The Role of Emergency Department Clinicians in Helping End the HIV Epidemic: Focus on nPEP and PrEP

Released On
March 15, 2020

Expires On
March 15, 2021

Media Type

Completion Time
90 minutes

Emergency Medicine, Primary Care


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This activity is jointly provided by American Academy of CME, Inc. and ACTHIV Institute.


Supported by an independent educational grant from Gilead Sciences.

Credit Available

  • Physicians — maximum of 1.5 AMA PRA Category 1 Credit(s)
  • NPs/Nurses — 1.5 CNE contact hours (including 1.5 pharmacotherapeutic contact hours)
  • Physician's Assistants - 1.5 AAPA Category 1 CME credits

All other health care professionals completing this course will be issued a statement of participation.

Target Audience

The target audiences for this initiative include emergency department physicians, NPs, PAs and nurses actively in engaged patient care. Other members of the care team may also participate.

Program Overview

Although HIV care has historically been considered outside of the scope of practice of emergency department (ED) clinicians, the members of the ED team now have the opportunity to play a key role in United States (US) efforts toward “Ending the Epidemic.” To maximize this role will require further developing their knowledge and skills regarding HIV prevention strategies such as post-exposure prophylaxis (PEP) and pre-exposure prophylaxis (PrEP), putting protocols in place within the ED that facilitate their use, and building relationships with HIV providers in the community with whom they can link patients after leaving the ED.

Learning Objectives

Upon completing this activity, learners should be better able to:

  • Review the principles, drug options, and strategies for navigating key clinical issues regarding non-occupational post-exposure prophylaxis (nPEP) in the emergency department/urgent care setting
  • Explore communication strategies for counseling individuals about nPEP to improve adherence and ensure they are linked to follow-up care
  • Discuss pre-exposure prophylaxis (PrEP) guidelines and studies, as well as how to identify potential PrEP candidates in the emergency room/urgent care setting


Sharon Jankauskas, BSN, MSN, CRNP

Adult Nurse Practitioner
Emergency Fast Track (EFT)/Healthpass/Emergency Department
Penn Presbyterian Hospital
University of Pennsylvania Health Systems
Philadelphia, PA

Ralph J. Riviello, MD, MS, FACEP

Professor and Chair, Department of Emergency Medicine
Joseph and Theresa Long School of Medicine
University of Texas Health San Antonio
San Antonio, TX

William R. Short, MD, MPH, AAHIVS

Associate Professor of Medicine, Division of Infectious Diseases
Perelman School of Medicine, University of Pennsylvania
Philadelphia, PA

Accreditation Statement


In support of improving patient care, this activity has been planned and implemented by American Academy of CME, Inc. and ACTHIV Institute. American Academy of CME, Inc. 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.


American Academy of CME, Inc., designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Academy of CME, Inc., designates this educational activity for 1.5 ANCC contact hours (1.5 pharmacotherapeutic contact hours).

California: Provider approved by the California Board of Registered Nursing, Provider Number CEP16993 for 1.5 contact hours.

American Academy of CME, Inc. has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.5 AAPA Category 1 CME credits. Approval is valid until 3/15/2021. PAs should only claim credit commensurate with the extent of their participation.

Other members of the care team will receive a certificate of participation.

Disclosures of Conflicts of Interest

According to the disclosure policy of the Academy, all faculty, planning committee members, editors, managers and other individuals who are able to control content are required to disclose any relevant relationships with any commercial interests related to this activity. The existence of these interests or relationships is not viewed as implying bias or decreasing the value of the presentation. All educational materials are reviewed for fair balance, scientific objectivity and levels of evidence.

Faculty Educators

  • Sharon Jankauskas, BN, MSN, CRNP: No relevant financial relationships with any commercial interests.
  • Ralph J. Riviello, MD, MS, FACEP: No relevant financial relationships with any commercial interests.
  • William Short, MD, MPH, AAHIVS discloses the following: Advisory Board for Scientific Information: ViiV Healthcare; Promotional Speakers Bureau: Janssen, ViiV Healthcare

Planning Committee

  • No relevant financial relationships with any commercial interests.

Disclosure of Unlabeled Use

This educational activity may include discussion of uses of agents that are investigational and/or unapproved by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.


The opinions expressed in this educational activity are those of the faculty, and do not represent those of the Academy or ACTHIV Institute. This activity is intended as a supplement to existing knowledge, published information, and practice guidelines. Learners should appraise the information presented critically and draw conclusions only after careful consideration of all available scientific information.

Method of Participation

There are no fees to participate in the activity. Participants must review the activity information including the learning objectives and disclosure statements, as well as the content of the activity. To receive CME/CE credit for your participation, please complete the post-test (achieving a passing grade of 70% or greater), and program evaluation. Your certificate can be printed immediately.

Course Viewing Requirements

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Mozilla Firefox 23.0+ for Windows, Mac OS, or Linux
Safari 6.0+ for Mac OSX 10.7 and above

Supported Phones & Tablets:
Android 4.0.3 and above
iPhone/iPad with iOS 6.1 or above.


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Contact Information

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© 2020. This CME/CE-certified activity is held as copyrighted © by American Academy of CME, Inc and ACTHIV Institute. Through this notice, the Academy and ACTHIV Institute grants permission of its use for educational purposes only. These materials may not be used, in whole or in part, for any commercial purposes without prior permission in writing from the copyright owner(s).