This is the TRAINING website.
For current info please visit detroitmi.gov
HIV Prevention for Providers
The Detroit Health Department uses principles of academic detailing to increase provider awareness and prescribing of safe and evidence-based methods to prevent HIV.
Academic detailing is a form of provider education and outreach that leverages one-on-on opportunities to discuss a doctor’s current practices, review new or updated clinical recommendations, and answer real-time questions or concerns.
Any providers in Detroit, Hamtramck, or Highland Park can schedule a 15-minute session with our HIV Physician Detailer to learn more about the latest HIV prevention recommendations.
Miglena Mihaylova, CHES, [email protected], 313.402.2871
Key HIV prevention messages during detailing sessions include:
- Taking a thorough sexual history as a part of comprehensive medical care
- Screening and treating sexually active patients for STDs
- Prescribing pre-exposures prophylaxis (PrEP)
Sexual History Basics
Taking a thorough, culturally appropriate sexual history as a routine part of medical allows clinicians to assess HIV risk and identify screening and treatment opportunities in sexually active patients.
The 5 P’s of a sexual history:
- Partners: Who do you have sex with (i.e. men, women, both, non-binary, trans, etc.)?
- Practices: What types of sex have you had? Do you top or bottom?
- Protection: Do you use condoms? Do you get tested? How do you prevent STDs?
- Past: Have you ever had an STI?
- Pregnancy: Do you have plans to conceive or father a child?
Additional Resources:
- HIV Risk Assessment Questionnaire
- Best Practices in Patient-Provider Communications with Sexual and Gender Minorities
Screening and Treatment Guidelines
Testing for STDs may be indicated by symptoms or a sexual history evaluation. The Detroit Health Department recommends that providers adhere to the latest screening and treatment guidelines from CDC.
STDs are a required reportable condition, and should be reported to DHD within 24 hours using the MI Disease Surveillance System or these forms.
Prescribing Basics for PrEP
Pre-exposure prophylaxis, also known as PrEP, is a once daily pill that can be taken by people who are HIV negative to prevent HIV infection.
It is safe and can reduce risk of HIV by more than 90% when taken regularly.
Resources: