Developing HIV Testing and Treatment Capacity in the Family Practice: A Curriculum for Excellence Sign-Up Form

ACOFP is partnering with Med-IQ to offer up to 2.75 Category 1-A AOA CME credits for successful completion of this curriculum, which will address the needs of family physicians in HIV testing, ART initiation, and helping patients with positive HIV status achieve undetectable viral loads to prevent the transmission of HIV to others.

Complete and submit this sign-up form to submit your information and be placed in the July - October 2022 cohort to complete your courses. Med-IQ will follow up with participants directly to begin the program.

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* 1. First name:

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* 2. Last name:

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* 3. AOA ID:

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* 4. Please select all degrees that apply:

MPH

MPA

MBA

MHA

PhD

EdD

Other (please specify and separate with a comma)

Developing HIV Testing and Treatment Capacity in the Family Practice: A Curriculum for Excellence Sign-Up Form

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* 1. First name:

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* 2. Last name:

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* 3. AOA ID:

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* 4. Please select all degrees that apply:

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* 5. Which of the following specialties most applies to you? (Note: Family medicine specialties are at the top; the remaining are alphabetical.)

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* 6. Preferred email address:

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* 7. Preferred cohort (drag your choices to order 1 or 2):