title: Brief Report: Informing Strategies to Build PrEP Capacity Among San Francisco Bay Area Clinicians.
abstract: A large pool of clinicians are needed to meet the growing demand for HIV preexposure prophylaxis. We surveyed a mixed group of HIV specialists and nonspecialists in the San Francisco Bay Area to determine their attitudes toward and training needs regarding prescribing preexposure prophylaxis to persons at increased risk of HIV infection. Willingness to prescribe was associated with experience in caring for HIV-infected patients (adjusted odds ratio 4.76, 95% confidence interval: 1.43 to 15.76, P = 0.01). Desire for further training was associated with concerns about drug resistance (P = 0.04) and side effects (P = 0.04) and was more common among noninfectious disease specialists. Clinicians favored online and in-person training methods.
authors.affiliation: *San Francisco Department of Public Health, Center for Learning and Innovation, San Francisco, CA; †San Francisco Department of Public Health, Disease Control and Prevention, San Francisco, CA; ‡Department of Medicine, Divisions of HIV, Infectious Disease and Global Health, University of California, San Francisco, San Francisco, CA; §Department of Psychology, San Francisco State University, San Francisco, CA; ‖San Francisco Department of Public Health, BridgeHIV, San Francisco, CA; ¶Department of Family and Community Medicine, University of California, San Francisco, San Francisco, CA; and #General Internal Medicine, Zuckerberg San Francisco General Hospital, University of California, San Francisco, San Francisco, CA.
authors.forename: Oliver
authors.initials: O
authors.lastname: Bacon
authors.forename: Rafael
authors.initials: R
authors.lastname: Gonzalez
authors.forename: Erin
authors.initials: E
authors.lastname: Andrew
authors.forename: Michael B
authors.initials: MB
authors.lastname: Potter
authors.forename: James R
authors.initials: JR
authors.lastname: Iñiguez
authors.forename: Stephanie E
authors.initials: SE
authors.lastname: Cohen
authors.forename: Albert Y
authors.initials: AY
authors.lastname: Liu
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Fuchs
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D004502:Education, Medical, Continuing / Q000379:methods*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010820:Physicians / Q000523:psychology*; D065129:Pre-Exposure Prophylaxis / Q000379:methods* / Q000706:statistics & numerical data*; D012495:San Francisco; D011795:Surveys and Questionnaires