ArticleCureus2025
Boosting HIV Pre-exposure Prophylaxis (PrEP) Prescribing Confidence in a Southern Family Medicine Residency.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPre-exposure prophylaxis (PrEP) is a highly effective pharmacologic strategy for preventing HIV infection, yet it remains underutilized, particularly in the southeastern United States and among adolescent populations. Family medicine physicians, especially those practicing in rural areas, are well-positioned to identify and manage PrEP-eligible patients, including adolescents and members of LGBTQ+ (lesbian, gay, bisexual, transgender, and queer) communities. However, many providers report inadequate training in sexual health, LGBTQ+ care, and HIV prevention. This study aimed to assess the impact of a brief educational intervention on family medicine residents' knowledge, attitudes, and skills in prescribing PrEP to a diverse range of high-risk individuals.
methodsA one-hour educational session on PrEP was delivered at a rural-focused family medicine residency program in the southeastern US. Twenty residents completed pre- and post-intervention surveys consisting of true/false knowledge questions and five-point Likert-scale items assessing comfort with PrEP prescribing. Descriptive statistics and paired t-tests were used to evaluate change.
resultsWhile no statistically significant improvement was noted in knowledge scores (mean: 84.7% pre vs. 87.2% post, p = 0.108), participants reported notable increases in prescribing comfort. The proportion of residents who felt somewhat or extremely comfortable with initiating PrEP increased from six (30%) to 14 (72%), continuing therapy from seven (35%) to 14 (72%), and overall PrEP management from seven (35%) to 12 (62%). Eighteen residents (90%) identified limited knowledge as a barrier to PrEP prescribing, and several cited uncertainty about engaging LGBTQ+ patients in risk-based conversations.
conclusionsA single, low-resource educational intervention can improve family medicine residents' confidence in PrEP prescribing, despite minimal change in knowledge scores after this small-scale study. These findings underscore the importance of integrating sexual health, including prescribing PrEP for HIV, and LGBTQ+-inclusive training into residency education, particularly in high-need regions. Scalable educational models like this may help advance the
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