Clinical Practice Alert: Cervical Cancer Screening

Clinical Practice Alert: Cervical Cancer Screening

Key recommendations for cervical cancer screening from the American College of Obstetricians and Gynecologists (ACOG) and the multidisciplinary partnership of the American Cancer Society, the American Society for Colposcopy and Cervical Pathology (ASCCP), and the American Society for Clinical Pathology.

STD Expert Hour Webinar – Understanding the Concerning Rise in Maternal and Congenital Syphilis in Hawaii

Oct 13, 2020

The California Prevention Training Center (CAPTC) and the STI/HIV Prevention Program at the Hawaiʻi Department of Health’s (HIDOH) Harm Reduction Services Branch present this webinar for healthcare providers and community service providers who work with communities that face cultural, economic, and language barriers to obtaining good prenatal and neonatal care.

This webinar will address the increasing rate of syphilis cases within Hawaii, with a special focus on maternal syphilis and congenital syphilis. Learners will gain an understanding of the local epidemiology of syphilis as well as the important role the Hawaii Department of Health performs in syphilis case follow-up and investigation. An overview of the pathophysiology of syphilis with its varied clinical manifestations will be discussed. Content will include the importance of staging, stage-based treatment as well as best practices for diagnosis and follow-up.

CDC Viral Hepatitis Professional Tools

CDC Viral Hepatitis Professional Tools

Comprehensive professional tools, training, and patient resources for diagnosing and managing Hepatitis A, B, and C. 

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STD Expert Hour Webinar – Delivering Sexual Health Services in the Time of COVID-19

August 13, 2020

The coronavirus (COVID-19) is impacting the delivery of sexual health services in California and throughout the United States. Dr. Ina Park and Dr. Rosalyn Plotzker provide an overview of recent CDC recommendations for STD diagnosis and treatment when in-person exams and visits are limited. They also discuss best practices for the use of telehealth and home-testing for STD care and PrEP management.

Drs. Park and Plotzker cover the following learning objectives for this webinar:

  1. Share implementation strategies for self-collected testing to minimize clinician exposure to COVID-19 when seeing clients for STD-related symptoms
  2. Identify changes to recommended syndromic treatment of urethritis, including treatment for gonorrhea and chlamydia
  3. Describe management recommendations for patients with genital ulcer disease
  4. Discuss HIV PrEP telehealth management approaches to ensure continuation of PrEP use for clients who are unable to get care in a clinic setting during and after the COVID-19 public health emergency

Implementing the 2019 ASCCP Risk-Based Management Guidelines for Abnormal Cervical Cancer Screening Tests in Your Practice

July 23, 2020

The long-awaited new ASCCP Management Guideline App is now available, as well as the print version of the 2019 Guidelines. The new guidelines are streamlined for ease of use and can be significantly more individualized than the 2012 guidance by integrating information about an individual’s previous screening test and biopsy results, and personal factors such as age and immunosuppression. The guidelines now provide recommended follow up for all 3 available cervical screening strategies.

The following topics are covered in detail:

  • The rationale used in developing the Guidelines
  • How various abnormalities should be managed
  • Interactive demonstrations of how to use the app
  • Specific considerations for the application of Family PACT benefits, including coding and billing

Learning objectives: At the end of this session, the learner will be able to:

  1. Describe the risk-based paradigm for managing abnormal cervical cancer screening test results.
  2. Explain how risk-thresholds guide the clinical actions of immediate treatment, colposcopy, and short-interval follow up.
  3. Demonstrate use of the ASCCP app to apply the new guidelines to patient care.

Presenters:

Resources

STD Expert Hour Webinar – Genital Dermatology 101

June 1, 2020

Dr. Kenneth Katz covers the following learning objectives for this webinar:

  1. Differentiate between genital skin diseases
  2. Formulate differential diagnoses for genital skin disease
  3. Identify genital skin diseases that warrant referral to specialty care

Clinical Practice Alert: Cervical Cancer Screening and Emergency Contraception

March 24, 2020

This webinar features two new Family PACT Clinical Practice Alerts.

Cervical Cancer Screening

Topics in this portion of the webinar will include benefits through Family PACT that have been expanded to include high-risk HPV-alone screening, use of this test, alternative cervical cancer screening options, and new guidelines regarding cervical cancer screening for females who are HIV positive or who are immunocompromised.

Emergency Contraception

Topics in this portion of the webinar will include the relationship between body weight and emergency contraception failure rates, when oral contraceptives can be started with females who have used ulipristal acetate, options for accessing emergency contraceptive pills and the use of the copper IUD as emergency contraception.

Presenters:

Resources:

Expanded Syphilis Screening Recommendations for the Prevention of Congenital Syphilis—2020

Expanded Syphilis Screening Recommendations for the Prevention of Congenital Syphilis—2020

This document was created to enhance syphilis detection among people who are or could become pregnant (e.g. pregnant women and females of childbearing age) to prevent congenital syphilis (CS). Evidence-based recommendations in this document support policies and best practices intended to strengthen the response to the recent dramatic rise in CS incidence across California.

Please also see the associated Dear Colleage letter

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Syphilis and HIV Linkage to Care and Partner Services Interview

Syphilis and HIV Linkage to Care and Partner Services Interview

Video example of a disease intervention interview linking a person co-infected with syphilis and HIV to care, and providing partner services.

Clinical Practice Alert: Chlamydia and Gonorrhea Screening and Treatment

June 20, 2019

Rates of sexually-transmitted diseases (STDs) such as chlamydia trachomatis (CT) and gonorrhea (GC) have reached an all-time high. In the U.S., California leads the nation in reported cases of these STDs. Because persons with CT and GC are often asymptomatic, screening is essential for the early detection and treatment that can prevent reproductive complications including pelvic inflammatory disease (PID), tubal infertility, ectopic pregnancy, and chronic pelvic pain in females and epididymitis in males.

This webinar covers current clinical guidelines for routine and targeted screening, treatment, follow-up, and prevention of CT and GC.

Learning objectives:

  1. Understand current guidelines for screening for CT and GC among sexually active women and men
  2. List the indications for anorectal and oropharyngeal CT/GC screening
  3. Explain when test-of-cure is indicated
  4. Identify the proper ICD-10 codes for lab requests and billing information

Presenters:

Resources: