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Self-Study Modules and Sections

  1. This module is for any health care provider who would like to establish core competence in testing for HIV, recognizing acute HIV infection, and linking persons diagnosed with HIV to medical care.
  2. The Basic HIV Primary Care module is intended for any clinician who may interact with persons who have HIV infection in a clinical setting, with an emphasis on the primary care management issues related HIV.
  3. The Antiretroviral Therapy module is geared toward clinicians who provide antiretroviral therapy to persons with HIV, with an emphasis on initiating antiretroviral therapy and management of virologic failure.
  4. The Co-Occurring Conditions module addresses the prevention and management of infectious and non-infectious complications in persons with HIV infection.
  5. The Prevention of HIV module emphasizes new prevention strategies both for persons with HIV infection and for persons not infected with HIV. This module also addresses occupational and nonoccupational HIV postexposure prophylaxis. 
  6. The Key Populations module is intended for any medical provider involved in the care of key populations of persons with HIV.

Core Competencies for the National HIV Curriculum

The following is an outline and list of Core Competency Modules (with sub-competency lessons and learning objective performance indicators).

Module 1. Screening and Diagnosis

Module Core Competency
Apply Evidence-Based Recommendations to Provide HIV Screening, Diagnosis, and Linkage to Care
Lessons
Learning Objective Performance Indicators
  • Explain the difference between HIV prevalence and incidence
  • Describe the contemporary epidemiology of HIV-1 in the United States
  • Discuss the impact of racial/ethnic disparities and social determinants on HIV epidemiology
  • Identify populations in the United States at risk for HIV-2
  • Summarize the global HIV epidemiology
  • Explain the rationale for routine HIV screening and identify strategies to overcome potential barriers to routine screening
  • Discuss current Centers for Disease Control and Prevention (CDC) and United States Preventive Services Task Force (USPSTF) screening recommendations for HIV-1 and HIV-2 in the United States
  • Compare different types of HIV diagnostic tests and when to use these tests
  • Explain updated recommended nomenclature for HIV diagnostic tests
  • Summarize the CDC/APHL recommended HIV testing algorithm
  • Discuss interpretation of HIV diagnostic tests and delivery of test results to clients
  • Explain the immunopathogenesis, clinical manifestations, and diagnosis of acute HIV infection
  • List the potential public health benefits of diagnosing and treating a person with acute and recent HIV infection
  • Summarize the recommended antiretroviral treatment regimens for persons with acute or recent HIV infection
  • Summarize current estimated HIV linkage to care data in the United States.
  • Describe strategies for optimizing linkage to care for persons newly diagnosed with HIV in the United States
  • Identify barriers for linking persons newly diagnosed to care
  • List the metrics used to estimate and monitor linkages to care

Module 2. Basic HIV Primary Care

Module Core Competency
Provide Evidence-Based HIV Primary Care to Persons with HIV Infection
Lessons
Learning Objective Performance Indicators
  • Describe the goals and components of the initial evaluation of persons with HIV who are entering, reentering, or transferring care
  • Categorize the different stages of HIV disease and the criteria used to define each stage
  • List recommendations for the initial monitoring visit and baseline laboratory tests
  • Recognize common oral manifestations in persons with HIV and list appropriate diagnostic procedures when indicated
  • List three types of oral candidiasis manifestations
  • Define appropriate treatment for common oral manifestations
  • Recognize common HIV-related cutaneous manifestations and list appropriate diagnostic procedures when indicated
  • Describe the etiologies of cutaneous findings in persons with HIV, including adverse drug reaction, immune dysregulation, infection, or immune reconstitution syndrome.
  • Define appropriate treatment for common dermatological manifestations
  • Summarize recommended immunizations for persons with HIV
  • Explain the principles of safety and efficacy concerning the immunization of persons with HIV
  • Discuss the monitoring and management of hypertension and hyperlipidemia in persons with HIV, including integration of risk reduction strategies
  • Explore special considerations in the management of diabetes mellitus in persons with HIV
  • Review causes and management of renal disease in persons with HIV
  • Describe screening indications and management of osteoporosis in persons with HIV
  • Explain the relationship between obstructive lung disorders and HIV, and list options for tobacco cessation
  • Summarize cancer screening recommendations in persons with HIV
  • Summarize common screening tools for mental health conditions, including screening tools for neurocognitive disorders
  • Discuss how to integrate screening tools for mental health conditions into primary care HIV clinical practice
  • Identify the relationships between specific mental health conditions and HIV acquisition and transmission risk
  • Explain the association between major depression and increased risk for mortality in persons with HIV and identify treatment options for depression
  • Describe models for integrating mental health care with HIV care, including through referral, consultation, co-located services and the use of embedded mental health providers
  • Summarize screening for substance use disorders in persons with HIV
  • List options for treatment of tobacco dependence
  • Compare approaches for managing persons with alcohol use disorder
  • Describe the approach to management of persons with stimulant use disorder
  • Discuss strategies for the management of opioid use disorder
  • Define methods to evaluate retention in care among persons with HIV
  • Identify factors associated with decreased retention in HIV medical care and strategies to promote reengagement in care
  • Summarize methods to improve retention and reengagement in HIV medical care
  • Describe strategies to optimize the engagement and retention in HIV care for persons who have a coexisting substance use disorder

Module 3. Antiretroviral Therapy

Module Core Competency
Apply Evidence-Based Antiretroviral Therapy for Persons with HIV
Lessons
Learning Objective Performance Indicators
  • List the major classes of antiretroviral medications and describe the mechanism of action with each class of drugs
  • Discuss evidence supporting antiretroviral treatment of all persons with HIV
  • List recommended antiretroviral regimens for treatment-naïve individuals and discuss factors to consider when selecting an initial regimen
  • Summarize recommended laboratory studies to obtain at baseline and while monitoring response to therapy
  • Identify clinically significant possible adverse effects associated with antiretroviral medications
  • Discuss appropriate monitoring and management strategies for antiretroviral-related adverse effects
  • List appropriate laboratory studies to perform to monitor for potential antiretroviral therapy-related toxicities
  • Explain the difference between pharmacokinetics and pharmacodynamics as relates to the body and drug interactions
  • Identify possible drug interactions involving antiretroviral medications and common therapeutic classes of drugs used to treat comorbid conditions
  • Access several reliable online resources to help manage drug interactions with antiretroviral medications
  • Compare and contrast regimen simplification approaches to optimize health, adherence and lessen pill burden
  • Summarize rationale and effective options for switching antiretroviral regimens
  • Describe the management of intermittent and persistently detectable HIV RNA levels in persons receiving antiretroviral therapy
  • Discuss the indications for and types of resistance testing for patients with virologic failure
  • Utilize an HIV resistance database tool to assist in optimal selection of regimens in persons with HIV drug resistance
  • Explain key considerations when selecting a salvage antiretroviral regimen in persons with virologic failure

Module 4. Co-Occurring Conditions

Module Core Competency
Apply Evidence-Based Recommendations for the Evaluation and Management of Co-Occurring Conditions in Persons with HIV Infection
Lessons
Learning Objective Performance Indicators
  • Describe and compare recommended screening tests for latent TB in persons with HIV
  • List recommended options for the treatment of latent TB in persons with HIV
  • Summarize common drug interactions between medications used to treat latent TB and common antiretroviral medications
  • Discuss recommendations for initiating and discontinuing primary prevention for opportunistic infections in person with HIV
  • Summarize recommendations for initiating and discontinuing secondary prevention for opportunistic infections in persons with HIV
  • Recognize potential adverse effects and contraindications for medications used as opportunistic infection prevention
  • Recognize the clinical manifestations of common serious opportunistic infections that occur in persons with HIV
  • Discuss recommended treatment of common opportunistic infections
  • Summarize indications for discontinuing treatment for opportunistic infections
  • Summarize recommendations for initiating antiretroviral therapy in the setting of an active opportunistic infection
  • Describe the recommendations for sexually transmitted infection screening in persons with HIV
  • List the CDC recommended treatments for the most common sexually transmitted infections in persons with HIV
  • Summarize different stages of syphilis and recommended treatments at each stage 
  • Discuss laboratory-based methods for diagnosing syphilis
  • Identify appropriate tests for evaluation of hepatitis B virus (HBV) infection and immunity
  • Summarize the approach to persons with HIV who have isolated hepatitis B core antibody
  • Discuss antiretroviral management of persons with HIV-HBV coinfection
  • List indications and methods for hepatocellular carcinoma surveillance in persons with chronic HBV and HIV coinfection
  • Summarize recommendations for HCV screening in persons with HIV and describe the appropriate testing algorithm
  • Discuss disease progression and monitoring of HCV in persons with HIV-HCV coinfection
  • Summarize current guidelines for the treatment of chronic HCV in persons with HIV-HCV coinfection
  • Describe and summarize important drug interactions associated with treating HCV in persons with HIV coinfection
  • List indications and method for hepatocellular carcinoma surveillance in persons with chronic HIV-HCV coinfection

Module 5. Prevention of HIV

Module Core Competency
Apply Evidence-Based Recommendations for the Prevention of HIV Transmission
Lessons
Learning Objective Performance Indicators
  • Explain the mechanisms of perinatal HIV transmission and interventions to reduce the risks of perinatal HIV transmission
  • Discuss interventions to reduce intrapartum perinatal HIV transmission
  • Describe recommended antiretroviral prophylaxis for infants born to women living with HIV infection
  • Summarize recommendations for initial management of infants exposed to HIV, including HIV diagnostic testing, monitoring, and Pneumocystis pneumonia prophylaxis
  • Explain the concept of treatment as prevention
  • Summarize key studies that demonstrate HIV treatment in persons infected with HIV helps reduce HIV transmission to their partners
  • Describe the interplay of HIV status awareness, HIV RNA suppression, and HIV transmission
  • Highlight evidence-based behavioral and structural strategies to reduce HIV transmission
  • Identify major biomedical strategies to reduce transmission of HIV
  • Discuss risk for occupational acquisition of HIV with a needlestick injury
  • Describe current indications for the use of occupational PEP, including strategies for risk assessment following an occupational exposure
  • Summarize recommended antiretroviral therapy regimens and duration of therapy for occupational PEP
  • List recommended clinical and laboratory monitoring following occupational exposure to HIV
  • Describe indications for the use of nonoccupational postexposure prophylaxis (PEP)
  • Summarize appropriate antiretroviral therapy regimens and duration of therapy for nonoccupational PEP
  • List recommended clinical and laboratory monitoring following nonoccupational exposure to HIV
  • Identify appropriate candidates for transition from nonoccupational PEP to preexposure prophylaxis (PrEP)
  • Describe the biologic principles and HIV prevention benefit of PrEP
  • List potential indications for PrEP in men who have sex with men (MSM), heterosexual men and women, transgender women who have sex with men, and persons who inject drugs
  • Explain recommendations for testing and counseling prior to starting PrEP
  • Discuss the recommended PrEP regimens, dosing schedule, including dosing, safety, efficacy, and clinical eligibility
  • Describe recommended clinical and laboratory monitoring for persons receiving PrEP
  • Discuss the need for adherence in persons receiving PrEP
  • Summarize initial management of persons who develop HIV while receiving PrEP

Module 6. Key Populations

Module Core Competency
Apply Evidence-Based Care Recommendations for Key Populations of Persons Living with HIV
Lessons
Learning Objective Performance Indicators
  • Explain the timing and types of diagnostic tests used to diagnose HIV in infants less than 1 year of age and in older children
  • Describe symptoms and classification of HIV in children using the most recent CDC surveillance case definition for pediatric HIV
  • Summarize antiretroviral therapy management in children, including initiation, adverse effects, and approach to virologic failure
  • Discuss opportunistic infection prevention recommendations for infants and children and how these recommendations are influenced by a child’s age and stage of HIV
  • Discuss developmental aspects of adolescents and young adults that heighten their risk of acquiring HIV and that impede testing and treatment efforts
  • Describe strategies for reducing acquisition and transmission of HIV among adolescents
  • Summarize the approaches for successful transition of young adults with HIV into adult primary care HIV practice settings
  • Describe key epidemiologic features of women with HIV in the United States
  • Summarize contraception options and recommendations for women with HIV
  • Identify conception strategies for heterosexual HIV-serodifferent couples desiring pregnancy
  • List appropriate steps for evaluation and management of vaginal discharge
  • Discuss the syndemic framework of gender-based violence and women with HIV
  • Explain unique aspects and consequences of menopause in women with HIV
  • Recognize age-related and HIV-related changes to the immune systems of people 50 years of age and older
  • Summarize cognitive and functional changes that may interfere with adherence to care in people with HIV who are 50 years of age and older
  • List recommendations for antiretroviral therapy management in persons 50 years of age and older.
  • Discuss common comorbidities of people with HIV who are 50 years of age and older
  • Compare rates of HIV among the incarcerated population and the general population in the United States
  • Describe issues related to HIV medication administration and adherence within correctional facilities
  • Summarize recommendations for linking persons with HIV to clinical care after release from a correctional facility
  • Discuss HIV infection rate disparities among different racial and ethnic minority populations in the United States
  • Identify factors associated with health inequities among racial and ethnic minority populations of persons living with HIV and those at risk for HIV acquisition compared to white populations
  • Summarize strategies for prevention, testing, and care among racial and ethnic minority populations
  • Contrast HIV prevalence rates among sexual and gender minority populations with those in the general population
  • Describe challenges in health promotion and health care access for sexual and/or gender minorities
  • Recognize aspects of care unique to gender and sexual minorities
  • Summarize unique medical management issues for transgender persons living with HIV who are taking hormone therapy
  • Discuss gender-affirming care in persons with HIV
  • Contrast HIV-2 and HIV-1 epidemiology, natural history, and pathogenesis
  • Describe diagnostic testing for HIV-2
  • Summarize susceptibility of HIV-2 to antiretroviral medications
  • Discuss antiretroviral treatment and monitoring recommendations for persons with HIV-2

Curriculum Progress Tracker - 2nd Edition

Curated Curriculum 1Self-Study Module 1
This module is for any health care provider who would like to establish core competence in testing for HIV, recognizing acute HIV infection, and linking persons diagnosed with HIV to medical care.
Curated Curriculum 2Self-Study Module 2
The Basic HIV Primary Care module is intended for any clinician who may interact with persons who have HIV infection in a clinical setting, with an emphasis on the primary care management issues related HIV.
Curated Curriculum 3Self-Study Module 3
The Antiretroviral Therapy module is geared toward clinicians who provide antiretroviral therapy to persons with HIV, with an emphasis on initiating antiretroviral therapy and management of virologic failure.
Curated Curriculum 4Self-Study Module 4
The Co-Occurring Conditions module addresses the prevention and management of infectious and non-infectious complications in persons with HIV infection.
Curated Curriculum 5Self-Study Module 5
The Prevention of HIV module emphasizes new prevention strategies both for persons with HIV infection and for persons not infected with HIV. This module also addresses occupational and nonoccupational HIV postexposure prophylaxis. 
Curated Curriculum 6Self-Study Module 6
The Key Populations module is intended for any medical provider involved in the care of key populations of persons with HIV.
Lesson 1 
 
 
 
 
 
Lesson 2 
 
 
 
 
 
Lesson 3 
 
 
 
 
 
Lesson 4 
 
 
 
 
 
Lesson 5 
 
 
 
 
 
Lesson 6 
 
 
Lesson 7 
 
Lesson 8 
 
Self-Assessment

Curriculum Progress Tracker - 1st Edition

1st Edition. There is a newer edition of this curriculum.
Curated Curriculum 1Self-Study Module 1
1st Edition. There is a newer edition of this Curated Curriculum. This is your progress from the previous edition (1st).
This module is for any health care provider who would like to establish core competence in testing for HIV, recognizing acute HIV infection, and linking persons diagnosed with HIV to medical care.
Curated Curriculum 2Self-Study Module 2
1st Edition. There is a newer edition of this Curated Curriculum. This is your progress from the previous edition (1st).
The Basic HIV Primary Care module is intended for any clinician who may interact with persons who have HIV infection in a clinical setting, with an emphasis on the primary care management issues related HIV.
Curated Curriculum 3Self-Study Module 3
1st Edition. There is a newer edition of this Curated Curriculum. This is your progress from the previous edition (1st).
The Antiretroviral Therapy module is geared toward clinicians who provide antiretroviral therapy to persons with HIV, with an emphasis on initiating antiretroviral therapy and management of virologic failure.
Curated Curriculum 4Self-Study Module 4
1st Edition. There is a newer edition of this Curated Curriculum. This is your progress from the previous edition (1st).
The Co-Occurring Conditions module addresses the prevention and management of infectious and non-infectious complications in persons with HIV infection.
Curated Curriculum 5Self-Study Module 5
1st Edition. There is a newer edition of this Curated Curriculum. This is your progress from the previous edition (1st).
The Prevention of HIV module emphasizes new prevention strategies both for persons with HIV infection and for persons not infected with HIV. This module also addresses occupational and nonoccupational HIV postexposure prophylaxis. 
Curated Curriculum 6Self-Study Module 6
1st Edition. There is a newer edition of this Curated Curriculum. This is your progress from the previous edition (1st).
The Key Populations module is intended for any medical provider involved in the care of key populations of persons with HIV.
Lesson 1 
 
 
 
 
 
Lesson 2 
 
 
 
 
 
Lesson 3 
 
 
 
 
 
Lesson 4 
 
 
 
 
 
Lesson 5 
 
 
 
 
 
Lesson 6 
 
 
Lesson 7 
 
Lesson 8 
 
Self-Assessment

Since you've received 80% or better on this quiz, you may claim continuing education credit.

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