#41: HIV, PrEP, and STI screening

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 29 May 2017

⏱️ 46 minutes

🔗️ Recording | iTunes | RSS

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Summary

Prevent HIV infections with pre-exposure prophylaxis (PrEP), and learn to perform appropriate screening for sexually transmitted infections with tips from expert, Dr. Gina Simoncini, Associate Professor of Medicine at Temple University Hospital. Learn how to implement PrEP in your practice, plus tips on vegetable gardens, fellowships, and where to get the best samosas, in this wide ranging discussion.

Full show notes available at http://thecurbsiders.com/podcast

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Time Stamps

00:00 Intro

04:50 Rapid fire questions

16:23 Defining preexposure prophylaxis

18:50 Who benefits from PrEP

21:43 Case discussion

23:45 PrEP during pregnancy, breastfeeding

24:45 Baseline testing and STI screening before PrEP use

28:15 Counseling on adherence, side effects

31:25 Adverse effects of PrEP

34:00 Monitoring patients on PrEP

36:46 Collaborative practice

37:30 Discussion of high risk behaviors on PrEP

39:30 Does PrEP promote viral resistance?

41:51 Insurance reimbursement for PrEP

42:50 Take home points

44:24 Outro

Tags: assistant, care, doctor, education, emtricitabine, family, foam, foamed, health, HIV, hospitalist, hospital, infection, internal, internist, nurse, meded, medicine, medical, physician, practitioner, primary, prophylaxis, resident, sti, student, tenofovir

Transcript

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0:00.0	Right, and invariably the guest goes, are we recording?
0:02.6	Oh, can we try that and I'll say, are we recording?
0:05.4	Yes.
0:06.4	Actually, Gita, I think you just started us recording.
0:11.0	So...
0:13.0	Welcome back to the Curbsiders, the Internal Medicine Podcast that uses expert interviews
0:27.1	to bring you clinical pearls.
0:28.5	So I've heard.
0:29.5	I'm Dr. Matthew Wato here with Dr. Stewart Kent Brigham.
0:34.5	Hello, Matthew.
0:35.7	How are you doing today?
0:36.7	Good.
0:37.7	I'm glad you could come and join us for this wonderful intro.
0:41.6	I know.
0:42.6	Unfortunately, Stewart was not available during the recording of this.
0:47.5	I had a flight tire.
0:49.0	Which probably avoided a lot of inappropriate comments, but we're still upset that you weren't
0:53.4	there.
0:54.4	Yeah, no.
0:55.4	I was listening to the recording live.
0:57.2	Unfortunately, I had so many comments.
0:58.9	I wanted to add all the awkward pauses that would have been me adding those comments in.
	...

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