Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Department of Obstetrics, Gynecology, and Reproductive Sciences, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Sex Transm Infect. 2023 Aug;99(5):348-350. doi: 10.1136/sextrans-2022-055691. Epub 2023 Apr 4.
We aimed to evaluate the efficacy of PrEP (pre-exposure prophylaxis) training sessions for OBGYN (obstetrician gynaecologist) providers given underutilisation of PrEP among women despite a high HIV burden.
Three separate training sessions were held for providers in the OBGYN department at an academic medical centre in New York City from 2019 to 2021. The 1-hour training sessions were conducted by HIV specialists as in-person lectures or online live lectures. Participants were surveyed after the training on metrics of PrEP awareness, knowledge and comfort with management. Two-sample t-tests were used to compare difference in proportions of binomial variables and difference in means of Likert-scored answers pretraining and post-training events.
63 respondents completed the surveys. There were low rates (13%) of past PrEP prescription among the respondents, while awareness of PrEP as an HIV prevention strategy was high before (95%) and after (98%) the training. After the training, there was an increase in understanding the epidemiology of HIV transmission (40% to 97%, p<0.00), familiarity with the PrEP clinical trials (18% to 97%, p<0.00), comfort in determining PrEP candidacy (mean score 2.3 to 4.1, p<0.00) and comfort prescribing PrEP (mean score 2.0 to 3.6, p<0.00). After the trainings, the majority of participants reported feeling 'comfortable' or 'very comfortable' in determining candidacy for PrEP and prescribing PrEP with follow-up.
Implementation of PrEP training courses for OBGYN providers increased knowledge and comfort in identifying and managing patients who may benefit from PrEP services. Increasing training among OBGYN providers serving women at risk for HIV infection is an effective tool to narrow gaps in PrEP access.
我们旨在评估在 HIV 负担沉重的情况下，尽管女性对 PrEP（暴露前预防）的使用率较低，但为妇产科医生提供 PrEP 培训课程的效果。
2019 年至 2021 年期间，在纽约市一家学术医疗中心的妇产科部门为医生进行了三次单独的培训。1 小时的培训课程由 HIV 专家作为现场讲座或在线直播讲座进行。培训后，对参与者进行了关于 PrEP 意识、知识和管理舒适度的指标调查。采用两样本 t 检验比较二项变量比例和训练前后 Likert 评分答案均值的差异。
63 名受访者完成了调查。受访者过去开 PrEP 处方的比例很低（13%），而在培训之前（95%）和之后（98%），他们对 PrEP 作为 HIV 预防策略的认识都很高。培训后，对 HIV 传播的流行病学有了更多的了解（40%至 97%，p<0.00），对 PrEP 临床试验的熟悉程度有所提高（18%至 97%，p<0.00），在确定 PrEP 候选资格方面的舒适度（平均得分 2.3 至 4.1，p<0.00）和开具 PrEP 处方的舒适度（平均得分 2.0 至 3.6，p<0.00）。培训后，大多数参与者表示在确定 PrEP 候选资格和开具 PrEP 处方方面感到“舒适”或“非常舒适”，并在随访中跟进。
为妇产科医生提供 PrEP 培训课程增加了他们识别和管理可能受益于 PrEP 服务的患者的知识和舒适度。增加对有 HIV 感染风险的女性提供服务的妇产科医生的培训是缩小 PrEP 获得差距的有效工具。
