Presented by the Johns Hopkins University School of Medicine
In collaboration with DKBmed, LLC
Supported by an independent educational grant from Gilead Sciences, Inc.

Part 1: SAVA Origins and Epidemiology

Dr. Anderson discusses the prevalence and incidence of SAVA, addressing the cycle of substance abuse, violence, and declining patient outcomes. Clinicians will learn about the SAVA syndemic and how substance abuse, violence, and depression can detrimentally affect patients’ outcomes.

Post-Test

Part 2: Addressing SAVA: Screening and Treatment

In part two, Dr. Anderson addresses available screeners, with specific emphasis on those used at the HIV Women’s Clinic. She gives an overview of each of the screening tools and discusses with clinicians how best to initiate the conversation. A system to link patients to support networks is established, and Dr. Anderson expresses the importance of prompt, sensitive screening.

Post-Test

Presented by the Johns Hopkins University School of Medicine
In collaboration with DKBmed, LLC

Supported by an independent educational grant from Gilead Sciences, Inc.

Women with HIV are at significant risk for interpersonal violence and substance abuse.

The SAVA syndemic (substance abuse, violence, and HIV/AIDs) imposes additional burden on an already vulnerable population. Women afflicted with SAVA have significantly lower adherence to their HIV medication and reduced viral suppression.

But they’re being missed by their HIV clinicians, for one simple reason: they do not know.

You are on the frontlines. Now is the time for you to take action against SAVA.

You can help. Tune in to ODM: Finding the Invisible Patient with Jean Anderson, MD. Learn how to:

  • Recognize the impact SAVA has on patient adherence and quality of life.
  • Regularly screen patients for interpersonal violence and substance abuse.
  • Refer patients to appropriate care (social service, psychiatric and substance abuse specialists) when they screen positive for elements of SAVA.

Presented by the Johns Hopkins University School of Medicine
In collaboration with DKBmed, LLC
Supported by an independent educational grant from Gilead Sciences, Inc.

Program Director

Jean R. Anderson, MD
Professor of Gynecology and Obstetrics
Director, Division of Gynecologic Specialties
Director, Johns Hopkins HIV Women’s Health Program/Gynecology and Obstetrics
Johns Hopkins University School of Medicine
Baltimore, Maryland


Faculty

Joyce Leitch Jones, MD, MS
Clinical Associate
Johns Hopkins University School of Medicine
Director, South Carolina Clinical and Translational Research Institute
Baltimore, Maryland

Alison Livingston, RN
Program Nurse Manager-Outreach supervisor
Johns Hopkins University School of Medicine
The Johns Hopkins HIV Women's Health Program
Baltimore, Maryland


Presented by the Johns Hopkins University School of Medicine
In collaboration with DKBmed, LLC
Supported by an independent educational grant from Gilead Sciences, Inc.

CME/CE

Accreditation Statement

The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.


Credit Designation Statement

The Johns Hopkins University School of Medicine designates this enduring material – internet activity – for a maximum of 1.0 AMA PRA Category 1 Credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Course Format

Optimizing Disease Management: Finding the Invisible Patient is a pre-recorded live lecture presented at the Bartlett Specialty Clinic for specialist clinicians currently practicing at the Bartlett Specialty Clinic and the HIV Women’s Clinic. Participants will have up to 2 years to complete the enduring webcast in order to earn CME credit.

Date of release: 3/1/2019
Expiration date: 6/1/2021

Estimated time to complete each activity: 0.5 hours (1.0 hours total).

Target Audience

This activity has been designed to meet the educational needs of internal medicine/family practice clinicians.

Learning Objectives

After participating in this activity, the participant will demonstrate the ability to:

  • Recognize the impact substance abuse, interpersonal violence, and HIV/AIDS (SAVA) and depression have on patient adherence and quality of life.
  • Regularly screen patients for interpersonal violence and substance abuse.
  • Refer patients to appropriate care when screening tests appear positive for SAVA (social service, psychiatric and substance abuse specialists).

Statement of Responsibility

The Johns Hopkins University School of Medicine takes responsibility for the content, quality, and scientific integrity of this CME activity.

Statement of Need

  • Clinicians do not recognize the prevalence of SAVA and its impact on patient adherence and outcomes.
  • Most clinicians do not screen for SAVA or address the cause of SAVA, which perpetuates the syndemic and leads to poorer adherence and patient outcomes.

Supported by an educational grant from Gilead Sciences, Inc.

Successful Completion

To receive credit, participants must (1) read the learning objectives and disclosure statements, (2) complete the educational activity, and (3) complete the post-test and activity evaluation form, including the certificate information section. Physicians must attest to the amount of time they spent on the activity.

A passing grade of 70% or higher on the post-test/evaluation is required to receive CME credit.

There are no fees or prerequisites for this activity.

Policy on Presenter and Provider Disclosure. It is the policy of the Johns Hopkins University School of Medicine that the presenter and provider globally disclose conflicts of interest. The Johns Hopkins University School of Medicine OCME has established policies that will identify and resolve conflicts of interest prior to this educational activity. Detailed disclosure will be made prior to presentation of the education.

Full Disclosure Policy Affecting CME Activities

As a provider approved by the Accreditation Council for Continuing Medical Education (ACCME), Johns Hopkins University School of Medicine Office of Continuing Medical Education (OCME) requires attested and signed global disclosure of the existence of all financial interests or relationships with commercial interest from any individual in a position to control the content of a CME activity sponsored by OCME. The following relationships have been reported for this activity:

Jean R. Anderson, MD discloses that she is a stockholder for Gilead Sciences, Inc.

No one else in a position to control the content of this educational activity has disclosed a relevant financial interest or relationship with any commercial interest.

Note: Grants to investigators at The Johns Hopkins University are negotiated and administered by the institution which receives the grants, typically through the Office of Research Administration. Individual investigators who participate in the sponsored project(s) are not directly compensated by the sponsor, but may receive salary or other support from the institution to support their effort on the project(s).

Privacy Policy

The Office of Continuing Medical Education (CME) at the Johns Hopkins University School of Medicine is committed to protecting the privacy of its members and customers. Johns Hopkins University SOM CME maintains its Internet site as an information resource and service for physicians, other health professionals and the public. Continuing Medical Education at the Johns Hopkins University School of Medicine will keep your personal and credit information confidential when you participate in a CME Internet based program. Your information will never be given to anyone outside of the Johns Hopkins University School of Medicine's CME program. CME collects only the information necessary to provide you with the services that you request.

To participate in additional CME activities presented by the Johns Hopkins University School of Medicine Continuing Medical Education Office, please visit www.hopkinscme.cloud-cme.com

Disclaimer Statement

The opinions and recommendations expressed by faculty and other experts whose input is included in this program are their own. This enduring material is produced for educational purposes only. Use of the Johns Hopkins University School of Medicine name implies review of educational format design and approach. Please review the complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings, and adverse effects before administering pharmacologic therapy to patients.

Hardware & Software Requirements

PC: Internet Explorer (v9 or greater), Chrome or Firefox
MAC: Safari
Monitor settings: High color at 800 x 600 pixels, Sound card and speakers, Adobe Acrobat Reader.

Confidentiality Disclaimer for CME Activity Participants

I certify that I am participating in a Johns Hopkins University School of Medicine CME activity for accredited training and/or educational purposes.

I understand that while I am participating in this capacity, I may be exposed to "protected health information," as that term is defined and used in Hopkins policies and in the federal HIPAA privacy regulations (the Privacy Regulations). Protected health information is information about a person's health or treatment that identifies the person.

I pledge and agree to use and disclose any of this protected health information only for the training and/or educational purposes of my visit and to keep the information confidential. I agree not to post or discuss this protected health information, including pictures and/or videos on any social medial site (e.g. Facebook, Twitter, etc.), in any electronic messaging program or through any portable electronic device.

I understand that I may direct to the Johns Hopkins Privacy Officer any questions I have about my obligations under this Confidentiality Pledge or under any of the Hopkins policies and procedures and applicable laws and regulations related to confidentiality. The contact information is Johns Hopkins Privacy Officer, telephone: 410-735-6509, e-mail: HIPAA@jhmi.edu.

"The Office of Continuing Medical Education at the Johns Hopkins University School of Medicine, as provider of this activity, has relayed information with the CME attendees/participants and certifies that the visitor is attending for training, education and/or observation purposes only."

For CME questions, please contact the CME Office (410) 955-2959 or e-mail cmenet@jhmi.edu. For certificates, please call (410) 502-9636.

Johns Hopkins University School of Medicine Office of Continuing Medical Education Turner 20/720 Rutland AvenueBaltimore, Maryland 21205-2195

Reviewed & Approved by:
General Counsel, Johns Hopkins Medicine (4/1/03)
(Updated 4/09 and 3/14)

Copyright © 2018. JHUSOM and ODM: Finding the Invisible Patient
Presented by JHUSOM in collaboration with DKBmed

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ONLINE PRIVACY POLICY

DKBmed, LLC (DKBmed) operates a network of continuing health care educational activities and their related websites and apps (Programs). For a list of all the programs within our network, see http://www.DKBmed.com/programs. This is the official privacy policy (Privacy Policy) for all DKBmed Programs, and this Privacy Policy forms a part of your legal agreement with us under the DKBmed Terms of Use.

PLEASE READ THIS PRIVACY POLICY CAREFULLY, AS IT DESCRIBES HOW WE COLLECT AND USE INFORMATION WE COLLECT ABOUT YOU ONLINE AND UNDER WHAT CIRCUMSTANCES WE SHARE INFORMATION ABOUT YOU.

DKBmed is committed to keeping accurate confidential, secure, and private any and all personal information collected of those individuals who visit our websites and use our online facilities and services. Our Privacy Policy has been designed and created to ensure those affiliated with DKBmed, of our realization of and commitment to our obligation not only to meet, but to exceed most existing privacy standards.

THEREFORE, this Privacy Policy shall apply to DKBmed and thus it shall govern any and all data collection and use thereof. By using DKBmed.com and any DKBmed Programs you thereby acknowledge that you are familiar with and you agree to the following data procedures expressed within this agreement.

Collection of Information
When you sign on to our Website or participate in our Programs, we collect the following voluntarily provided information, which may include your name, address, email address, profession, specialty, phone, and information for your membership in the National Association of Boards of Pharmacy and/or the American Board of Internal Medicine. In certain circumstances related to the use of our services we may ask you for your date of birth (month/day) and/or your National Provider Identifier (NPI) and/or ABI identification number. This information may be used when you participate in DKBmed Programs or purchase products and/or services from DKBmed to deliver the services and Programs you have requested. This data is collected on the basis of our need to fulfill the contract you have entered into with DKBmed when you decided to sign on to our Website and use our services and/or Programs. We need this information so we can provide you the services and/or Programs you have requested.

Cookies
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Third-party cookies
DKBmed uses third-party vendor remarketing tracking cookies, including the Google Adwords tracking cookie. This means we will continue to show ads to you across the internet, specifically on the Google Content Network (GCN). As always we respect your privacy and are not collecting any identifiable information through the use of Google’s or any other third party remarketing services. However, you can find out more about the data that will be collected by Google and how it will be processed here: How Google uses information from sites or apps that use our services

The third-party vendors, including Google, whose services we use, will place cookies on users’ web browsers to serve ads based on past visits to our website. Third party vendors, including Google, use cookies to serve ads based on a user’s prior visits to our website. This allows us to make special offers and continue to market our services to those who have shown interest in our service.

To use as described above the personal data of users or visitors who are based in EU, we will rely on their consent.

Please rest assured that this site shall only collect personal information that you knowingly and willingly provide by way of surveys, completed membership forms, and emails. It is the intent of this site to use personal information only for the purpose for which it was requested and for any additional uses specifically provided on this site.

It is suggested and highly recommended that you review the privacy policies and statements of any website you choose to use or frequent to better understand how other websites garner, use, and share information they collect.

Use of information collected
DKBmed may collect and may use personal information to assist in the operation of our website and to ensure delivery of the services and Programs you need and request. At times, we may find it necessary to use personally identifiable information to keep you informed of other possible products and/or services that may be available to you from DKBmed. DKBmed may also contact you to complete surveys and/or research questionnaires related to your opinion of current or potential future services that may be offered.

DKBmed does not now, and in no circumstance will in the future, sell, rent, or lease any of our customer lists and/or names to any third parties.

We do not use automated decision-making, including profiling.

Sharing your personal data
We do not share your personal information with others except as indicated within this policy.

We may share your information in the following ways:

With third-party service providers, agents, or contractors who are performing or may perform services on our behalf or to assist us with providing services to you. For example, we may engage third-party providers for hosting and IT services. These service providers may have access to your personal or other information as they provide these functions.

DKBmed may find it beneficial to share specific data with our trusted partners in an effort to conduct statistical analysis, provide you with email and/or postal mail, deliver support, and/or arrange for deliveries to be made. Those third parties shall be strictly prohibited from making use of your personal information, other than to deliver the services you requested, and thus they are required to maintain the strictest confidentiality with regard to all your information.

DKBmed may share your data with accredited providers of content or certification bodies when needed to complete certain certifications. This sharing makes the provider of the certification aware of persons who have completed the activity and process the certification to ensure the user receives proper certification.

DKBmed may disclose your personal information, without prior notice to you, only if required to do so in accordance with applicable laws and/or in a good faith belief that such action is deemed necessary or is required to:

  • Remain in conformance with any decrees, laws, and/or statutes or to comply with any process that may be served on DKBmed, and/or our website;
  • Maintain, safeguard, and/or preserve all the rights and/or property of DKBmed;
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Children under the age of 13
DKBmed does not knowingly collect personally identifiable information from children under age thirteen (13) years without verifiable parental consent. If it is determined that such information has been inadvertently collected on anyone under age thirteen (13), we shall immediately take the necessary steps to ensure that such information is deleted from our system's database. Anyone under age thirteen (13) must seek and obtain a parent’s or guardian’s permission to use this website.

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Links to other web sites
Our website contains links to affiliate and other websites. DKBmed neither claims nor accepts responsibility for any privacy policies, practices, and/or procedures of other such websites. Therefore, we encourage all users and visitors to be aware when they leave our website and to read the privacy statements of every website that collects personally identifiable information. The aforementioned Privacy Policy Agreement applies only to the information collected by our website.

Security
DKBmed shall endeavor and shall take every precaution to maintain adequate physical, procedural, and technical security with respect to our offices and information storage facilities to prevent any loss, misuse, unauthorized access, disclosure, or modification of the user's personal information under our control.

Transfer of data
Your information may be transferred to and processed by DKBmed in the United States or countries other than your own. If you are a data subject in the European Union and the rules of the General Data Protection Regulation (GDPR) apply, we will make sure that any recipients of your data in countries that do not provide the same standard of protection of your personal data as in the EU and where you may not be able to exercise your rights as data subject, have signed special contracts, such as Standard Contractual Clauses, to make sure your confidentiality is respected.

Email marketing
If you are our subscriber/user, we may use your email address to send you offers for educational courses, educational materials, or promotions that we think might be of interest to you, where these are related or similar to DKBmed services and/or Programs that you are using. Each time we send you such marketing or promotional communication, we will provide you the option to refuse future such emails from DKBmed.

How long we will store your personal data
For the various types of personal data we collect, different retention periods may apply. Generally speaking, we store your data for the period for which you use our services and after for the applicable limitation period for related claims.

Your rights under the EU privacy law, the General Data Protection Regulation (GDPR)
If you are a data subject who is in the European Union and the rules of the GDPR are applicable, you will be entitled to the following rights:

  • Right of access – you have the right to request a copy of the information we hold about you.
  • Right of rectification – you have a right to correct data we hold about you that is inaccurate or incomplete.
  • Right to be forgotten – in certain circumstances you can ask that the data we hold about you be erased from our records.
  • Right to restriction of processing – where certain conditions apply you have a right to restrict processing of your personal data.
  • Right of portability – you have the right to have the data we hold about you transferred to another organization when certain circumstances are met.
  • Right to object – you have the right to object to certain types of processing such as direct marketing.
  • Right to object to automated processing, including profiling – you also have the right not to be subject to the legal effects of automated processing or profiling.
  • You have the right to withdraw your consent for processing of your data where such was given without affecting the lawfulness of processing based on consent before its withdrawal.
  • You have the right to lodge a complaint related to collection or the processing of your personal data with the relevant supervisory authority.

If you want to exercise the above-listed rights (except the right to lodge a complaint before a supervisory authority), or to obtain a copy of the Standard Contractual Clauses, please submit a request to [email protected].

Changes to Privacy Policy
DKBmed reserves the right to update and/or change the terms of our Privacy Policy, and we will post those changes to our website privacy page at DKBmed.com and our Program’s Privacy Policy page, so our users and/or visitors are always aware of the type of information we collect, how it will be used, and under what circumstances, if any, we may disclose such information. If at any time DKBmed decides to use any personally identifiable information on file in a manner other than that which was stated when this information was initially collected, the user or users shall be promptly notified by email. Users at that time shall have the option whether or not to permit the use of their information in this separate manner.

Acceptance of terms
Through using this website, you hereby accept the terms and conditions stipulated within the aforementioned Privacy Policy. If you do not agree with our terms and conditions, you should refrain from further use of our sites. In addition, your continued use of our websites following the posting of any updates or changes to our terms and conditions shall mean that you agree with and accept such changes.

How to contact us
If you have any questions or concerns regarding the Privacy Policy related to our website, please feel free to contact us at the following email, telephone number, or mailing addresses:

Email:
[email protected]

Telephone:
646-336-6495

Mailing address:
DKBmed, LLC
122 W. 26th St., Suite 1100
New York, New York 10001

We want to inform you that we have appointed EU GDPR Privacy Officers Ltd. with email [email protected], as our data protection representative based in the European Union in order to comply with the requirements of the GDPR.