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Family Medicine Tackles STIs in California

The Summer issue of California Family Physician has been reviewed and accepted by the American Academy of Family Physicians for three Prescribed CME credits.  Clinicians should claim only the credit commensurate with the extent of their participation in the activity. 

Learning Objectives

After reading the articles in this issue, learners should be able to:
  • Increase awareness among family physicians about the increasing rates of STI in California;
  • Outline the causes for increases in STI rates among senior patients;
  • Use case-based approach for PrEP in patients at risk for HIV infection; and
  • Highlight prenatal syphilis as a treatable condition.
To claim your credits, please complete and submit this quiz and evaluation. 

Questions, please contact Shelly Rodrigues, CAE,

1. Please complete these demographic questions so we can process your CME credits. We will not share this information.
2. California ranks _____ in new HIV diagnosis.

CDC, 2017,
3. Black men who have sex with men (MSM) patients have what chance of testing positive in their lifetime?

CDC, 2016,
4. What percent of patients between the age of 75-84 report being sexually active?

Solway E, Clark S, Singer D, Kirch M, Malani P. Let’s Talk about Sex. University of Michigan National Poll on Healthy Aging. May 2018. Available at:

5. What percentage of sexually active Americans will contract a sexually transmitted infection (STI) by age 25?

Cates JR, Herndon NL, Schulz S L, Darroch JE. (2004). Our voices, our lives, our futures: Youth and sexually transmitted diseases. Chapel Hill, NC: University of North Carolina at Chapel Hill School of Journalism and Mass Communication. Accessed at:
6. According to CDC guidelines, before initiating PrEP, a negative HIV test is required within how many days?

Centers for Disease Control and Prevention: US Public Health Service: Preexposure prophylaxis for the prevention of HIV infection in the United States—2017 Update: a clinical practice guideline.  Published March 2018.
7. 300,000 cases of chlamydia, gonorrhea, and early syphilis have been reported in California.  This represents ____ percent increase in the last five years.

CA Dept of Public Health,
8. The most commonly reported STI in California is:

CA Dept of Public Health,
9. CDC STD/STI Treatment Guidelines recommend offering ____ to patients with partners that are unable or unlikely to access treatment on their own?
As an Accreditation Council for Continuing Medical Education-accredited provider, CAFP is required by the ACCME Standards of Commercial Support, to identify, manage or resolve any conflict of interest for any individual who may have influence over educational content provided by the CAFP. Our conflict of interest policy is inclusive of all the elements of the ACCME definition of a commercial interest. Our policy requires us to collect disclosure forms from any individual who may have an influence on any educational content. We also capture the same relationships from individual's spouses/partners. Our goal in identifying, managing and resolving interest is to ensure that all educational content and curriculum, presentations and products are free of commercial bias and promotion. The CCPD reviews all COI forms and employs a process to ensure the quality of our educational program. We also engage our learners through the evaluation process to monitor for bias/promotion and effectiveness of the activities. 
Brent Sugimoto, MD, MPH   Editor, Planner and Author Nothing to Declare
Walter Mills, MD, MMM Natividad FMRP Author Nothing to Declare
Scott Nass, MD, MPA Eisenhower FMRP Author Nothing to Declare
Ina Park, MD UCSF and SF VA Author Nothing to Declare
Robert Assibey, MD San Joaquin FMRP Author Nothing to Declare
Shelly B. Rodrigues, CAE CAFP Managing Editor, Planner and Author Nothing to Declare