of routine monitoring to prevent complications related to HBV such as hepatocellular carcinoma
  

Presenter:

George Lau, MD, FRCP (Edin, Lond), FHKAM (Med), FHKCP, FAASLD, MBBS (HKU)
Specialist in Gastroenterology & Hepatology
Chairman and Senior Consultant in Gastroenterology and Hepatology
Humanity and Health Medical Group
Hong Kong, China

Content based on an online CME program supported by an independent educational grant from Gilead Sciences, Inc.

Link to full program:
https://bit.ly/49TuZ8U

Get access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts, or Spotify.