San Francisco General Hospital Positive Health Program and the Center for AIDS Prevention Studies
The UCSF Positive Health Program (PHP) at San Francisco General Hospital provides
HIV research, CME-accredited HIV education, and comprehensive HIV care. The Center for AIDS Prevention Studies (CAPS) conducts research to prevent new HIV infections, improve health outcomes, and reduce HIV-related disparities in care and prevention.
This Grand
Rounds / CME activity was made possible through an educational grant from the
NIAID-funded UCSF-GIVI Center for AIDS
Research. The presentations are provided as an audio file accompanying a
slideshow, and they are available free of charge to all users. Each of the
presentations is eligible for 1 Continuing Medical Education (CME) credit. To
receive CME credit, you must complete a brief posttest and an evaluation, and pay a
$25 processing fee to the UCSF Office of Continuing Medical Education.
CAPS Town Hall: Engaging and Keeping HIV Patients in Care Katerina A. Christopoulos, Elvin Geng, and Gabriel Chamie presented diverse research on patient engagement and retention in San Francisco General Hospital and Uganda. Each presenter addressed fundamental questions of how to diagnose, engage, and retain patients. Dr. Christopoulos explored ways of defining and measuring linkage and retention, and presented qualitative research on barriers to and facilitators of engagement in care in San Francisco. Dr. Geng discussed the outcomes of the San Francisco "test and treat" policy, tracing drops in viral RNA among this patient population in the last 10 years. Dr. Chamie described the initial pilot of a community engagement study in Uganda, in which members of a Ugandan parish were offered extensive testing, basic preventative care, and linkage to local health services. Presented at the Center for HIV Prevention (CAPS) on April 20, 2012. Note: this educational activity was supported with a gift from Roche Molecular Diagnostics.
Dr. McCune discusses the history of the AIDS epidemic at the University of California San Francisco and San Francisco General Hospital, reviews the interventions that have made an impact on HIV transmission and disease progression, and outlines strategies that could lead to eradication of HIV on a worldwide basis. This talk was presented at San Francisco General Hospital's Grand Rounds on November 29, 2011.
Dr. Volberding discusses the recent shifts in U.S. HIV treatment guidelines, especially regarding early initiation of ART, and reviews data on efficacy of ARVs in preventing sexual transmission of HIV. Presented at the Center for HIV Prevention (CAPS) on June 1, 2011. Note: this educational activity was supported with a gift from Roche Molecular Diagnostics.
In this presentation, Dr. Phyllis Tien reviews recent studies of hepatitis C (HCV) management and treatment. She describes the evolving range of agents available for treatment, including new direct-acting antiviral agents approved by the FDA. She notes contraindications for treatment and reasons for individualized care, concluding with a perspective on future trends in HIV and HCV care. Presented at San Francisco General Hospital's HIV/AIDS Grand Rounds on May 4, 2011. (1 CME credit)
Dr. Cohan presents family planning options and preconception care for couples affected by HIV, focusing on strategies for discordant couples to safely conceive healthy, uninfected infants. Presented at San Francisco General Hospital's HIV/AIDS Grand Rounds on April 20, 2011. (1 CME credit)
Ruth Greenblatt, MD, examines reproductive changes associated with aging in HIV-infected women. In doing so, she discusses how HIV-infected women experience menopause and how reproductive aging affects HIV, including the difficulty of defining menopause in the context of chronic disease, gendered differences in immune function, and the high prevalence of autoimmune disease among women. Presented at San Francisco General Hospital's HIV/AIDS Grand Rounds on February 23, 2011. (1 CME credit)
Monica Gandhi, MD, MPH, discusses ARV regimen simplification using a case-based format. She reviews data from simplification studies, considerations for making strategic ART changes, and possible risks and benefits of ART simplification. Presented at San Francisco General Hospital's HIV/AIDS Grand Rounds on December 10, 2010. (1 CME credit)
Dan Wlodarczyk MD, discusses several difficult cases encountered in the course of clinical practice in the HIV clinic at San Francisco General Hospital, which serves a diverse urban underserved patient population. The cases include breast enlargement in a man, pain management, ARV selection for a patient susceptible to allergies, and several challenging adherence issues. Presented at San Francisco General Hospital's HIV/AIDS Grand Rounds on November 24, 2010. (1 CME credit)
Grant Colfax, MD, examines changing strategies for HIV prevention in San Francisco. He gives an overview of the characteristics of the San Francisco Department of Public Health's (SFDPH) HIV Prevention Program and discusses its focus on HIV status awareness, prevention with positives (PWP), primary drivers of HIV (such as substance use), and structural interventions to reduce risk. Presented at San Francisco General Hospital's HIV/AIDS Grand Rounds on October 27, 2010. (1 CME credit)
Mark A. Jacobson, MD, presents 2 cases that illustrate the challenges of
diagnosis and management of severely immunocompromised patients. The cases
highlight the dilemma of when to start ART with very ill patients in the setting
of an acute opportunistic infection, and they address the difficulties of making
a differential diagnosis in patients with multiple overlapping conditions.
Presented at San Francisco General Hospital's HIV/AIDS Grand Rounds on September
8, 2010. (1 CME credit)
Dolores Shoback, MD, explains the implications of low bone mass among
HIV-infected patients. After providing a description of osteoporosis, Dr.
Shoback describes the epidemiology, risk factors, screening recommendations,
treatment considerations, and safety concerns associated with low bone mass in
HIV-infected people. Presented at San Francisco General Hospital's HIV/AIDS
Grand Rounds on April 21, 2010. (1 CME credit)
Andy Choi gave this presentation on kidney disease in the HIV-infected patient on
May 26, 2010, at the San Francisco General Hospital Grand Rounds. Dr. Choi was
recognized as an expert on HIV-related kidney disease before his sudden death on
August 14, 2010. (1 CME credit)
Phyllis C. Tien, MD, examines strategies for managing HCV in patients with HIV
coinfection. She also addresses the epidemiology of HCV, diagnosis and
monitoring, and future directions in HCV treatment. Presented at San Francisco
General Hospital's HIV/AIDS Grand Rounds on May 12, 2010. (1 CME credit)
In this presentation Lisa Winston, MD, highlights immunizations that are
recommended or contraindicated for HIV-infected adults and adolescents.
Presented at San Francisco General Hospital's HIV/AIDS Grand Rounds on March 31,
2010. (1 CME credit)
Peter Hunt, MD, reviews the available data that suggest accelerated aging
processes in HIV-infected persons. He focuses on the causes and impacts of
chronic immune activation even in persons on effective antiretroviral therapy.
Presented at San Francisco General Hospital's HIV/AIDS Grand Rounds on February
3, 2010. (1 CME credit)
Harry Lampiris, MD, uses a case-based approach to discuss current issues in the
management of virologic failure. Presented at San Francisco General Hospital's
HIV/AIDS Grand Rounds on January 20, 2010. (1 CME credit)
Frederick Hecht, MD, describes clinical, immunologic, and virologic aspects of
primary (initial) HIV infection, including transmission of resistant virus and
superinfection. His presentation is based upon current research on the biology
of HIV transmission and immunopathogenesis of HIV. Presented at SFGH's HIV/AIDS
Grand Rounds on December 9, 2009. (1 CME credit)
HIV Psychiatry Update Robert Daroff, Jr.,
MD, Director, HIV Psychiatry Program, San Francisco VA Medical Center
Robert Daroff, MD, discusses depression, bipolar depression, and anxiety
disorders in the context of HIV infection. Presented at San Francisco General
Hospital's HIV/AIDS Grand Rounds on October 28, 2009. (1 CME credit)
This presentation uses 3 cases to discuss HIV prevention, epidemiology,
prevalence, and medical management among transgender people. Presented at San
Francisco General Hospital's HIV/AIDS Grand Rounds on September 9, 2009. (1 CME
credit)