Evidence map›Paper›PMID 34027712›Full record

ReviewInquiry : a journal of medical care organization, provision and financing

Recommendations for Increasing Physician Provision of Pre-Exposure Prophylaxis: Implications for Medical Student Training.

Robert L Cooper, Paul D Juarez, Matthew C Morris, Aramandla Ramesh, Ryan Edgerton, Lauren L Brown, Leandro Mena, Samuel A MacMaster, Shavonne Collins, Patricia Matthews- Juarez and 6 more

Abstract readReview
In one paragraph

Review in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Towards Ending the HIV Epidemic: The Case for Incorporating PrEP Prescribing into Psychiatric Training.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
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  5. Lessons Learned in Engaging Adolescents and Young Adults to End the US HIV Epidemic.Journal of acquired immune deficiency syndromes (1999) · 2025
    Article
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  13. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Robert L CooperMeharry Medical College, Nashville, TN, USA.
Paul D JuarezMeharry Medical College, Nashville, TN, USA.
Matthew C MorrisUniversity of Mississippi Medical Center, Jackson, MS, USA.
Aramandla RameshMeharry Medical College, Nashville, TN, USA.
Ryan EdgertonMeharry Medical College, Nashville, TN, USA.
Lauren L BrownBehavioral Health & Research at Nashville Cares, Nashville, TN, USA.
Leandro MenaUniversity of Mississippi Medical Center, Jackson, MS, USA.
Samuel A MacMasterBaylor College of Medicine in Houston, Houston, TX, USA.
Shavonne CollinsMeharry Medical College, Nashville, TN, USA.
Patricia Matthews- JuarezMeharry Medical College, Nashville, TN, USA.
Mohammad TabatabaiMeharry Medical College, Nashville, TN, USA.
Katherine Y BrownMeharry Medical College, Nashville, TN, USA.
Michael J PaulMeharry Medical College, Nashville, TN, USA.
Wansoo ImMeharry Medical College, Nashville, TN, USA.
Thomas A ArcuryWake Forest School of Medicine, Winston-Salem, NC, USA.
Marybeth ShinnVanderbilt University, Nashville, TN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is growing evidence that pre-exposure prophylaxis (PrEP) prevents HIV acquisition. However, in the United States, approximately only 4% of people who could benefit from PrEP are currently receiving it, and it is estimated only 1 in 5 physicians has ever prescribed PrEP. We conducted a scoping review to gain an understanding of physician-identified barriers to PrEP provision. Four overarching barriers presented in the literature: Purview Paradox, Patient Financial Constraints, Risk Compensation, and Concern for ART Resistance. Considering the physician-identified barriers, we make recommendations for how physicians and students may work to increase PrEP knowledge and competence along each stage of the PrEP cascade. We recommend adopting HIV risk assessment as a standard of care, improving physician ability to identify PrEP candidates, improving physician interest and ability in encouraging PrEP uptake, and increasing utilization of continuous care management to ensure retention and adherence to PrEP.

Indexed as

Anti-HIV AgentsHIV InfectionsPhysiciansPre-Exposure ProphylaxisStudents, MedicalHumansUnited StatesAnti-HIV AgentsHIVmedical curriculumpre-exposure prophylaxisPrEP

Identifiers

PMID34027712
PMCPMC8142521

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.