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Teachable Moment
July 2016

Educating the Primary Care Clinician on Preexposure Prophylaxis for Human Immunodeficiency Virus: A Teachable Moment

Author Affiliations
  • 1Department of Medicine, Weill Cornell Medical College, New York Presbyterian Hospital, New York, New York
  • 2Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut
  • 3Center for Interdisciplinary Research on AIDS, Yale University, New Haven, Connecticut
JAMA Intern Med. 2016;176(7):890-891. doi:10.1001/jamainternmed.2016.2225

A man in his mid-20s presented to the outpatient clinic requesting testing for sexually transmitted infections (STIs). He reported having multiple male sex partners and engaging in oral and anal (both insertive and receptive) sex with inconsistent condom use. His medical history included an episode of gonorrhea, which was treated. His social history included occasional binge drinking but no injection or noninjection drug use. His vital signs and physical examination findings were within normal limits. Results of STI testing, including for chlamydia, gonorrhea, syphilis, and human immunodeficiency virus (HIV), were all negative. He was counseled on safer sex practices and moderation in alcohol consumption.