Curriculum Outline: Clinical STD Training Courses: STD INTENSIVE ESSENTIAL
TOPICS
LEARNING OBJECTIVES
At the conclusion of the course the participant will be
able to:
HIV
Discuss the current epidemiologic status of HIV/AIDS infection
regionally, nationally, and worldwide.
List and describe the infections and conditions commonly
associated with HIV disease and AIDS (including other STDs).
Discuss the tests commonly used for HIV infection, current CDC
recommendations for testing, and techniques for HIV risk-reduction
counseling.
Discuss current anti-retroviral treatment recommendations and
changing natural history of HIV disease.
List the current CDC recommendations for prevention of HIV
transmission in health care settings.
Syphilis
Describe the changing epidemiologic trends of infection.
List the stages of disease and describe clinical manifestations
of each stage of syphilis.
List and describe the direct microscopic and serologic tests
for syphilis and their application and interpretation in the
diagnosis of infection.
Discuss the clinical management of syphilis to include
treatment, follow-up and partner management.
Describe the relationship between syphilis and HIV infection.
Chancroid
Discuss the etiology and epidemiology of chancroid.
Describe the clinical presentation and diagnosis of chancroid
(including laboratory methods).
List conditions and lesions commonly included in the
differential diagnosis of chancroid.
State the current treatment recommendations for chancroid.
Discuss the relationship between chancroid and HIV infection.
Herpes
Discuss current incidence and prevalence rates of genital HSV.
Describe the pathogenesis and clinical manifestations of
genital HSV.
Explain the application of current diagnostic tests given a
specific case example.
Discuss the therapeutic strategies for genital HSV.
Deliver appropriate counseling messages based on current
transmission and treatment information.
Discuss the relationship between HSV and HIV infection.
Chlamydia
Discuss the epidemiology of chlamydia and the importance of
disease reporting and surveillance activities.
Identify the clinical manifestations of chlamydia-related
syndromes in adults and infants.
State the advantages and disadvantages of laboratory methods
available to diagnose chlamydial infections.
Discuss appropriate screening and sample collection strategies.
List the current recommended treatments for chlamydia and
related syndromes.
Discuss the clinic and community-based strategies for chlamydia
prevention to include counseling messages and partner management.
Gonorrhea
Discuss the epidemiology and clinical manifestations of gonococcal
infections.
Describe the rationale for diagnostic screening and the
advantages and disadvantages of current diagnostic tests.
Describe the current resistance patterns of gonorrhea and the
impact on treatment recommendations.
Describe patient follow-up and partner management.
PID
Define Pelvic Inflammatory Disease (PID).
Discuss the epidemiology and risk factors associated with PID.
List the clinical and laboratory criteria for diagnosis of PID.
Discuss clinical management of PID to include treatment,
follow-up, patient counseling, and partner management.
List the criteria for hospitalization referral and possible
sequelae to PID.
Discuss the relationship and management of PID with coinfection
with HIV.
Bacterial Vaginosis (BV)
Discuss the etiology and clinical manifestations of BV.
State the clinical and laboratory criteria for the presumptive
diagnosis of BV.
Discuss the clinical management of BV to include treatment,
follow-up, patient counseling, and partner management.
Candidiasis
Discuss the etiology and clinical manifestations of candidiasis.
State the clinical and laboratory criteria for the diagnosis of
candidiasis.
Discuss the clinical management of candidiasis to include
treatment, follow-up, patient counseling and partner management.
Discuss the relationship and management of candidiasis when
there is coinfection with HIV.
Trichomoniasis
Discuss the etiology and clinical manifestations of
trichomoniasis.
List the laboratory tests available for the diagnosis of
trichomoniasis.
Discuss the clinical management of trichomoniasis to include
treatment, follow-up, patient counseling and partner management.
Viral Hepatitis
Discuss the transmission and epidemiology of HAV, HBV, HCV, and
NANB hepatitis.
List the clinical manifestations of viral hepatitis.
Describe the recommended lab tests/techniques for the diagnosis
of viral hepatitis.
State the situations in which hepatitis vaccine and HVIG should
be administered.
Discuss current prevention strategies.
Human Papillomavirus (HPV)
Discuss the epidemiology, pathogenesis, clinical manifestations
and sequelae of HPV.
Discuss indication and reliability of new detection methods for
HPV.
List the recommended treatments for HPV, identify the
advantages and disadvantages of each, and discuss the management
of asymptomatic HPV.
Name the conditions, anatomic variants and benign/malignant
neoplasms to be considered in the differential diagnosis of HPV.
Discuss the relationship between HPV and HIV infection.
Female Physical Exam
List the minimum equipment needed for a routine STD-oriented
examination of the female pelvis.
State the steps, in appropriate order, for conducting a
complete routine female exam.
Describe the principal abnormal findings relevant to an STD
exam to be noted at each step of the pelvic exam.
Discuss the correct technique in obtaining lab specimens for
gonococcal and chlamydial testing, cervical gram stains, wet
mounts, KOH preps, and Pap smears.
Male Physical Exam
List the minimum equipment needed for a routine male STD
examination.
State the steps, in appropriate order, for conducting a
complete routine male exam.
Describe the principal abnormal findings relevant to an STD
exam to be noted at each step of the male exam.
Discuss the correct technique in obtaining lab specimens for
gonococcal and chlamydial testing and urethral gram stains.
History Taking
List the key components of a routine STD history and the specific
patient information that should be obtained in each component.
Discuss the advantages and disadvantages of open-ended vs
close-ended questions.
State specific provider techniques for history taking that will
enhance patient-clinical relations.
Describe integrating the HIV risk assessment into the STD
history taking.
Discuss aspects of the STD sexual history that may identify
potential sexual assault and identify appropriate referrals for a
sexual assault victim.
Vaginitis
Discuss the etiology of trichomoniasis, bacterial vaginosis (BV)
and candidiasis.
Compare and contrast the clinical manifestations of
trichomoniasis, BV and candidiasis.
State the clinical and laboratory criteria for the diagnosis of
trichomoniasis, BV, and candidiasis.
Discuss the clinical management of vaginitis to include
treatment, follow-up, patient counseling and partner management.
Discuss non-infectious causes of vaginitis to be considered in
the differential diagnosis.
Cervicitis
Discuss the etiology of cervicitis.
Describe the clinical manifestations and sequelae of
cervicitis.
State the clinical and laboratory criteria for the presumptive
diagnosis of cervicitis.
Discuss the clinical management of cervicitis to include
recommended diagnostic tests, treatment, follow-up, patient
counseling and partner management.
Urethritis
Discuss the etiology of urethritis.
Describe the clinical manifestations and sequelae of
urethritis.
State the clinical and laboratory criteria for the presumptive
diagnosis of urethritis.
Discuss the clinical management of urethritis to include
recommended diagnostic tests, treatment, follow-up, patient
counseling and partner management.
Laboratory
List the stat lab and reference lab tests used for the diagnosis
of STD.
Identify the specimen source and state the proper collection
procedure, handling and storage of each test.
Describe the clinical indications and/or appropriate use of
each test.
Discuss the interpretation of test results for STD stat lab and
reference lab tests.
Practice universal precautions during collection and processing
of lab specimens.
STD INTENSIVE NON-ESSENTIAL/ELECTIVE
TOPICS
LEARNING OBJECTIVES
At the conclusion of the course the
participant will be able to:
Sexual Assault
Define sexual assault.
Discuss aspects of the STD sexual history and/or physical exam
which may identify or raise the suspicion of sexual assault.
Describe the STD clinic procedure for confirmed or suspected
sexual assault.
List the appropriate referrals for victims of sexual assault.
Adolescents
List the reasons why teens are at risk for STD.
Discuss strategies to reduce barriers to care for teens.
List key points to counseling adolescents in early, middle, and
late stages of sexual development.
Discuss STD/HIV prevention strategies for the adolescent
population.
Pregnancy
Discuss the incidence of STD in pregnant women and newborns.
List the screening tests recommended by CDC for pregnant women.
Discuss the clinical management of STD in pregnant women and
newborns.
List the reproductive sequelae of STD.
Dermatology
List the common dermatologic conditions seen in an STD clinic.
Discuss the differential diagnosis of rashes and genital ulcers
based on clinical presentation and medical history.
Describe the clinical management of dermatologic conditions to
include diagnostic testing, treatment, follow-up, patient
counseling and partner management.
Discuss the relationship between HIV, genital ulcer disease,
and other dermatologic conditions.
Behavioral
Discuss behavior change theories and models as they relate to
STD/HIV prevention.
Substance Abuse
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