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Submission: On September 14 via api from US — Scanned from DE
Effective URL: https://primeinc.org/simulation/simclinic-personalizing-hiv-treatment?utm_campaign=54SM211&utm_source=prime&utm_mediu...
Submission: On September 14 via api from US — Scanned from DE
Form analysis 5 forms found in the DOM
POST //primeinc.org/simulation/simclinic-personalizing-hiv-treatment?utm_campaign=54SM211&utm_source=prime&utm_medium=email&hr=prime&mh=d1179cff84eff38aa786558f00ce2a24
<form id="surveyform1794" data-surveytype="pre" data-surveyid="1794" data-complete="handlePreSurveyComplete();" data-programcode="54SM211" class="surveyform" autocomplete="off" method="post"
action="//primeinc.org/simulation/simclinic-personalizing-hiv-treatment?utm_campaign=54SM211&utm_source=prime&utm_medium=email&hr=prime&mh=d1179cff84eff38aa786558f00ce2a24">
<div class="surveyprogbar">
<div id="surveyprogress1794" class="surveyprogress zero" style="width:0%">0%</div>
</div>
<div>
<div id="questionblock1794_13024" class="questionblock " data-section="" data-sectiontitle="" style="display: block;">
<input type="hidden" class="skipme" name="skipme[13024]" value="0">
<div class="question ">
<p>Approximately how many patients with HIV does your organization impact monthly?</p>
</div>
<div class="answerarea">
<fieldset>
<legend class="sr-only" style="visibility: hidden;">Approximately how many patients with HIV does your organization impact monthly?</legend>
<div>
<label for="1794_ans64712" class="single free-response">
<span class="answer" data-id="64712">
<p>Number of monthly patients with HIV</p>
</span>: </label><input id="1794_ans64712" class="form-control free " name="answer[13024][free-response][64712]" type="text">
</div>
</fieldset>
</div><!-- .answer-area -->
</div>
<div id="questionblock1794_13025" class="questionblock " data-section="" data-sectiontitle="" style="display: block;">
<input type="hidden" class="skipme" name="skipme[13025]" value="0">
<div class="question ">
<p>Which factors do you primarily consider when selecting treatment for patients with HIV? (Select up to 2)</p>
</div>
<div class="answerarea">
<fieldset>
<legend class="sr-only" style="visibility: hidden;">Which factors do you primarily consider when selecting treatment for patients with HIV? (Select up to 2)</legend>
<div>
<label for="s1794_ans64713" class="multi multi-select">
<input id="s1794_ans64713" name="answer[13025][multi-select][]" type="checkbox" value="64713"> <span class="answer" data-id="64713">
<p>Guideline recommendations</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64714" class="multi multi-select">
<input id="s1794_ans64714" name="answer[13025][multi-select][]" type="checkbox" value="64714"> <span class="answer" data-id="64714">
<p>Suitability for rapid/same-day antiretroviral therapy (ART) initiation</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64715" class="multi multi-select">
<input id="s1794_ans64715" name="answer[13025][multi-select][]" type="checkbox" value="64715"> <span class="answer" data-id="64715">
<p>Efficacy profile of therapy</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64716" class="multi multi-select">
<input id="s1794_ans64716" name="answer[13025][multi-select][]" type="checkbox" value="64716"> <span class="answer" data-id="64716">
<p>Safety/long-term toxicity profile of therapy</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64717" class="multi multi-select">
<input id="s1794_ans64717" name="answer[13025][multi-select][]" type="checkbox" value="64717"> <span class="answer" data-id="64717">
<p>Potential for drug-drug or drug-food interactions</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64718" class="multi multi-select">
<input id="s1794_ans64718" name="answer[13025][multi-select][]" type="checkbox" value="64718"> <span class="answer" data-id="64718">
<p>Adherence potential</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64719" class="multi multi-select">
<input id="s1794_ans64719" name="answer[13025][multi-select][]" type="checkbox" value="64719"> <span class="answer" data-id="64719">
<p>Comorbid conditions</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64720" class="multi multi-select">
<input id="s1794_ans64720" name="answer[13025][multi-select][]" type="checkbox" value="64720"> <span class="answer" data-id="64720">
<p>Patient preferences/satisfaction</p>
</span> </label>
</div>
<div>
<label for="1794_ans64721" class="single free-response">
<span class="answer" data-id="64721">
<p>Other</p>
</span>: </label><input id="1794_ans64721" class="form-control free " name="answer[13025][free-response][64721]" type="text">
</div>
<div>
<label for="s1794_ans64722" class="multi multi-select">
<input id="s1794_ans64722" name="answer[13025][multi-select][]" type="checkbox" value="64722"> <span class="answer" data-id="64722">
<p>This does not apply to my role</p>
</span> </label>
</div>
</fieldset>
</div><!-- .answer-area -->
</div>
<div id="questionblock1794_13027" class="questionblock " data-section="" data-sectiontitle="" style="display: block;">
<input type="hidden" class="skipme" name="skipme[13027]" value="0">
<div class="question ">
<p>Please rate your confidence in implementing rapid/same-day ART initiation for patients newly diagnosed with HIV:</p>
</div>
<div class="answerarea">
<fieldset>
<legend class="sr-only" style="visibility: hidden;">Please rate your confidence in implementing rapid/same-day ART initiation for patients newly diagnosed with HIV: </legend>
<div>
<label for="s1794_ans64733" class="single single-select">
<input id="s1794_ans64733" name="answer[13027][single-select][]" type="radio" value="64733"> <span class="answer" data-id="64733">
<p>Very low</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64734" class="single single-select">
<input id="s1794_ans64734" name="answer[13027][single-select][]" type="radio" value="64734"> <span class="answer" data-id="64734">
<p>Low</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64735" class="single single-select">
<input id="s1794_ans64735" name="answer[13027][single-select][]" type="radio" value="64735"> <span class="answer" data-id="64735">
<p>Moderate</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64736" class="single single-select">
<input id="s1794_ans64736" name="answer[13027][single-select][]" type="radio" value="64736"> <span class="answer" data-id="64736">
<p>High</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64737" class="single single-select">
<input id="s1794_ans64737" name="answer[13027][single-select][]" type="radio" value="64737"> <span class="answer" data-id="64737">
<p>Very high</p>
</span> </label>
</div>
</fieldset>
</div><!-- .answer-area -->
</div>
<div id="questionblock1794_13029" class="questionblock " data-section="" data-sectiontitle="" style="display: none;">
<input type="hidden" class="skipme" name="skipme[13029]" value="0">
<div class="question ">
<p>How likely are you to take into consideration the association between ART and weight gain/metabolic disorders when selecting ART for individual patients?</p>
</div>
<div class="answerarea">
<fieldset>
<legend class="sr-only" style="visibility: hidden;">How likely are you to take into consideration the association between ART and weight gain/metabolic disorders when selecting ART for individual patients?</legend>
<div>
<label for="s1794_ans64745" class="single single-select">
<input id="s1794_ans64745" name="answer[13029][single-select][]" type="radio" value="64745"> <span class="answer" data-id="64745">
<p>Very unlikely</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64746" class="single single-select">
<input id="s1794_ans64746" name="answer[13029][single-select][]" type="radio" value="64746"> <span class="answer" data-id="64746">
<p>Unlikely</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64747" class="single single-select">
<input id="s1794_ans64747" name="answer[13029][single-select][]" type="radio" value="64747"> <span class="answer" data-id="64747">
<p>Neutral</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64748" class="single single-select">
<input id="s1794_ans64748" name="answer[13029][single-select][]" type="radio" value="64748"> <span class="answer" data-id="64748">
<p>Likely</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64749" class="single single-select">
<input id="s1794_ans64749" name="answer[13029][single-select][]" type="radio" value="64749"> <span class="answer" data-id="64749">
<p>Very likely</p>
</span> </label>
</div>
</fieldset>
</div><!-- .answer-area -->
</div>
<div id="questionblock1794_13030" class="questionblock " data-section="" data-sectiontitle="" style="display: none;">
<input type="hidden" class="skipme" name="skipme[13030]" value="0">
<div class="question ">
<p>According to the 2019 DHHS HIV Guidelines, which of the following is recommended as initial ART for most people with HIV? (Select 1)</p>
</div>
<div class="answerarea">
<fieldset>
<legend class="sr-only" style="visibility: hidden;">According to the 2019 DHHS HIV Guidelines, which of the following is recommended as initial ART for most people with HIV? (Select 1)</legend>
<div>
<label for="s1794_ans64750" class="single single-select">
<input id="s1794_ans64750" name="answer[13030][single-select][]" type="radio" value="64750"> <span class="answer" data-id="64750">
<p>Boosted-protease inhibitor (PI)-based regimens</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64751" class="single single-select">
<input id="s1794_ans64751" name="answer[13030][single-select][]" type="radio" value="64751"> <span class="answer" data-id="64751">
<p>Integrase strand transfer inhibitor (INSTI)-based regimens</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64752" class="single single-select">
<input id="s1794_ans64752" name="answer[13030][single-select][]" type="radio" value="64752"> <span class="answer" data-id="64752">
<p>Non-nucleoside reverse transcriptase inhibitor (NNRTI)-based regimens</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64753" class="single single-select">
<input id="s1794_ans64753" name="answer[13030][single-select][]" type="radio" value="64753"> <span class="answer" data-id="64753">
<p>Either PI- or INSTI-based regimens</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64754" class="single single-select">
<input id="s1794_ans64754" name="answer[13030][single-select][]" type="radio" value="64754"> <span class="answer" data-id="64754">
<p>Either PI- or NNRTI-based regimens</p>
</span> </label>
</div>
</fieldset>
</div><!-- .answer-area -->
</div>
<div id="questionblock1794_13031" class="questionblock " data-section="" data-sectiontitle="" style="display: none;">
<input type="hidden" class="skipme" name="skipme[13031]" value="0">
<div class="question ">
<p>Please rate your confidence in identifying and managing drug-drug and drug-food interactions with HIV medications:</p>
</div>
<div class="answerarea">
<fieldset>
<legend class="sr-only" style="visibility: hidden;">Please rate your confidence in identifying and managing drug-drug and drug-food interactions with HIV medications:</legend>
<div>
<label for="s1794_ans64755" class="single single-select">
<input id="s1794_ans64755" name="answer[13031][single-select][]" type="radio" value="64755"> <span class="answer" data-id="64755">
<p>Very low</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64756" class="single single-select">
<input id="s1794_ans64756" name="answer[13031][single-select][]" type="radio" value="64756"> <span class="answer" data-id="64756">
<p>Low</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64757" class="single single-select">
<input id="s1794_ans64757" name="answer[13031][single-select][]" type="radio" value="64757"> <span class="answer" data-id="64757">
<p>Moderate</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64758" class="single single-select">
<input id="s1794_ans64758" name="answer[13031][single-select][]" type="radio" value="64758"> <span class="answer" data-id="64758">
<p>High</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64759" class="single single-select">
<input id="s1794_ans64759" name="answer[13031][single-select][]" type="radio" value="64759"> <span class="answer" data-id="64759">
<p>Very high</p>
</span> </label>
</div>
</fieldset>
</div><!-- .answer-area -->
</div>
<div id="questionblock1794_13033" class="questionblock " data-section="" data-sectiontitle="" style="display: none;">
<input type="hidden" class="skipme" name="skipme[13033]" value="0">
<div class="question ">
<p>According to the 2019 DHHS HIV guidelines, which of the following requires dose/administration adjustment when given concomitantly with INSTIs:</p>
</div>
<div class="answerarea">
<fieldset>
<legend class="sr-only" style="visibility: hidden;">According to the 2019 DHHS HIV guidelines, which of the following requires dose/administration adjustment when given concomitantly with INSTIs:</legend>
<div>
<label for="s1794_ans64767" class="single single-select">
<input id="s1794_ans64767" name="answer[13033][single-select][]" type="radio" value="64767"> <span class="answer" data-id="64767">
<p>Oral anticoagulants</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64768" class="single single-select">
<input id="s1794_ans64768" name="answer[13033][single-select][]" type="radio" value="64768"> <span class="answer" data-id="64768">
<p>Aluminum, magnesium, or calcium-containing supplements</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64769" class="single single-select">
<input id="s1794_ans64769" name="answer[13033][single-select][]" type="radio" value="64769"> <span class="answer" data-id="64769">
<p>Proton pump inhibitors</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64770" class="single single-select">
<input id="s1794_ans64770" name="answer[13033][single-select][]" type="radio" value="64770"> <span class="answer" data-id="64770">
<p>Lipid-modifying agents</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64771" class="single single-select">
<input id="s1794_ans64771" name="answer[13033][single-select][]" type="radio" value="64771"> <span class="answer" data-id="64771">
<p>Azole antifungals</p>
</span> </label>
</div>
</fieldset>
</div><!-- .answer-area -->
</div>
<div id="questionblock1794_13034" class="questionblock " data-section="" data-sectiontitle="" style="display: none;">
<input type="hidden" class="skipme" name="skipme[13034]" value="0">
<div class="question ">
<p>Please rate your confidence in making evidence-based decisions about switching ART in older patients with comorbidities (eg, osteoporosois, metabolic disorders, renal impairment):</p>
</div>
<div class="answerarea">
<fieldset>
<legend class="sr-only" style="visibility: hidden;">Please rate your confidence in making evidence-based decisions about switching ART in older patients with comorbidities (eg, osteoporosois, metabolic disorders, renal impairment):</legend>
<div>
<label for="s1794_ans64772" class="single single-select">
<input id="s1794_ans64772" name="answer[13034][single-select][]" type="radio" value="64772"> <span class="answer" data-id="64772">
<p>Very low</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64773" class="single single-select">
<input id="s1794_ans64773" name="answer[13034][single-select][]" type="radio" value="64773"> <span class="answer" data-id="64773">
<p>Low</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64774" class="single single-select">
<input id="s1794_ans64774" name="answer[13034][single-select][]" type="radio" value="64774"> <span class="answer" data-id="64774">
<p>Moderate</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64775" class="single single-select">
<input id="s1794_ans64775" name="answer[13034][single-select][]" type="radio" value="64775"> <span class="answer" data-id="64775">
<p>High</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64776" class="single single-select">
<input id="s1794_ans64776" name="answer[13034][single-select][]" type="radio" value="64776"> <span class="answer" data-id="64776">
<p>Very high</p>
</span> </label>
</div>
</fieldset>
</div><!-- .answer-area -->
</div>
<div id="questionblock1794_13035" class="questionblock " data-section="" data-sectiontitle="" style="display: none;">
<input type="hidden" class="skipme" name="skipme[13035]" value="0">
<div class="question ">
<p>A 65-year-old woman with HIV previously nonadherent to efavirenz (EFV)/emtricitabine (FTC)/tenofovir disoproxil (TDF) due to side effects is currently suppressed on darunavir (DRV)/cobicistat (COBI)/FTC/tenofovir alafenamide (TAF) but is
now having difficulty controlling blood glucose after starting salmeterol/fluticasone for worsening COPD. She also takes esomeprazole, metformin, and calcium carbonate.</p>
<p>Which of the following ART regimens would you recommend for this patient?</p>
</div>
<div class="answerarea">
<fieldset>
<legend class="sr-only" style="visibility: hidden;">A 65-year-old woman with HIV previously nonadherent to efavirenz (EFV)/emtricitabine (FTC)/tenofovir disoproxil (TDF) due to side effects is currently suppressed on darunavir
(DRV)/cobicistat (COBI)/FTC/tenofovir alafenamide (TAF) but is now having difficulty controlling blood glucose after starting salmeterol/fluticasone for worsening COPD. She also takes esomeprazole, metformin, and calcium carbonate. Which
of the following ART regimens would you recommend for this patient? </legend>
<div>
<label for="s1794_ans64777" class="single single-select">
<input id="s1794_ans64777" name="answer[13035][single-select][]" type="radio" value="64777"> <span class="answer" data-id="64777">
<p>Dolutegravir (DTG) + FTC/TAF</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64778" class="single single-select">
<input id="s1794_ans64778" name="answer[13035][single-select][]" type="radio" value="64778"> <span class="answer" data-id="64778">
<p>Bictegravir (BIC)/FTC/TAF</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64779" class="single single-select">
<input id="s1794_ans64779" name="answer[13035][single-select][]" type="radio" value="64779"> <span class="answer" data-id="64779">
<p>DTG/rilpivirine (RPV)</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64780" class="single single-select">
<input id="s1794_ans64780" name="answer[13035][single-select][]" type="radio" value="64780"> <span class="answer" data-id="64780">
<p>DTG/lamivudine (3TC)</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64781" class="single single-select">
<input id="s1794_ans64781" name="answer[13035][single-select][]" type="radio" value="64781"> <span class="answer" data-id="64781">
<p>Doravirine (DOR)/3TC/TDF</p>
</span> </label>
</div>
<div>
<label for="s1794_ans64782" class="single single-select">
<input id="s1794_ans64782" name="answer[13035][single-select][]" type="radio" value="64782"> <span class="answer" data-id="64782">
<p>Something else</p>
</span> </label>
</div>
</fieldset>
</div><!-- .answer-area -->
</div>
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<div class="col-xs-12">
<input type="text" id="prime-reg-field-lastname" name="lastname" value="" placeholder="Last name…" class="form-control">
</div>
</div>
<div class="form-group prime-field-label-wrap mb-1">
<label for="prime-reg-field-email" class="col-xs-12 prime-field-label sr-only"> Email address </label>
<div class="col-xs-12">
<input type="text" id="prime-reg-field-email" name="email" value="" placeholder="Email address…" class="form-control" autocomplete="off">
</div>
</div>
<div class="form-group reg-modal-default reg-modal-live-event-any prime-field-label-wrap mb-1">
<label for="prime-reg-field-password" class="col-xs-12 prime-field-label sr-only"> Create a password </label>
<div class="col-xs-12">
<input type="password" id="prime-reg-field-password" name="password" placeholder="Password…" class="form-control" autocomplete="new-password">
<small class="center-block text-left text-primary mt-1"> Create a new password with at least 6 characters and 1 letter and 1 digit or symbol. </small>
</div>
</div>
<div class="form-group reg-modal-default reg-modal-live-event-any prime-field-label-wrap mb-1">
<label for="prime-reg-field-password2" class="col-xs-12 prime-field-label sr-only"> Confirm your password </label>
<div class="col-xs-12">
<input type="password" id="prime-reg-field-password2" name="confirmpassword" placeholder="Confirm password…" class="form-control" autocomplete="new-password">
<small class="center-block text-left text-primary mt-1"> Enter your new password again. </small>
</div>
</div>
<div class="form-group fade prime-field-label-wrap mb-1 in">
<label for="prime-reg-field-profession" class="col-xs-12 prime-field-label sr-only"> Profession </label>
<div class="col-xs-12">
<select name="profession" class="form-control" id="prime-reg-field-profession" data-load-select-options="professions" data-selected="">
<option value="" class="placeholder">Profession…</option>
<option></option>
<option value="1">Physician</option>
<option value="2">Nurse</option>
<option value="3">Pharmacist</option>
<option value="4">Nurse Practitioner</option>
<option value="5">Case Manager</option>
<option value="6">Physician Assistant</option>
<option value="7">Resident</option>
<option value="9">Medical Assistant</option>
<option value="10">Dentist</option>
<option value="11">Pharm Tech</option>
<option value="12">Health Education Specialist</option>
<option value="13">Respiratory Therapist</option>
<option value="15">Physical Therapist</option>
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<option value="17">Dietician</option>
<option value="96">Dietetic Technician</option>
<option value="18">HR Specialist</option>
<option value="21">Medical Director</option>
<option value="22">Fellow</option>
<option value="93">Social Worker</option>
<option value="24">Genetic Counselor</option>
<option value="14">Other HCP</option>
<option value="26">Patient/Caregiver</option>
</select>
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<label for="prime-reg-field-setting" class="col-xs-12 prime-field-label sr-only"> Practice setting </label>
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<select name="practice" class="form-control" id="prime-reg-field-setting" data-load-select-options="practices" data-selected="">
<option value="" class="placeholder">Practice setting…</option>
<option></option>
<option value="7">Community / Retail</option>
<option value="13">Consultant</option>
<option value="17">Consumer</option>
<option value="10">Employer</option>
<option value="3">Health Plan</option>
<option value="18">Home Health Care</option>
<option value="1">Hospital</option>
<option value="16">Integrated (ACO, PCMH, etc.)</option>
<option value="12">Long Term Care</option>
<option value="5">Medical Practice</option>
<option value="21">None / Other</option>
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<select name="specialty" class="form-control" id="prime-reg-field-specialty" data-load-select-options="specialties" data-selected="">
<option value="" class="placeholder">Specialty…</option>
<option></option>
<option value="3">Family Medicine</option>
<option value="4">Neurology</option>
<option value="5">Internal Medicine</option>
<option value="6">Hematology / Oncology</option>
<option value="7">Psychiatry</option>
<option value="8">Pediatrics</option>
<option value="10">Surgery</option>
<option value="11">Geriatric Medicine</option>
<option value="12">Infectious Disease</option>
<option value="13">Cardiology</option>
<option value="14">Gastroenterology</option>
<option value="15">Emergency Medicine</option>
<option value="16">Critical Care</option>
<option value="17">Dermatology</option>
<option value="18">Anesthesiology</option>
<option value="20">Pain Management</option>
<option value="19">Med / Surg</option>
<option value="21">Allergy / Immunology</option>
<option value="22">Pulmonology</option>
<option value="23">Rheumatology</option>
<option value="24">Orthopedics</option>
<option value="25">OBGYN</option>
<option value="26">Radiology</option>
<option value="27">Women's Health</option>
<option value="29">Endocrinology</option>
<option value="30">Nephrology</option>
<option value="31">Ophthalmology</option>
<option value="34">Pathology</option>
<option value="36">Hepatology</option>
<option value="38">Urology</option>
<option value="40">Genetic Disorders</option>
<option value="39">Neonatal / Perinatal</option>
<option value="46">Otolaryngology</option>
<option value="56">Oncology</option>
<option value="1">Other</option>
<option value="2">None</option>
</select>
</div>
</div>
<div class="form-group prime-field-label-wrap mb-1">
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</div>
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<label for="prime-reg-field-phone" class="col-xs-12 prime-field-label sr-only"> Mobile number </label>
<div class="col-xs-12">
<input type="tel" id="prime-reg-field-phone" name="phone" value="" placeholder="Mobile number…" class="form-control">
<small class="center-block text-left text-primary mt-1">For text message reminders prior to the event.</small>
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<div class="col-xs-12">
<input type="text" id="prime-more-info-field-firstname" name="firstname" value="" placeholder="First name…" class="form-control">
</div>
</div>
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<label for="prime-more-info-field-lastname" class="col-xs-12 prime-field-label sr-only"> Last name </label>
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</div>
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<div class="form-group fade prime-field-label-wrap mb-1 in">
<label for="prime-more-info-field-profession" class="col-xs-12 prime-field-label sr-only"> Profession </label>
<div class="col-xs-12">
<select name="profession" class="form-control" id="prime-more-info-field-profession" data-load-select-options="professions" data-selected="">
<option value="" class="placeholder">Profession…</option>
<option></option>
<option value="1">Physician</option>
<option value="2">Nurse</option>
<option value="3">Pharmacist</option>
<option value="4">Nurse Practitioner</option>
<option value="5">Case Manager</option>
<option value="6">Physician Assistant</option>
<option value="7">Resident</option>
<option value="9">Medical Assistant</option>
<option value="10">Dentist</option>
<option value="11">Pharm Tech</option>
<option value="12">Health Education Specialist</option>
<option value="13">Respiratory Therapist</option>
<option value="15">Physical Therapist</option>
<option value="16">Psychologist</option>
<option value="17">Dietician</option>
<option value="96">Dietetic Technician</option>
<option value="18">HR Specialist</option>
<option value="21">Medical Director</option>
<option value="22">Fellow</option>
<option value="93">Social Worker</option>
<option value="24">Genetic Counselor</option>
<option value="14">Other HCP</option>
<option value="26">Patient/Caregiver</option>
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</div>
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<select name="practice" class="form-control" id="prime-more-info-field-setting" data-load-select-options="practices" data-selected="">
<option value="" class="placeholder">Practice setting…</option>
<option></option>
<option value="7">Community / Retail</option>
<option value="13">Consultant</option>
<option value="17">Consumer</option>
<option value="10">Employer</option>
<option value="3">Health Plan</option>
<option value="18">Home Health Care</option>
<option value="1">Hospital</option>
<option value="16">Integrated (ACO, PCMH, etc.)</option>
<option value="12">Long Term Care</option>
<option value="5">Medical Practice</option>
<option value="21">None / Other</option>
<option value="19">Research / Academia</option>
<option value="14">Specialty Pharmacy / PBM</option>
<option value="2">State / Federal Government</option>
</select>
</div>
</div>
<div class="form-group fade prime-field-label-wrap mb-1 in">
<label for="prime-more-info-field-specialty" class="col-xs-12 prime-field-label sr-only"> Specialty </label>
<div class="col-xs-12">
<select name="specialty" class="form-control" id="prime-more-info-field-specialty" data-load-select-options="specialties" data-selected="">
<option value="" class="placeholder">Specialty…</option>
<option></option>
<option value="3">Family Medicine</option>
<option value="4">Neurology</option>
<option value="5">Internal Medicine</option>
<option value="6">Hematology / Oncology</option>
<option value="7">Psychiatry</option>
<option value="8">Pediatrics</option>
<option value="10">Surgery</option>
<option value="11">Geriatric Medicine</option>
<option value="12">Infectious Disease</option>
<option value="13">Cardiology</option>
<option value="14">Gastroenterology</option>
<option value="15">Emergency Medicine</option>
<option value="16">Critical Care</option>
<option value="17">Dermatology</option>
<option value="18">Anesthesiology</option>
<option value="20">Pain Management</option>
<option value="19">Med / Surg</option>
<option value="21">Allergy / Immunology</option>
<option value="22">Pulmonology</option>
<option value="23">Rheumatology</option>
<option value="24">Orthopedics</option>
<option value="25">OBGYN</option>
<option value="26">Radiology</option>
<option value="27">Women's Health</option>
<option value="29">Endocrinology</option>
<option value="30">Nephrology</option>
<option value="31">Ophthalmology</option>
<option value="34">Pathology</option>
<option value="36">Hepatology</option>
<option value="38">Urology</option>
<option value="40">Genetic Disorders</option>
<option value="39">Neonatal / Perinatal</option>
<option value="46">Otolaryngology</option>
<option value="56">Oncology</option>
<option value="1">Other</option>
<option value="2">None</option>
</select>
</div>
</div>
<div class="form-group prime-field-label-wrap mb-1">
<label for="prime-more-info-field-zip" class="col-xs-12 prime-field-label sr-only"> Zip code </label>
<div class="col-xs-12">
<input type="tel" id="prime-more-info-field-zip" name="zip" value="" maxlength="12" placeholder="Zip code…" class="form-control" style="max-width: 170px">
</div>
</div>
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<label for="prime-more-info-field-company" class="col-xs-12 prime-field-label sr-only"> Company/Organization </label>
<div class="col-xs-12">
<input type="text" id="prime-more-info-field-company" name="company" value="" placeholder="Company/Organization…" class="form-control">
</div>
</div>
<div class="form-group prime-field-label-wrap mb-1">
<label for="prime-more-info-field-phone" class="col-xs-12 prime-field-label sr-only"> Mobile number </label>
<div class="col-xs-12">
<input type="tel" id="prime-more-info-field-phone" name="phone" value="" placeholder="Mobile number…" class="form-control">
<small class="center-block text-left text-primary mt-1">For text message reminders prior to the event.</small>
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SIMCLINIC: PERSONALIZING HIV TREATMENT
Launch SimClinic
ACTIVITY SNAPSHOT
Activity Type:
Simulation
Release Date:
June 18, 2021
Expiration Date:
June 17, 2022
Total Price:
Free
Continuing Education Credits:
* 1.5 CME/CE for Physicians (ACCME)
* 1.5 CME/CE for Physician Assistants (AAPA)
* 1.5 CH/CE for Nurse Practitioners (AANP)
* 1.5 CPE for Pharmacists (ACPE + NABP)
* 1.5 CPE for Pharmacy Technicians (ACPE + NABP)
* 1.5 CNE for Nurses (ANCC)
* 1.5 CE for Case Managers (CCM, pre-approved)
Estimated Duration:
1 hours 30 minutes
Content Last Reviewed:
June 18, 2021
FACULTY
BABAFEMI O TAIWO, MBBS
Contributing Author
Gene Stollerman Professor of Medicine
Chief, Division of Infectious Diseases
Northwestern University Feinberg School of Medicine
Chicago, IL
LAURA J WATERS, MD, FRCP
Contributing Author
GU/HIV Consultant and HIV & Hepatitis Lead
Mortimer Market Centre
Chair, British HIV Association
Board of Directors, British Association for Sexual Health and HIV
London, UK
JOYCE M KNESTRICK, PHD, CRNP, FAANP
Planner
Visiting Professor
George Washington University
Family Nurse Practitioner
Wheeling Health Right
Wheeling, WV
RICARDO CORREA, MD, EDD, FACP, FACE, FAPCR, FACMQ
Planner
Fellowship Director, Endocrinology, Diabetes and Metabolism
Director of Diversity, Graduate Medical Education
University of Arizona College of Medicine
Phoenix, AZ
MICHELE B KAUFMAN, PHARMD, BCGP
Peer Reviewer
Pharmacist
New York Presbyterian Hospital - Lower Manhattan
New York, NY
AGENDA
I. Selecting first-line HIV treatment for Newly Diagnosed Patients
II. Facilitating Rapid/Same-Day ART Initiation
III. Simplifying, Switching, Or Adjusting ART to Account for Aging,
Comorbidities, Polypharmacy, or Drug-Related Toxicity
IV. Mitigating Therapy-Related Side Effects, Toxicities, and Drug-Drug
Interactions
LEARNING OBJECTIVES
* Apply evidence-based recommendations for implementing rapid/same-day
antiretroviral (ART) initiation
* Incorporate evidence-based guidelines, evolving clinical evidence, and
individual patient factors into decisions on initiating or switching ART
regimens for diverse HIV patient populations
* Differentiate the utility of available ART regimens based on efficacy,
safety, adherence potential, drug-drug interactions, and patient-reported
outcomes
* Activity Overview
* CE Details & Instructions
* Faculty Disclosures
ACTIVITY OVERVIEW
Intended Audience: Physicians, NPs, PAs, nurses, case managers, and pharmacists
specializing in infectious disease or primary care
Welcome to PRIME SimClinic, an AI-based simulation clinic that allows you to
sharpen your skills and make real-world clinical decisions in a risk-free
environment!
Rapid developments in HIV therapy have created a broad selection of treatment
options that challenge providers to tailor regimens to individual patient needs
and preferences while navigating comorbidities, polypharmacy, adherence, and
drug resistance.
In this program, you will meet two patients with HIV and test your ability to
assess their disease and personalize their treatment to improve their care. Over
the course of multiple patient visits, you can:
* Select among thousands of tests and medications to develop the best treatment
plan for each patient
* Observe the impact of your choices on clinical and patient outcomes
* Track and save your progress so you can fit this activity into your busy
schedule
* Receive personalized feedback on your actions and achieved goals
The platform is web-based and mobile-optimized for easy and convenient access at
any time!
ACCREDITATION INFORMATION
JOINT ACCREDITATION STATEMENT
In support of improving patient care, PRIME® is jointly accredited by the
Accreditation Council for Continuing Medical Education (ACCME), the
Accreditation Council for Pharmacy Education (ACPE), and the American Nurses
Credentialing Center (ANCC) to provide continuing education for the healthcare
team.
INTERPROFESSIONAL TEAMS
This activity was planned by and for the healthcare team, and learners will
receive 1.5 Interprofessional Continuing Education (IPCE) credits for learning
and change.
PHYSICIAN CREDIT DESIGNATION STATEMENT
PRIME® designates this Enduring material for a maximum of 1.5 AMA PRA Category 1
Credits™. Physicians should claim only credit commensurate with the extent of
their participation in the activity.
PHYSICIAN ASSISTANT ACCREDITATION STATEMENT
PRIME® has been authorized by the American Academy of PAs (AAPA) to award AAPA
Category 1 CME credits for activities planned in accordance with AAPA CME
Criteria. This activity is designated for 1.5 AAPA Category 1 CME credits. PAs
should only claim credit commensurate with the extent of their participation.
NURSE PRACTITIONER ACCREDITATION STATEMENT
PRIME Education is accredited by the American Association of Nurse Practitioners
as an approved provider of nurse practitioner continuing education. Provider
number: 060815. This activity is approved for 1.5 contact hours (which includes
1 hour of pharmacology).
PHARMACIST ACCREDITATION STATEMENT
This Application-based activity has been approved for 1.5 contact hours (0.15
CEUs) by PRIME® for pharmacists and pharmacy technicians. The Universal Activity
Number for this activity is JA0007144-0000-21-091-H02-P for pharmacists and
JA0007144-0000-21-091-H02-T for pharmacy technicians. Pharmacy CE credits can be
submitted to the NABP upon successful completion of the activity by providing
your NABP ID & DOB, which must be submitted within 60 days of completion.
Pharmacists with questions can contact NABP customer service
(help@nabp.pharmacy).
NURSE ACCREDITATION STATEMENT
PRIME® designates this activity for 1.5 contact hours.
CASE MANAGER ACCREDITATION STATEMENT
The Commission for Case Manager Certification designates this educational
activity for 1.5 contact hours for certified case managers. Credits for this
program are pre-approved.
OBTAINING CE CREDIT
1. Complete the pre-activity evaluation
2. Complete the activity in its entirety
3. Complete a post-activity evaluation
4. Download and/or print a certificate of completion and/or submit CE credits
electronically
DEVICE REQUIREMENTS
* Computer, smartphone, tablet, or mobile device with audio capabilities and
Internet connectivity
The following individuals have identified relevant financial relationships with
commercial interests to disclose:
* Babafemi O Taiwo, MBBS (Contributing Author)
Advisory Board or Panel – Gilead Sciences, Merck
Consultant – ViiV Healthcare
* Laura J Waters, MD, FRCP (Contributing Author)
Advisory Board or Panel – Gilead Sciences, MSD, Theratech, ViiV Healthcare
Grants / Research Support – Gilead Sciences, ViiV Healthcare
Speakers Bureau or other Promotional Education – Janssen, MSD, ViiV
Healthcare
The following individuals have no relevant financial relationships with
commercial interests to disclose:
* Michele B Kaufman, PharmD, BCGP (Reviewer)
* Joyce M Knestrick, PhD, CRNP, FAANP (Planner)
* Ricardo Correa, MD, EdD, FACP, FACE, FAPCR, FACMQ (Planner)
All PRIME staff participating in planning and content development have no
relevant financial relationships with commercial interests to disclose.
FUNDING DISCLOSURE
This activity is provided by PRIME Education. There is no fee to participate.
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ACTIVITY PRE-SURVEY
To continue, please complete this short survey.
0%
Approximately how many patients with HIV does your organization impact monthly?
Approximately how many patients with HIV does your organization impact monthly?
Number of monthly patients with HIV
:
Which factors do you primarily consider when selecting treatment for patients
with HIV? (Select up to 2)
Which factors do you primarily consider when selecting treatment for patients
with HIV? (Select up to 2)
Guideline recommendations
Suitability for rapid/same-day antiretroviral therapy (ART) initiation
Efficacy profile of therapy
Safety/long-term toxicity profile of therapy
Potential for drug-drug or drug-food interactions
Adherence potential
Comorbid conditions
Patient preferences/satisfaction
Other
:
This does not apply to my role
Please rate your confidence in implementing rapid/same-day ART initiation for
patients newly diagnosed with HIV:
Please rate your confidence in implementing rapid/same-day ART initiation for
patients newly diagnosed with HIV:
Very low
Low
Moderate
High
Very high
How likely are you to take into consideration the association between ART and
weight gain/metabolic disorders when selecting ART for individual patients?
How likely are you to take into consideration the association between ART and
weight gain/metabolic disorders when selecting ART for individual patients?
Very unlikely
Unlikely
Neutral
Likely
Very likely
According to the 2019 DHHS HIV Guidelines, which of the following is recommended
as initial ART for most people with HIV? (Select 1)
According to the 2019 DHHS HIV Guidelines, which of the following is recommended
as initial ART for most people with HIV? (Select 1)
Boosted-protease inhibitor (PI)-based regimens
Integrase strand transfer inhibitor (INSTI)-based regimens
Non-nucleoside reverse transcriptase inhibitor (NNRTI)-based regimens
Either PI- or INSTI-based regimens
Either PI- or NNRTI-based regimens
Please rate your confidence in identifying and managing drug-drug and drug-food
interactions with HIV medications:
Please rate your confidence in identifying and managing drug-drug and drug-food
interactions with HIV medications:
Very low
Low
Moderate
High
Very high
According to the 2019 DHHS HIV guidelines, which of the following requires
dose/administration adjustment when given concomitantly with INSTIs:
According to the 2019 DHHS HIV guidelines, which of the following requires
dose/administration adjustment when given concomitantly with INSTIs:
Oral anticoagulants
Aluminum, magnesium, or calcium-containing supplements
Proton pump inhibitors
Lipid-modifying agents
Azole antifungals
Please rate your confidence in making evidence-based decisions about switching
ART in older patients with comorbidities (eg, osteoporosois, metabolic
disorders, renal impairment):
Please rate your confidence in making evidence-based decisions about switching
ART in older patients with comorbidities (eg, osteoporosois, metabolic
disorders, renal impairment):
Very low
Low
Moderate
High
Very high
A 65-year-old woman with HIV previously nonadherent to efavirenz
(EFV)/emtricitabine (FTC)/tenofovir disoproxil (TDF) due to side effects is
currently suppressed on darunavir (DRV)/cobicistat (COBI)/FTC/tenofovir
alafenamide (TAF) but is now having difficulty controlling blood glucose after
starting salmeterol/fluticasone for worsening COPD. She also takes esomeprazole,
metformin, and calcium carbonate.
Which of the following ART regimens would you recommend for this patient?
A 65-year-old woman with HIV previously nonadherent to efavirenz
(EFV)/emtricitabine (FTC)/tenofovir disoproxil (TDF) due to side effects is
currently suppressed on darunavir (DRV)/cobicistat (COBI)/FTC/tenofovir
alafenamide (TAF) but is now having difficulty controlling blood glucose after
starting salmeterol/fluticasone for worsening COPD. She also takes esomeprazole,
metformin, and calcium carbonate. Which of the following ART regimens would you
recommend for this patient?
Dolutegravir (DTG) + FTC/TAF
Bictegravir (BIC)/FTC/TAF
DTG/rilpivirine (RPV)
DTG/lamivudine (3TC)
Doravirine (DOR)/3TC/TDF
Something else
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Profession
Profession…Physician Nurse Pharmacist Nurse Practitioner Case Manager Physician
Assistant Resident Medical Assistant Dentist Pharm Tech Health Education
Specialist Respiratory Therapist Physical Therapist Psychologist Dietician
Dietetic Technician HR Specialist Medical Director Fellow Social Worker Genetic
Counselor Other HCP Patient/Caregiver
Practice setting
Practice setting…Community / Retail Consultant Consumer Employer Health Plan
Home Health Care Hospital Integrated (ACO, PCMH, etc.) Long Term Care Medical
Practice None / Other Research / Academia Specialty Pharmacy / PBM State /
Federal Government
Specialty
Specialty…Family Medicine Neurology Internal Medicine Hematology / Oncology
Psychiatry Pediatrics Surgery Geriatric Medicine Infectious Disease Cardiology
Gastroenterology Emergency Medicine Critical Care Dermatology Anesthesiology
Pain Management Med / Surg Allergy / Immunology Pulmonology Rheumatology
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