Bay Area Center for AIDS Research (CFAR)
Professor of Medicine and Associate Chief
Division of HIV, Infectious Diseases, and Global Medicine
Medical Director, “Ward 86” HIV Clinic, San Francisco General Hospital
San Francisco, California
Head, HIV Outpatient Clinic
University of Bonn
Bonn, Germany
Program Description
Clinicians must be prepared to identify the cause of virologic failure (VF) if it occurs and conduct resistance testing to identify patient susceptibility to antiretrovirals should they require a new antiretroviral therapy regimen (ART). Adherence issues or competing priorities should also be assessed when VF occurs. There are multiple considerations when designing a new ART regimen, though the goal for all people living with HIV is viral suppression. A small subset of patients are heavily treatment experienced and have multidrug resistance. Recent approvals of therapies specifically for this population have changed clinical practice and, though these patients are rare, clinicians must be fully prepared to identify subsequent ART regimens in challenging circumstances and incorporate options into clinical practice. In this interactive activity, Drs. Monica Gandhi and Jürgen Rockstroh will discuss best practices for assessing and addressing VF.
Target Audience
This multimedia program addresses identified knowledge and practice gaps among infectious disease and HIV specialist physicians, nurse practitioners (NPs), and physician associates (PAs), and provides information related to clinical decision making and patient communication across critical junctures in the HIV care continuum.
Educational Objectives
Upon completion of this activity, participants will be better prepared to:
- Select the most appropriate resistance testing strategy based on viral load dynamics, treatment history, and timing of virologic failure
- Address reasons for nonadherence to ART regimens, including competing priorities, through a shared decision-making process
- Individualize ART regimens in the face of multidrug resistance, including selection of an optimized background regimen
- Identify effective workflow processes to optimize implementation of injectable ART for HTE patients with MDR
Physician Accreditation Statement
Integritas Communications is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Physician Credit Designation
Integritas Communications designates this enduring for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ANCC Reciprocity Statement
The ANCC’s Commission on Accreditation recognizes educational activities that are approved for AMA PRA Category 1 Credits™ by providers who are accredited by the ACCME to award credit to learners. This reciprocity agreement allows nurses and nurse practitioners to use AMA PRA Category 1 Credits™ as approved ANCC contact hours for license renewal.
Instructions to Receive Credit
In order to receive credit for this activity, the participant must take the pretest, view the content, pass the posttest with a 70% or higher, and complete the evaluation.
Disclosures of Conflicts of Interest
Integritas Communications adheres to the policies and guidelines, including the Standards for Integrity and Independence in Accredited CE, set forth to providers by the Accreditation Council for Continuing Medical Education (ACCME) and all other professional organizations, as applicable, stating those activities where continuing education credits are awarded must be balanced, independent, objective, and scientifically rigorous. All persons in a position to control the content are required to disclose all financial relationships with any ineligible company within the past 24 months to Integritas. All financial relationships reported are identified as relevant and mitigated by Integritas in accordance with the Standards for Integrity and Independence in Accredited CE in advance of delivery of the activity to learners. The content of this activity was vetted by Integritas to assure objectivity and that the activity is free of commercial bias.
All relevant financial relationships have been mitigated.
The faculty have the following relevant financial relationships with ineligible companies:
Monica Gandhi, MD, MPH:
- No financial relationships to report
Jürgen Rockstroh, MD:
- Consulting Fees: Boehringer, Gilead Sciences, MSD, ViiV
- Speakers Bureaus: Gilead Sciences, MSD, ViiV
- Contracted Research: Gilead Sciences
The Integritas planners and managers have no relevant financial relationships to disclose.
Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the US Food and Drug Administration. Integritas Communications does not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of any organization associated with this activity. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Disclaimer
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
Fee Information & Refund/Cancellation Policy
There is no fee for this activity.
Contact Information
For information about this program, please contact us at info@exchangecme.com.

