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.

Portrait of young happy bald woman on city street looking at camera.
Woman practicing using a speculum on a dummy pelvis

Family Planning, Access, Care, and Treatment Program (Family PACT)

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) Program. 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.

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 specialists (DIS) 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 DIS to effectively serve the community. In addition to HIV/STI training, we led national training efforts to address COVID-19. Additionally, we provide training for DIS 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 DISs.

Contact us and let us know how we can support you

STI Clinical Training

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

Instructor and 2 students with 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 improve clinical outcomes for those affected by sexually transmitted infections and HIV.

We provide in-person and 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 California 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.

CAPTC is also proud to collaborate with San Francisco City Clinic (SFCC), San Francisco’s preeminent municipal STI clinic, to offer observerships in sexual health care. Clinicians interested in arranging a shadowing experience at SFCC of up to 4 half-days (which could potentially be structured to 2 full days, depending on the learner’s needs) can contact us at captc@ucsf.edu to learn more.

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.

Featured Resource

Contact us and let us know how we can support you