Knowledge of Pre- and Postexposure Prophylaxis for HIV Prevention Among Internal Medicine Residents in the United States

Research output: Contribution to journalArticlepeer-review

Abstract

Prescription rates of pre-exposure prophylaxis (PrEP) have remained low among noninfectious disease providers in the United States despite almost a decade since their introduction. For future primary care doctors, residency is the optimal time to build practice patterns around HIV prevention. We assessed baseline knowledge of PrEP in specific pre- and post-exposure prophylaxis content areas among internal medicine trainees who completed the Physician Education and Assessment Center HIV learning module between 2013 to 2020 (N = 12,060). Resident baseline PrEP knowledge was universally low; despite rising awareness of antiretroviral therapy for PrEP in successive years following the nadir of 41% in 2014, still only 56% of residents affirmed this means of HIV prevention by 2020. Knowledge remained limited regardless of academic year, local HIV prevalence, or training program type. Online module completion increased competence across all content areas. There is still a deficit in HIV prevention knowledge across U.S. internal medicine residents, suggesting insufficient education and exposure to HIV-related care.

Original languageEnglish (US)
Pages (from-to)48-59
Number of pages12
JournalAIDS education and prevention : official publication of the International Society for AIDS Education
Volume36
Issue number1
DOIs
StatePublished - Feb 1 2024

Keywords

  • HIV post-exposure prophylaxis
  • HIV pre-exposure prophylaxis
  • online education
  • resident education

ASJC Scopus subject areas

  • General Medicine

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