2024 STI Clinical Update: San Francisco Department of Public Health (SFDPH)

Thursday, March 14, 2024
9:00AM-1:00PM (PDT)
3.75 CME units at no cost

Join us at this half-day, hybrid event! Offered both virtually and in-person at the ZSFG Carr Auditorium, San Francisco, CA
NNPTC Registration closes on Wednesday, March 13, 2023 at 4:00PM (PDT)

Presented by:

Dr. Oliver Bacon
Medical Director, San Francisco City Clinic
San Francisco Department of Public Health

Dr. Franco Chevalier
Deputy Medical Director, San Francisco City Clinic
San Francisco Department of Public Health

Dr. Stephanie Cohen
Director, HIV/STI Prevention, Disease Control Branch,
San Francisco Department of Public Health

Dr. Kelly Johnson
Medical Director, California Prevention Training Center
Public Health Medical Officer, STD Control Branch, California Department of Public Health

Emcee: Dr. Ina Park
Principal Investigator, California Prevention Training Center

Description

More than 2.5 million cases of chlamydia, gonorrhea, and syphilis were reported in the U.S. in 2022, and San Francisco has higher chlamydia, gonorrhea, syphilis, and HIV rates compared to the rest of the state and nation. This half-day, hybrid event will provide important updates in the field of sexual health to help providers strengthen the delivery of STI prevention and care. Hear from local experts on STI epidemiology in San Francisco, updates on Doxy-PEP implementation, recognizing dermatologic manifestations of STIs, and a lively case panel.

Learning Objectives

  • Summarize current STI trends in San Francisco
  • Be familiar with updates to STI treatment guidelines and innovations in STI prevention and diagnostics
  • Understand how to implement Doxy-PEP for STI prevention
  • Recognize common dermatologic manifestations of STIs

STI Clinical Update Webinar – Introduction to Syphilis and Congenital Syphilis: A Phoenix IHS and CAPTC Event

January 11, 2024

8:30AM-12:00PM (MST)

Presented by CAPTC Clinical Faculty

Recording available 2 weeks after the webinar. Please note: CME not available for viewing the webinar recording.

Presenters:

  • Sharon Adler, MD, MPH, Clinical Faculty, California Prevention Training Center
  • Wyatt Hanft, MD, MPH, AAHIVS, STI Fellow, California Prevention Training Center
  • Tamara Ooms, RN, MSN, FNP, Program Manager, California Prevention Training Center
  • Ina Park, MD, MS, Principal Investigator, California Prevention Training Center
  • Rosalyn Plotzker, MD, MPH, Clinical Faculty, California Prevention Training Center
  • Moderator: Kelly Johnson, MD, MPH, Medical Director, California Prevention Training Center

Learning Objectives:

Describe the varied clinical manifestations of syphilis in adults & congenital syphilis (CS) in infants

Recognize that there are two different screening algorithms used to diagnose syphilis in adults

Define adequate treatment for syphilis, including during pregnancy

List at least 3 strategies to prevent syphilis in adults and infants

S4 E9 From Red Ribbons to Leather Straps: Rodney McCoy’s Trailblazing Tale of HIV Prevention and Pleasure 

S4 E9 From Red Ribbons to Leather Straps: Rodney McCoy’s Trailblazing Tale of HIV Prevention and Pleasure 

In this episode, Rodney McCoy, a Black queer man with over four decades of experience in HIV prevention and education, shares his journey as a Leatherman of color and discusses the intersection of BDSM, kink, and HIV prevention. From his entry into the kink community to becoming a titleholder in the American Leatherman competition, Rodney emphasizes how the kink community provided a safe space for self-discovery and empowerment. The episode explores the link between pleasure, power dynamics, and HIV prevention, highlighting the importance of honest conversations, sex positivity training, and the destigmatization of “risky behavior.”  

Rodney, a health educator, program director, adjunct professor, and researcher, emphasizes the partnership between healthcare professionals and patients in promoting sexual health. Rodney says, “I am about encouraging people to embrace all pleasure: sexual pleasure, pleasure that comes from good mental health, from good physical health and from good social connections. I believe as healthcare professionals, regardless of the field we’re in, we are arbiters to help assist our clients explore and enhance that pleasure, that good health in their lives.”  Rodney shares personal experiences as an HIV/STI testing specialist, addressing the impact of stigma and the importance of open communication. 

Download the transcript of this episode.

Resources from Rodney:

Beyond the Red Ribbon training & other services: https://rodneymccoy.info/services

Listen to Daddy Podcast on YouTube

Bio:

Rodney “Rod” McCoy, Jr. brings his expertise of nearly four decades in HIV prevention and education, as well as his real-life experience as an African American gay/queer man living with HIV. An Oberlin College graduate with his Bachelors in Sociology and Black Studies, Rod has worked in a variety of capacities in the field of HIV Prevention, from Health Educator and HIV Counselor to Program Director. As an Adjunct Professor at George Mason University, Rod established the “HIV, Culture and Sexuality” course for the school’s Global and Community Health Department. Rod created a sex positivity training for public health professionals called Beyond the Red Ribbon in collaboration with Louis Shackelford of the HIV Vaccine Trials Network. He currently works at Us Helping Us in Washington, DC, as a Research Assistant. 

STI Clinical Update Humboldt County-Addressing the Rise of SyphilisA Review of Clinical Management of Syphilis and Congenital Syphilis for Health Care Providers 

Presented by Drs. Kathleen Jacobson and Wyatt Hanft

December 5, 2023

Learning Objectives:

  • Apply California’s expanded syphilis screening recommendations
  • Describe the stages of syphilis and the recommended treatment and follow up for people with syphilis
  • Compare the traditional and reverse algorithm for syphilis screening

Please note: CME not offered for viewing the recording of the update

STI Expert Hour Webinar – Navigating the Bicillin L-A Shortage: A Conversation with PharmD Dr. Kathy Yang

STI Expert Hour Webinar – Navigating the Bicillin L-A Shortage: A Conversation with PharmD Dr. Kathy Yang

January 31, 2024

12:00PM-1:15PM (PST)

1.25 CME units at no cost

Please note: No CME available for viewing the webinar recording.

Learning Objectives

  • List at least 2 factors contributing to ongoing Bicillin L-A shortages
  • Describe a framework for prioritizing Bicillin L-A when supplies are limited
  • Name potential alternative treatments for syphilis in non-pregnant people
  • Develop a decision-making process for the treatment of syphilis when standard guidelines cannot be followed or when data is insufficient.

Meet Our Expert: Kathy Yang, PharmD, MPH

Dr. Yang is a Health Sciences Clinical Professor in the Department of Clinical Pharmacy and the Co-Vice Dean of Clinical Innovation and Entrepreneurship at the University of California, San Francisco School of Pharmacy. She is also an Infectious Diseases Clinical Pharmacist in the UCSF Medical Center. Dr. Yang specializes in pharmacokinetic and pharmacodynamic optimization of the treatment of multi-drug resistant infections, particularly gram-negative bacteria such as Pseudomonas aeruginosa. For the past 3 years, Dr. Yang has focused her efforts on the clinical management of COVID-19.

Congenital Syphilis Hotline Pilot

California Clinicians:

Do you have an URGENT congenital syphilis case and need SAME DAY expert consultation?

January 1 – March 31, 2024

www.stdccn.org

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2023 Hawai’i STI Clinical Update

October 17, 2023

9AM-5PM (HST)

Honolulu, HI / Virtual

1-day in-person and virtual training covering the following topics:

  • Syphilis in Pregnancy
  • Congenital Syphilis
  • Gonorrhea (GC)/Chlamydia (CT), including extragenital testing
  • Doxycycline Post-exposure prophylaxis (doxy-PEP), Expedited Partner Therapy (EPT)
  • Dermatologic manifestations of STIs – Urethritis/Vaginitis (including syndromic management)
  • Sexual assault and STIs

Presented by:

  • Kelly Johnson, MD,MPH, Medical Director, California Prevention Training Center
  • Tamara Ooms, RN, MSN, FNP, Program Manager, California Prevention Training Center
  • Rosalyn Plotzker, MD, MPH, Clinical Faculty, California Prevention Training Center
  • Alan Katz, MD, MPH, Staff Physician, Hawai’i State Department of Health
  • Moderator: Breena Gaskov, BS, Outreach Epidemiological Specialist, Hawai’i State Department of Health

Learning Objectives

  • Explain prenatal syphilis screening and treatment recommendations
  • Describe the clinical and public health approaches to GC/CT prevention
  • Summarize data from recent studies exploring the use of doxy PEP to prevent bacterial STIs
  • Compare potential strategies for doxy-PEP implementation in clinical settings
  • Recognize dermatologic signs of sexually transmitted infections (STIs)
  • Delineate treatment approaches for syndromes suggestive of STIs

How to Prescribe Expedited Partner Therapy (EPT) for Sexually Transmitted Infections 

How to Prescribe Expedited Partner Therapy (EPT) for Sexually Transmitted Infections 

Expedited Partner Therapy (EPT) is the clinical practice of treating sex partners of patients diagnosed with certain sexually transmitted infections (STIs) – including chlamydia (CT), gonorrhea (GC), and trichomoniasis – without the health care provider first examining the partner(s). EPT usually involves patient delivered partner therapy (PDPT), in which the patient delivers the medication or a prescription to their partner(s). While evaluating the partner and providing other needed health services would be ideal, this is often not feasible. EPT can be provided confidentially; it is effective, safe, acceptable to patients and partners, and helps to ensure timely partner treatment.

This resource contains information on how to prescribe EPT in California, including sample prescriptions, information on billing/reimbursement, and patient-facing materials.

For more information on EPT and why it should be prescribed, see “Expedited Partner Therapy (EPT) for Sexually Transmitted Infections: A Resource for California Health Care Providers – What is EPT and Why Should I Prescribe It?”

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Examination and Interpretation of Wet Preparations of Vaginal Specimens

Thursday, November 2, 2023

2:00-5:00PM (PDT)

  • In-person laboratory course onsite at the UC San Francisco campus
  • Intended for practicing clinicians with prior wet mount experience and microscopy skills
  • Capacity limited to 8 persons

The course begins with a fifteen minute didactic presentation on applicable issues of CLIA regulation, quality control, and interpretation vaginal wet mount (VWM) for common causes of vaginitis This will be followed by a fifteen minute video that details through the microscope footage of findings on VWM including trichomads, yeast and clue cells associated with BV. The remaining two and one-half hours consists of experiential training, including laboratory practicum on examination of saline and KOH vaginal wet mounts (VWM). During this portion of the training, participants will have an opportunity for group discussion, explanation, and demonstration, as well as practice and return demonstration.

Learning Objectives

  • Practice proper preparation of saline and KOH specimens of vaginal fluid to increase viability of specimens for microscopic evaluation.
  • Perform proper use of the light microscope to improve examination of saline and KOH wet mount specimens.
  • Assess wet mount microscopy specimens to appropriately interpret findings that support diagnosis of vulvovaginal candidiasis, bacterial vaginosis or trichomoniaisis.

STI Clinical Update Webinar: California Mpox Update for Healthcare Providers – October 2023

Thursday, October 26, 2023
12:00 PM – 1:30 PM (PDT)

The California Department of Public Health (CDPH) continues to see statewide Mpox activity, including a large cluster in Los Angeles County. This webinar, presented by the California Prevention Training Center (CAPTC), features CDPH’s Mpox Clinical and Epidemiology teams, who will provide a clinical update and epidemiological overview of Mpox, and discuss new research findings relevant to primary care and other healthcare providers, including data on transmission, vaccine equity, and vaccine effectiveness. A question-and-answer session will follow.

Presented by:

Kayla Saadeh, MPH
Mpox Epidemiology Unit Lead
California Department of Public Health

Jessica Watson, MD, MPH
Mpox Public Health Medical Officer and Acting Clinical Lead
California Department of Public Health

Learning Objectives

  • Identify the clinical and epidemiological factors leading to Mpox infection, transmission, and severity as well as treatment options. 
  • Apply the latest information and research on Mpox, including transmission characteristics, vaccine equity, and vaccine effectiveness, to your clinical practice to ensure patients are appropriately vaccinated, diagnosed, tested, and treated for Mpox.

Please note: CME not available for viewing the webinar recording.