Start the Conversation: Development of a Training Program to Build OB/GYN Resident Capacity for PrEP Prescribing in Routine Care

Authors

• Whitney C. Irie, Washington University in St. Louis, St. Louis, MO
• Amy Corneli, Duke University, Durham, NC
• Brian Perry, Duke University, Durham, NC
• Clare Kelsey, LSU Health Sciences Center - New OrleansFollow
• Jacquelyn Bickham, Louisiana Department of Health, New Orleans, LA
• Tamachia Davenport, Camp ACE/St. John the Baptist #5, New Orleans, LA
• Amber Naresh, Tulane University, New Orleans, LA
• Stacey Holman, LSU Health Sciences Center - New OrleansFollow
• Meredith Clement, LSU Health Sciences Center - New OrleansFollow

Document Type

Article

Publication Date

9-6-2026

Publication Title

Journal of the International Association of Providers of AIDS Care

Abstract

Objectives: Pre-exposure prophylaxis (PrEP) is a highly effective HIV prevention tool, yet uptake among women remains low, particularly for Black cisgender women. We aimed to identify determinants of PrEP implementation in OB/GYN residency clinic settings and develop an OB/GYN training program for a combined-care PrEP model in preparation for pilot testing.

Methods: We conducted a qualitative descriptive study using semi-structured, CFIR-guided qualitative interviews with OB/GYN residents, OB/GYN residency faculty, and PrEP providers in New Orleans, Louisiana. We then presented the findings in provider working group sessions to obtain feedback on the training program and adapt the program based on suggested modifications.

Results: We conducted 12 interviews and 2 working group meetings. Participants perceived OB/GYN residents would be highly compatible PrEP providers given their focus on sexual health. They also identified provider barriers including limited knowledge, time constraints, and care discontinuity due to resident rotation blocks. Working group providers emphasized the need for practical training resources, clear clinical protocols, and a designated PrEP champion.

Conclusion: Participants and working group providers viewed OB/GYN resident clinics as an acceptable setting for implementing and piloting a PrEP program. We finalized the scalable, provider-informed training model—“Start the Conversation”—to support PrEP integration into routine OB/GYN care at resident clinics.

PubMed ID

42702052

Volume

25

Publisher

SAGE Publications

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

Recommended Citation

Irie, Whitney C.; Corneli, Amy; Perry, Brian; Kelsey, Clare; Bickham, Jacquelyn; Davenport, Tamachia; Naresh, Amber; Holman, Stacey; and Clement, Meredith, "Start the Conversation: Development of a Training Program to Build OB/GYN Resident Capacity for PrEP Prescribing in Routine Care" (2026). School of Medicine Faculty Publications. 5249.
https://digitalscholar.lsuhsc.edu/som_facpubs/5249
10.1177/23259582261488339