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

Structural Interventions Institute

In June 2022, The California Prevention Training Center, CBA Providers’ Network, Denver Prevention Training Center, and San Francisco Department of Public Health convened a two-day institute for staff of health departments, community-based organizations, and other community partners in the western region of the U.S.

The goal was to improve knowledge of how structural interventions operate to address the environmental, social, and economic factors that influence individual risk and protective behaviors.

View recordings of the institute, below.

Day 1

Welcome & Introduction to Structural Interventions

Aunsha Hall-Everett provides a welcome to the institute and Patrick Piper provides a fundamental understanding of SI.

Download Welcome Slides

Download Introduction to SI Slides

Community Engagement Breakout

Community engagement is essential in developing and implementing structural interventions. Duran Ruteledge discusses the importance of gaining community buy-in for interventions, highlights the “wisdom of crowds”, and provides an opportunity to share experiences.

Download Community Engagement Slides

Structural Interventions in Action

Matthew Willis explains how the California State Office of AIDS has funded and supported SIs throughout the state, particularly the Ending the HIV Epidemic (EHE) initiative. He focuses on how six counties of the California Consortium implement SI to address the three critical components of SI – acceptability, accessibility, and availability.

Download Structural Interventions in Action Slides

Promoting Cultural Humility through Structural Changes and Institutional Accountability

Creating change at an institutional level to promote cultural humility requires assessing barriers and structures that have created disparities in health outcomes. Tim Vincent highlights one health department’s approach integrating cultural humility by making structural changes in service delivery.

Download Promoting Cultural Humility Slides

Delivering Trauma-Informed Care to Reduce Health Disparities in Vulnerable Populations

To examine trauma-informed care as a structural intervention, Shamere Mackenzie highlights the importance of supplying care and support services to vulnerable populations in a trauma-informed manner, promoting healthy outcomes and increasing client engagement in services.

Download Delivering Trauma-Informed Care Slides

Day 2

Deconstructing Organizational Transphobia

Zami Hyemingway explores the negative impact of transphobia on clients who identify as transgender or non-binary persons when they access HIV services. Explore structural strategies and learn to bridge the medical divide for transgender people seeking and accessing services.

Download Deconstructing Organizational Transphobia Slides

The Modernization of HIV Laws in Nevada; Changing Legislature

Andre Wade provides an overview of how Nevada addressed a structural barrier to HIV services by modernizing its HIV duty to warn laws. Learn how Nevada successfully created awareness and established community and political partnerships to work in collaboration to modernize its HIV laws.

Download Modernization of HIV Laws in Nevada Slides

The NYC Condom Availability Program: Structural Changes During a Pandemic

Jennifer Matsuki and Ilona Charkow highlight how the NYC Condom Availability Program (NYCAP) was able to meet the needs of the community with its condom distribution program during Covid-19. Learn the importance of organizations being able to pivot services delivery models to continue to meet the community’s needs and demands as Covid continues to interrupt services.

Download NYC Condom Availability Program Slides

Community Engagement World Café

When policies and programs designed to improve health outcomes are not driven by community interests, efforts remain disconnected from the people they intend to serve. Aunsha Hall-Everett engages participants in a deeper discussion about the various examples of engagement strategies discussed by presenters and how they can be used to maximize structural impact.

Download Community Engagement World Café Slides

Drugs 101 Series

November 8th and 16th, 2021

Hosted by The California Prevention Training Center in partnership with the National Harm Reduction Coalition

These 2 -hour online trainings focus on basic knowledge about different kinds of opioids and stimulants. Tanagra M. Melgarejo, MSW, National Learning and Engagement Strategist at Harm Reduction Coalition reviews basic information about how and why they are used and discuss ways to reduce the harms of using these types of drugs.

The trainings provide an overview of how to engage program participants/clients in conversations around the way they are using these drugs and what potential harms can be reduced by exploring how to use harm reduction methods to engage with people who use drugs and better understand their experience.

Session Recordings

Drugs 101: Opioids

Drugs 101: Stimulants

Medical Mistrust Symposium

In March 2021, The California Prevention Training CenterUCLA HIV Identification, Prevention and Treatment Services, and Pacific AIDS Education and Training Center (PAETC) held an impactful symposium on medical mistrust.

Building on the momentum, in March 2022 CAPTC and Denver Prevention Training Center, along with important partners, hosted See All of Me: The Intersections of Medical Mis/Distrust and the Impact on Transgender Health, HIV Care & Prevention Summit.

View recordings and other resources from each event, below.

2022 Symposium on “See All of Me: The Intersections of Medical Mis/Distrust and the Impact on Transgender Health, HIV Care & Prevention Summit”

See All Of Me Medical Mistrust Summit – Day 1, Part 1

Dr. Tatyana Moaton presents: An Intersectional Look at Providing Transgender Health

See All Of Me Medical Mistrust Summit – Day 1, Part 2

Tyree Williams, Octavia Lewis, Levi Maxwell, Marcus Arana and Victor Motherwell participate in a panel conversation: In Sickness and Health: Exploring the Diversity of Gender in Patient-Centered HIV. Moderated by JaDawn Morgan-Wright

See All Of Me Medical Mistrust Summit – Day 1, Part 3

Dr. Sand Chang presents: Decolonizing Transgender Health

See All Of Me Medical Mistrust Summit – Day 2, Part 1

Valerie Spencer, Cecilia Gentili, Jenna Rapues participate in a panel conversation: Ecological Perspectives for Deconstructing Medical Mistrust in Transgender Health. Moderated by Shawn Demmons

See All of Me Medical Mistrust Summit – Day 2, Part 2

Andrew Miller presents: Building an Affirming Healthcare System. Concludes with a special message from Admiral Dr. Rachel Levine.

See All Of Me Medical Mistrust Summit – Highlights

2021 Symposium Sessions

Opening Plenary: Historical Context of Medical Mistrust

Dr. Oni Blackstock

Download Dr. Blackstock’s presentation

Plenary Two: Impact of COVID-19 on Medical Mistrust

Raniyah Copeland, MPH

Download Raniyah’s presentation

Session One: Medical Mistrust and the LGBTQ+ Community

George Jackson, Janelle Luster, and Shawn Demmons

Session Two: Impact of Racism on Black and LatinX Communities

Agripina Alejandres-Ceja and Dante King

Download Agripina’s presentation

Download Dante’s presentation

Session Three: Meaningfully Engaging the Tribal Community

Michael Allison

Download Michael’s presentation

Other Resources Addressing Medical Mistrust

Websites:

Books:

Articles:

Podcasts:

Family Planning

We provide technical assistance and training to family planning providers and promote comprehensive sexual health education and services for low-income Californians.

Bald woman smiling at the camera
Woman practicing using a speculum on a dummy pelvis

Family Planning, Access, Care, and Treatment (FPACT)

CAPTC provides technical assistance and training to family planning providers in California. Our team has a key role in implementing California’s Family Planning Access Care and Treatment (Family PACT). Family PACT is an innovative program that provides free, comprehensive family planning services to low-income individuals, including adolescents. Administered by the California Department of Health Care Services (DHCS) Office of Family Planning (OFP), Family PACT has been operating since 1997.

CAPTC’s health educators and communicators provide a wide array of capacity building tools and technical assistance training to FPACT providers including orientations for providers new to the program, online courses, webinars, and a robust website with resources for both providers and clients.

Check out Family PACT’s website.

Learning Resources

Explore these and other online learning opportunities from the rest of the CAPTC’s programs in our Online Learning database.

Webinar

Integrating Trauma-Informed Practices into Reproductive Health Services
August 30, 2023 Description: Exposure to abuse, neglect, discrimination, violence, and other adverse experiences can greatly impact a person’s health for the long term and the way they interact with the healthcare system especially when it comes to family planning services. Because of the potentially long-lasting negative impact of trauma on physical and mental health, […]

Webinar

Reproductive and Sexual Health Considerations for Transgender and Nonbinary People
Reproductive and Sexual Health Considerations for Transgender and Nonbinary People December 16, 2022 Description This webinar is presented by Gayge Maggio, FNP-BC, AAHIVS and will focus on the reproductive and sexual health needs/considerations of transgender and gender non-conforming people. There will be a focus on learning to approach sexual health in a culturally sensitive, non-judgmental […]

Webinar

Person-Centered Contraception Counseling for Family PACT Clients
October 19, 2022 Description Quality contraceptive care is more than just knowing the facts about all available birth control methods. In order for clients to select methods and get what they want from their birth control, it is crucial to provide contraceptive counseling that helps people identify their preferences in the context of their lives, […]

Webinar

Talking with Family PACT Clients About HPV Immunization
August 17, 2022 Description: Since the first HPV vaccines were introduced in 2006, rates of cervical cancer and other HPV-related cancers have decreased in immunized populations. Family PACT will add HPV immunization as a benefit in July 2022 and will utilize guidelines developed by the CDC Advisory Committee of Immunization Practices (ACIP). This webinar will […]

Clinical Tools and Guidelines

Clinical Practice Alert: Syphilis Screening, Diagnosis, and Treatment
Clinical Practice Alert: Syphilis Screening, Diagnosis, and Treatment Rates of syphilis have been rising in the US, including in California, which has resulted in a corresponding rise in the rates of congenital syphilis (CS). Fifteen percent of women of childbearing age diagnosed with syphilis are pregnant. These trends mirror a sharp increase in all stages […]

Webinar

Putting New Family PACT Benefits to Work in Patient Care
May 11, 2022 Over the last year, the Family PACT Program has added several new benefits. These include three new contraceptive methods, a diagnostic test for Mycoplasma genitalium, and modifications in STI treatments based on the 2021 CDC STI Treatment Guidelines. In this webinar, a description of the new benefits will be provided and the […]

Webinar

Talking with Family Planning Clients About COVID-19 Vaccination
November 18, 2021 This webinar event is a collaboration between The California Department of Health Care Services Office of Family Planning, the California Prevention Training Center, the California Department of Public Health, and “#ThisIsOurShot” Program. Please join two OBGYNs, Dr. LaTanya Hines and Dr. Michael Policar, for a webinar training on how to effectively communicate […]

Webinar

2021 Implementing the CDC STI Treatment Guidelines: A Conversation for Family PACT Providers
The long-awaited 2021 CDC Sexually Transmitted Infections Treatment Guidelines were published in MMWR on July 22, 2021. This webinar will focus on significant changes from the 2015 CDC STD Treatment Guidelines, including updated guidelines for the screening, diagnosis and treatment of gonorrhea, chlamydia, syphilis, pelvic inflammatory disease, genital herpes, Mycoplasma genitalium, and vaginal trichomoniasis. To assist health care […]

Webinar

Update in Evaluation and Management Office Visit Coding for Family PACT Services
The CPT rules for the use of problem-oriented E/M office visit codes changed significantly on January 1, 2021. Since then, office visits are coded based on levels of medical decision-making or “total time” and the prior rules for using the “three key components” no longer apply. Consequently, Family PACT E/M coding policies were updated in […]

Patient-Facing Resources and Fact Sheets

Birth Control Methods
Information on birth control methods and Family PACT coverage for current and prospective Family PACT clients.

Disease Intervention

We train the disease intervention workforce to support individuals with communicable infections and those that may be at risk of infection.

DIS team photo

Disease Intervention Training Center (DITC) 

Since 1995, CAPTC’s Disease Intervention Training Center (DITC) has been funded by the Centers for Disease Control and Prevention (CDC) to train the nation’s disease intervention workforce. Disease intervention professionals (DIP) support people with communicable infections and those who may be at risk of infection. This includes contact tracing, case investigation, partner services, and emergency response.

We create innovative curricula and online training modules on all skill sets necessary for DIP to effectively serve the community. Our CAPTC team provides capacity building around disease intervention focused on HIV/STIs as part of the National Network of Disease Intervention Training Centers (NNDITC). In addition to HIV/STI training, we led national training efforts to address COVID-19. Additionally, we provide training for DIP around various communicable infections from tuberculosis to mpox.

Our staff has decades of experience as contact tracers and outreach workers in STI/HIV disease intervention services. We provide knowledge, tools, and techniques suitable for both beginners and seasoned professionals to excel as a DIPs.

Enhancing the Capacity of DIS Navigators

Funded by the California Department of Public Health (CDPH) Office of AIDS (OA) and CDPH STD Control Branch , CAPTC provides training and technical assistance to California-based disease intervention professionals (DIP), HIV navigators, and other HIV/STI prevention staff to build and enhance capacity in California local health jurisdictions. We implement EHE activities through tailored TA activities, including:

  • Hosting a DIS Summit which brings together nationally recognized speakers on current issues in disease intervention. View recordings from 2023.
  • Facilitating workforce development learning collaboratives for frontline workers and supervisors focusing on current or emerging topics. Participants share best practices from a local and national perspective.
  • Providing skills-based courses including, but not limited to, social determinants of health, cultural humility, and working with men who have sex with men (MSM).
  • Developing new strategies and metrics to address the emerging needs of disease intervention and partner services programs. We research and analyze current DIS services through assessments administered to local health departments.

Learning Resources

Enjoy this selection of trainings from CDC Train. You can also check out these and other online learning opportunities from the rest of the CAPTC’s programs on our Online Learning page

Online Course

Self-Disclosure
Many clients in prevention and care settings would like to tell others of their status regarding HIV/STI or other health conditions

Online Course

Introduction to Public Health Detailing
CDC Train’s Introduction to Public Health Detailing course educates and informs DIS on how to perform comprehensive, high-quality public health detailing to medical and healthcare professionals.

Online Course

Introduction to Telephone Interviewing for DIS
CDC Train’s Introduction to Telephone Interviewing for DIS course will introduce partner services providers (i.e., DIS) to the basic principles and best practices for conducting telephone interviews

Online Course

Introduction to Trauma Informed Care for DIS
CDC Train’s Introduction to Trauma-Informed Care for DIS course is designed to introduce Disease Intervention Specialists (DIS) to the principles and strategies of trauma-informed care, so they are equipped with the knowledge and tools necessary to support clients who have experienced trauma.

Online Course

Sexual Orientation and Gender Diversity
CDC Train’s Sexual Orientation and Gender Diversity course is designed to provide you with the knowledge and skills you need to provide inclusive and affirming services to your patients.

Online Course

Partner Services
CDC Train’s Passport to Partner Services online modules are for providers who conduct all aspects of Partner Services (PS), and they are designed for PS professionals of all experience levels.

Online Course

Integrating PrEP into Partner Services
CDC Train’s Integrating PrEP into Partner Services course is designed to give Disease Intervention Specialists (DIS) the tools they need to offer HIV pre-exposure prophylaxis (PrEP) to their clients by reviewing what PrEP is, how it differs from post-exposure prophylaxis (PEP) and how to assess whether a patient is eligible.

Online Course

Introduction to Field Safety for DIS
CDC Train’s Introduction to Field Safety for DIS module will introduce partner services providers (i.e., DIS) to the basic principles and best practices for safely conducting field visits.

STI Clinical Training

We support healthcare providers in the Western United States (AZ, CA, HI, NM, and NV) to promote health equity and improve clinical outcomes for those affected by sexually transmitted infections and HIV.

Opt-in to receive a periodic newsletter with mpox clinical updates and resources curated by the CAPTC.

2 instructors and 2 learners looking into microscopes

Upcoming Trainings

Ina, Alice, Sharon holding plush toys of viruses

Regional Training Center, National Network of STD Clinical Prevention (NNPTC)

Funded by the Centers for Disease Control and Prevention (CDC), CAPTC supports healthcare providers in the western United States (AZ, CA, HI, NM, and NV) to promote health equity and improve clinical outcomes for those affected by sexually transmitted infections and HIV.

We provide virtual training events, technical assistance, clinical tools, and STI clinical consultation (via the STD Clinical Consultation Network) to support providers in addressing the rise of STIs in their communities. We focus on complex issues in patient care including evolving PrEP modalities, congenital syphilis management and prevention, and complications of gonorrhea and chlamydia. Our faculty consists of physicians and nurses who are subject matter experts in the field of sexual health with extensive academic, clinical, and public health experience in STI control and response.

The CAPTC Clinical Program has been funded for over 30 years by the CDC and is part of the National Network of STD Clinical Prevention Training Centers (NNPTC). CAPTC also has a long-standing partnership with the California Department of Public Health (CDPH) STD Control Branch to deliver training on STI diagnosis and treatment to counties experiencing high rates of STIs. CDPH and CAPTC regularly collaborate on issuing statewide guidance related to STI screening and treatment, as well as creating co-branded job aids and educational materials for providers throughout the state.

Scaling Up HIV Prevention Services in STI Specialty Clinics

As a supplemental CDC-funded project, the CAPTC clinical team provides robust clinical training and technical assistance that supports STI specialty clinics to build capacity in biomedical HIV preventive services, such as PrEP, in the Western United States. The clinical team identified five STI clinics in high-morbidity areas serving key populations (including the Latinx community, African American men who have sex with men, women of reproductive age), conducted comprehensive clinic assessments to identify gaps and needs, and developed and implemented iterative trainings and technical assistance. We continue to provide targeted TA and training to the clinics with a particular focus on data systems, data-informed quality improvement, biomedical HIV service navigation and access (including injectable PrEP), and improvement of services for specific underserved populations.

Take a look at our PrEP page to learn about upcoming trainings and to access resources.

Sexual Health Education (SHE)

The Sexual Health Educator (SHE) Training Program is an online training for California educators working with youth in school, community, and clinical settings who desire to build their sexual health knowledge and education skills. Upon the successful completion of the program’s modules, participants will receive a certificate of completion. Both the required and elective modules include up-to-date information and research on a variety of priority sexual health topics.

This program was created by sexual health educators, trainers, and experts from the California Department of Public Health, STD Control Branch; the California Department of Education; the California Prevention Training Center; and other partner organizations.

Services Offered

Clinicians: Got a Tough STI Question?

We are a proud member of the STD Clinical Consultation Network (STDCCN) Opens in a new tab operated by the NNPTC.

This service is intended for licensed healthcare professionals and STI public health program staff. We do not provide direct medical care, treatment planning or medical treatment services to individuals.

""

STI Clinical Resources

Access the latest STI guidelines and best practices for STI management geared towards practicing physicians, nurse practitioners, physician assistants, and other health professionals caring for patients with or at risk for STIs.

Online Learning and Trainings

Explore these and other online learning opportunities from the rest of the CAPTC’s programs in our Online Learning database.

Archived Webinars for Viewing

Search the list below of our previously recorded webinars, which can be viewed on-demand.

Live Webinars

Learn more about our upcoming live webinars.

In-Person Trainings

View the in-person trainings catalog and course descriptions below.*

*All In-Person Trainings are on hold due to COVID-19, please check this page for updates.

Clinical STI Trainings

Webinar

STI Clinical Update Webinar – Syphilis: A Case-Based Review and Update
Presented by Dr. Kelly Johnson Learning Objectives: List common causes for genital ulcerative disease. Interpret results of traditional & reverse syphilis screening algorithms. Explain the clinical significance of changes in non-treponemal titers. Name a resource for help interpreting different combinations of serologic results

Webinar

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 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.

Webinar

STI Clinical Update Webinar – Introduction to Syphilis and Congenital Syphilis: A Phoenix IHS and CAPTC Event
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: Learning Objectives: Describe the varied clinical manifestations of syphilis in […]

Webinar

STI Clinical Update Humboldt County-Addressing the Rise of Syphilis: A 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.

In-Person Training

Examination and Interpretation of Wet Preparations of Vaginal Specimens
Examination and Interpretation of Wet Preparations of Vaginal Specimens Thursday, November 2, 2023 2:00-5:00PM (PDT) 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 […]

Webinar

California Mpox Update for Healthcare Providers – October 2023
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.

Webinar

STI Clinical Update Webinar #EverythingChlamydia
Monday, July 31, 2023 from 12:00PM-1:15PM (PDT) Presented by Drs. Kurtis Mohr and Rosalyn Plotzker Chlamydia is an STI that can manage to damage our body in oh so many places. Watch this webinar to learn Everything about this “cloaked” assailant: from stats & numbers, to pathophys’, fevers, chills, and burning whiz! Plus screening, treatment & prevention, of course!