Saberi Parya, Su Hoa, Mendiola Julian, Gruta Cristina, Lutes Erin R, Dong Betty, Bositis Chris, Chu Carolyn
Department of Medicine, University of California, San Francisco, San Francisco, California, USA.
Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California, USA.
J Am Coll Clin Pharm. 2024 May;7(5):458-470. doi: 10.1002/jac5.1939. Epub 2024 Mar 6.
Relatively little has been published on human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) training efforts and outcomes among clinicians working at community health centers and safety net clinical settings.
This study describes the National Clinician Consultation Center's (NCCC's) PrEP training content development and learning outcomes.
The training consisted of a multidisciplinary capacity-building program designed to increase PrEP-related clinical knowledge and skills among pharmacy and nursing professionals at community health centers in "Ending the HIV Epidemic" priority jurisdictions. Descriptive statistics were used to report on the results of this training.
Two groups of learners completed the hybrid training program in 2022 (total, = 50). A comparison of pretraining and posttraining evaluations indicated that, collectively, learners' self-rated knowledge increased across all assessment domains including PrEP eligibility, disparities, laboratory monitoring, medication options and pharmacotherapy decision-making, and delivery of person-centered care. Learners rated the experience favorably, particularly for large group case discussion sessions. Among the 15 learners who completed the 6-month follow-up survey, many indicated an increase in PrEP services as well as additional training of colleagues and clinic staff.
The NCCC's uniquely developed PrEP capacity-building program is a highly acceptable and valuable training program that can help increase PrEP-related clinical knowledge and skills among pharmacy and nursing professionals at community health centers across the United States.
关于在社区卫生中心和安全网临床机构工作的临床医生开展的人类免疫缺陷病毒（HIV）暴露前预防（PrEP）培训工作及成果的文献相对较少。
本研究描述了国家临床医生咨询中心（NCCC）的PrEP培训内容开发及学习成果。
该培训包括一个多学科能力建设项目，旨在提高“终结HIV流行”重点辖区内社区卫生中心的药学和护理专业人员与PrEP相关的临床知识和技能。描述性统计用于报告该培训的结果。
两组学员于2022年完成了混合培训项目（共50人）。培训前和培训后评估的比较表明，总体而言，学员在所有评估领域的自我评定知识均有所增加，包括PrEP资格、差异、实验室监测、药物选择和药物治疗决策，以及提供以患者为中心的护理。学员对该经历评价良好，尤其是大型小组病例讨论环节。在完成6个月随访调查的15名学员中，许多人表示PrEP服务有所增加，以及对同事和诊所工作人员进行了额外培训。
NCCC独特开发的PrEP能力建设项目是一个高度可接受且有价值的培训项目，有助于提高美国各地社区卫生中心药学和护理专业人员与PrEP相关的临床知识和技能。
