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. 2017 Feb 1;74(2):175-179.
doi: 10.1097/QAI.0000000000001182.

Brief Report: Informing Strategies to Build PrEP Capacity Among San Francisco Bay Area Clinicians

Oliver Bacon  1 , Rafael Gonzalez, Erin Andrew, Michael B Potter, James R Iñiguez, Stephanie E Cohen, Albert Y Liu, Jonathan D Fuchs
Affiliations

Brief Report: Informing Strategies to Build PrEP Capacity Among San Francisco Bay Area Clinicians

Oliver Bacon et al. J Acquir Immune Defic Syndr. .

Abstract

A large pool of clinicians are needed to meet the growing demand for HIV preexposure prophylaxis. We surveyed a mixed group of HIV specialists and nonspecialists in the San Francisco Bay Area to determine their attitudes toward and training needs regarding prescribing preexposure prophylaxis to persons at increased risk of HIV infection. Willingness to prescribe was associated with experience in caring for HIV-infected patients (adjusted odds ratio 4.76, 95% confidence interval: 1.43 to 15.76, P = 0.01). Desire for further training was associated with concerns about drug resistance (P = 0.04) and side effects (P = 0.04) and was more common among noninfectious disease specialists. Clinicians favored online and in-person training methods.

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Figures

Figure 1
Figure 1
(A) Frequency of providers’ concerns about prescribing PrEP, expressed as percentage of all (n=99) providers reporting each concern. (B) Training topics requested by providers, expressed as the percentage of all providers wanting PrEP training (n=64) who requested training on each topic. **More non-ID providers than ID providers wanted training in adherence counseling (84% vs. 50%, p=0.04) and PrEP side effects and toxicities (74% vs. 17%, p=0.004).
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