JAAPA CME Post-Test March 2024

Improving Clinician Communication to Increase Adolescent HPV Vaccination Rates

Despite the proven effectiveness of human papillomavirus (HPV) vaccination, this vaccine is underused in the United States and is associated with many disparities and barriers to acceptance. Adolescent HPV vaccination rates failed to meet the Healthy People 2020 goal of 80% vaccine coverage when nearly all other routine adolescent vaccines met or were near this goal. When introducing the HPV vaccine series, many clinicians use a conversational approach, although years of research show that an announcement approach is more effective at increasing HPV vaccination rates. This activity reviews current HPV vaccine communication practices used by clinicians and recommends evidence-based best practices to improve adolescent HPV vaccination rates in the United States.

Learning Objectives

At the conclusion of this activity, participants should be able to:
  • Recognize vaccination communication styles and their effects on HPV vaccine acceptance and uptake
  • Describe the difference between announcement and conversational approaches for HPV vaccination recommendations
  • Outline evidence-based best practices for HPV vaccination communication to improve adolescent HPV vaccination rates

Managing Heartburn and Reflux in Primary Care

This activity describes an algorithmic approach to caring for patients presenting with heartburn and reflux, including empiric treatment with acid-suppression therapy and a data-driven approach to diagnostic testing. This activity also reviews the efficacy and safety profile of the widely available and commonly used proton pump inhibitors. Refining our approach to diagnostic testing can reduce time to diagnosis, better control patients’ symptoms, and limit complications of longstanding disease.

Learning Objectives

At the conclusion of this activity, participants should be able to:
  • Review current guidelines for the diagnosis and treatment of GERD
  • Explain diagnostic tools available to investigate the causes of heartburn and reflux
  • Discuss evidence-based lifestyle modifications for patients with heartburn and reflux
  • Identify pharmacologic therapies available for treating acid reflux, including PPIs

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