Frequency and thoroughness of STD/HIV risk assessment by physicians in a high-risk metropolitan area

The US Preventive Services Task Force recommends that all primary care physicians assess the sexually transmitted disease/human immunodeficiency virus (STD/HIV) risk of all adolescent and adult patients. To determine whether factors amenable to change through continuing medical education are associated with frequent and thorough STD/HIV risk assessment, a telephone survey of primary care physicians in the Washington, DC metropolitan area was conducted (n = 961). Thirty-seven percent of physicians reported regularly asking new adult patients about their sexual practices; 60% asked new adolescent patients. STD/HIV risk questioning was associated with physicians' confidence in their ability to help prevent HIV, comfort with discussing patients' sexual practices, and perception of a large STD/HIV problem in their practice. These findings suggest that continuing medical education should target improvement in physicians' sexual practice questioning skills

Continuing education · Continuing medical education · Family medicine · Human immunodeficiency virus (HIV) · Medical education · Metropolitan area · Perception · Primary care · Risk perception · Sexually transmitted disease · Syphilis · Adolescent Sexual and Reproductive Health · Medicine · Obesity and Health Practices · Primary Care and Health Outcomes · Psychology

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