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.

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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

Providing Family PACT Services During COVID-19 Part 1: Clinical Considerations

May 8, 2020

Since March 2020, most providers of family planning services in California have shifted patient care from in-person visits to remote visits. This webinar will be conducted in a “frequently asked questions” format, focusing on the adaptations that clinicians should make in order to successfully provide family planning care remotely during the public health emergency and afterward.

The following topics are covered in detail:

  • Subjects will include the role of blood pressure measurement before prescribing combined hormonal contraception
  • The use of injectable birth control subcutaneous depot medroxyprogesterone acetate (DMPA-SQ)
  • Syndromic treatment of sexually transmitted infections
  • Pregnancy testing without a clinic visit.
  • Recently enacted Family PACT and Medi-Cal policies regarding telehealth visits and remote enrollment of clients into the Family PACT program.

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Resources

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.

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STD Expert Hour Webinar – PrEP: What’s the 2- 1-1?

August 13, 2019

Dr. Oliver Bacon facilitates an audience-led panel discussion with PrEP Experts and covers the following learning objectives for this webinar:

  1. Be familiar with the evidence supporting 2-1-1 PrEP (also known as on-demand PrEP, sex-based PrEP, and pericoital PrEP)
  2. Be able to counsel patients on the details of 2-1-1 dosing, including how to switch between 2-1-1 and daily PrEP
  3. Be familiar with the current thinking about how to offer 2-1-1 dosing (who would & would not benefit from 2-1-1 dosing, how to prescribe, & follow-up care)

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:

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STD Expert Hour Webinar – Vaginitis Cases

May 15, 2019

Dr. Caroline Mitchell covers the following learning objectives for this webinar:

  1. Describe the normal vaginal milieu and changes that are associated with vaginal pathology, to better diagnose and treat vaginal infections
  2. Discuss the most common causes of vaginitis, to reduce infectiousness and decrease transmission
  3. Summarize the current treatment guidelines for vaginitis, to ensure appropriate treatment and follow-up testing

STD Expert Hour Webinar – Sexual History Taking

February 6, 2019

Yvonne Piper RN, FNP covers the following learning objectives for this webinar:

  1. Describe 5 key components of a routine sexual history to reduce infectiousness and decrease STD/HIV transmission
  2. Demonstrate respectful, non-judgmental communication skills to discuss sexual practices, sexual risks, and risk reduction strategies with patients
  3. Understand effective methods of dialogue with patients regarding issues of sexual history and sexual behaviors, to improve communication with patients and patient outcomes
  4. Discuss the advantages and disadvantages of open-ended and closed questions to enhance sexual history taking

Pain Management: Tips, Tricks, and Evidence

February 5, 2019

Patients often experience varying levels of pain or discomfort from procedures performed during family planning visits. The purpose of this webinar is to provide clinicians with evidenced-based tips, tricks, and strategies on how to prevent and minimize pain during family planning procedures.

The webinar focuses on the most commonly performed family planning procedures such as: IUD insertion/removal, implant insertion/removal, colposcopy, biopsy, and vulvar biopsy. Less common procedures for non-gynecologists such as LEEP, cryo, and procedures not covered by the Family PACT Program are not discussed.

The following topics are covered in detail:

  • Three components and factors associated with procedure pain and strategies to alleviate discomfort
  • Four examples of trauma-informed care practices for family planning clients
  • Three examples of ways to use patient-centered language during pelvic exams
  • Considerations for administering and providing the appropriate level of local anesthetic
  • Pain management for family planning procedures

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