Low-Threshold Injectable PrEP in People Who Use Drugs

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Low-Threshold Injectable PrEP in People Who Use Drugs

Recorded: Thursday, April 23, 2026 to Sunday, April 26, 2026
On-Demand Session

Overview

This 75-minute on-demand session from the ASAM 57th Annual Conference addresses low-threshold injectable PrEP for people who use drugs, covering pharmacology, access barriers, and harm reduction integration models.

Long-acting injectable PrEP represents a breakthrough in HIV prevention for people who use drugs, offering new opportunities for low-threshold, integrated care. This session combines didactic updates with real-world implementation lessons from leading programs across addiction medicine and harm reduction to help participants translate innovation into clinical practice.

The target audience for this Intermediate level session includes physicians, nurse practitioners, physician assistants, other clinicians, researchers, residents, fellows, and students.

This session addresses the following ACGME Competencies: Patient Care and Procedural Skills, Medical Knowledge, Practice-based Learning and Improvement, Systems-based Practice.

This session addresses the following IPEC Competencies:Roles and Responsibilities.

Learning Objectives

Upon completion, learners will be able to:

  1. Describe the pharmacology, dosing schedules, efficacy and safety of longa??acting injectable PrEP agents (cabotegravir and lenacapavir).
  2. Identify key barriers and facilitators to PrEP access and uptake among people who use drugs, including structural, social and systema??level factors.
  3. Discuss real world models for integrating low threshold injectable PrEP into harm reduction and addiction medicine settings (including pregnant/postpartum populations).

Registration Rates

Rate DescriptionRate
ASAM Member$29
Non-Member$39
Associate Member$19
Resident Member*$19
Student Member*$19

*Residents, Fellows-in-training, Interns, and Students must join ASAM to receive a discounted registration rate. Click here to become an ASAM member. National and Chapter membership dues apply. There is no charge for Students to become a Member, but verification of student status is required.

Membership Question?  Call ASAM at 1.301.656.3920, email us, or view the ASAM website for more information.

Refunds & Cancellations

All ASAM eLearning Center refund requests must be made in writing to education@asam.org within 90 days of purchase. Those requesting refunds for courses that are in progress will receive partial refunds or e-Learning Center credit. Automatic full refunds will be made for any course with a live-course component that has been cancelled.

Registration Open: 05/25/2026 - 04/25/2029

User Access Closed: 05/25/2029

Course Instructions

  1. Click on the Contents tab to watch the on-demand recording.
  2. Click Complete Post Test to answer multiple choice questions. You will have 10 attempts to pass and must answer 4 out of 5 questions correctly.
  3. Click Complete Evaluation to provide valuable activity feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
  4. Click the button Claim Medical Credits in the box titled Claim Credits & Certificate. Choose the type of credit and click submit. Click the button View/Print Certificate to save or print your certificate. You can view/print your certificate at any time by visiting the ASAM eLearning Center, clicking Dashboard, and clicking Transcript/Achievements.

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Ethan Cowan, MD, MS

Ethan Cowan, MD, MS

Professor, Emergency Medicine

RUTGERS THE STATE UNIV OF NEW JERSEY

I am a Professor of Emergency Medicine at Rutgers New Jersey Medical School and an Associate Director of the Rutgers Addiction Research Center. I am board-certified in Emergency Medicine and Addiction Medicine, with more than two decades of experience designing and leading clinical trials and implementation studies in emergency department and community-based settings. My work focuses on improving access to care for people who use drugs, particularly at the intersection of HIV prevention and opioid use disorder. A major focus of my research has been the development and implementation of low-barrier, emergency department– and mobile-based strategies to expand HIV testing and prevention services, including pre-exposure prophylaxis (PrEP), for hard-to-reach populations. I have led and collaborated on multiple studies examining real-world PrEP delivery in time-constrained clinical environments and have extensive experience partnering with harm reduction organizations, health systems, and public health agencies to support scalable implementation. In parallel, my work in addiction medicine has focused on emergency department–based initiation of medications for opioid use disorder, including studies of high-dose buprenorphine in the context of fentanyl exposure, as well as peer-based and recovery-oriented interventions following overdose. Across these projects, I have led multidisciplinary teams conducting pragmatic clinical trials that integrate rigorous research methods into fast-paced acute care and community settings.
Ruchi Fitzgerald, MD FAAFP

Ruchi Fitzgerald, MD FAAFP

Assistant Professor, Associate Program Director of Addiction Medicine FellowshipService Chief, Addiction Medicine Consult Service

Rush University/PCC Community Wellness

Ruchi M. Fitzgerald, MD, FAAFP is a family physician and an addiction medicine physician. She is the Service Chief of Inpatient Addiction Medicine at PCC Community Wellness, a federally qualified health center system that serves the West Side of Chicago. Dr. Fitzgerald is an Assistant Professor in the Departments of Family Medicine and Psychiatry and Behavioral Sciences at Rush University, as well as the Associate Program Director of the Rush Addiction Medicine Fellowship. She completed the addiction medicine fellowship at Rush University in 2020. She is a graduate of the University of Michigan Medical School and completed her family medicine residency in 2012 with the Montana Family Medicine Residency. Dr. Fitzgerald developed an interest in provision of care for underserved populations and those affected by substance use disorders during her residency. Dr. Fitzgerald also has extensive experience in telemedicine. During her fellowship, Dr. Fitzgerald worked with the addiction medicine faculty to create RISE-MD (Rush Integrative Substance Use Disorder Education for Medical Doctors), an educational initiative in Rush Medical College that focuses on eliminating stigma while promoting evidence-based treatment of substance use disorders in the next generation of physicians. She has worked with the American Society of Addiction Medicine and the Illinois Society of Addiction Medicine on key advocacy and policy initiatives related to substance use disorders. Dr. Fitzgerald is also an active member of the Federation of State Physician Health Programs and is an advocate for physician health and wellness.

No Relevant Financial Disclosures

Francesco Tani, DO

Francesco Tani, DO

Addiction Medicine inpatient assistant chief

PCC wellness

Francesco Tani D.O. AAHIVS; Inpatient Addiction Medicine Assistant Service Chief, PCC Community Wellness

Dr. Tani is an Assistant Professor in the Departments of Family Medicine and Psychiatry & Behavioral Sciences at Rush University, as well as core faculty for the Rush Addiction Medicine Fellowship. He is the Assistant Service Chief of Addiction Medicine Consult Service at PCC Community Wellness Center, a federally qualified health center that serves the west side of Chicago. Dr. Tani also sees patients in his family practice clinic, Howard Brown Health, an FQHC on Chicago’s north side where he also provides gender affirming care and HIV treatment.

Dr. Tani’s scholarly and clinical work has focused on advancing low barrier substance use disorder treatment in medically underserved populations, and integrating addiction treatment with primary care in safety net settings. He has taught in local, regional and national settings and enjoys working with interprofessional teams to promote best practices for substance use disorder treatment.

Cayse Powell, MD, MPH

Cayse Powell, MD, MPH

Fellow, Preventive Medicine and Public Health

Cook County Health/Northwestern University Feinberg School of Medicine

Cayse M. Powell, MD, MPH is a Fellow in Preventive Medicine and General Public Health at Cook County Health and Northwestern University Feinberg School of Medicine. He completed a residency in Obstetrics, Gynecology, and Women's Health at the University of Louisville in 2017 and received an MPH at the Johns Hopkins University Bloomberg School of Public Health in 2025. Dr. Powell is a person with lived experience, and is a physician in long term recovery. He has experience in caring and advocating for patients with SUDs, including pregnant and postpartum individuals and other marginalized populations and prescribing PrEP. He also have significant experience coordinating industry sponsored clinical drug trials. Dr. Powell's clinical and academic interests include maternal substance use disorders, LGBTQ+ health, and infectious disease as it relates to these populations.
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Accreditation & Credit Designation Statements

Joint Accreditation Statement

In support of improving patient care, the American Society of Addiction Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

The American Society of Addiction Medicine designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses

This activity awards 1.25 Nursing contact hours.

Pharmacology Hours

This activity has .75 hour(s) that satisfy the requirements for NP and PA Pharmacology Hours.

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PAs

ASAM has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1.25 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.25 AAPA Category 1 CME credits. Approval is valid until 05/25/2029.  PAs should only claim credit commensurate with the extent of their participation.

Social Workers

As a Jointly Accredited Organization, ASAM is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.25 general continuing education credits.

IPCE Credit

This activity was planned by and for the healthcare team, and learners will receive 1.25 Interprofessional Continuing Education (IPCE) credits for learning and change.

California Association for Drug/Alcohol Educators (CAADE)

This educational program is approved by CAADE: #CP40 999 1225.

California Association of DUI Treatment Centers (CADTP)

This educational program is approved by CADTP: #205.

California Consortium of Addiction Programs and Professionals (CCAPP)

This educational program is approved by CCAPP: # OS-20-330-0227.

Other Professions - Continuing Education Credits (CEUs)

Upon completion of the activity and online evaluation, all other participants may request a certificate of participation. Participants may submit this certificate of participation to their professional organization/institute as documentation for completing this accredited continuing activity.

Maintenance of Certification (MOC) or Continuing Certification Programs (CCP)

This activity is designed to meet the requirements for MOC/CCP for several primary physician boards and for state licensing CME requirements. MOC Credit is only reported and designated for ABA, ABIM, ABP and ABS. By completing the online credit claim and evaluation, the learner permits ASAM to report credits to the appropriate Board. Learn more.

American Board of Anesthesiology (ABA)

This activity offers up to 1.25 CME credits, of which 1.25 credits contribute the patient safety CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

Maintenance of Certification in Anesthesiology® and MOCA® are registered certification marks of the American Board of Anesthesiology®

American Board of Internal Medicine (ABIM)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.25 Medical Knowledge MOC points and patient safety MOC credit in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Pediatrics (ABP)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1.25 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Preventive Medicine (ABPM)

This activity has been designed to satisfy the Lifelong Professional Development requirements of The American Board of Preventive Medicine’s Continuing Certification (CCP) requirements. These credits are not reported directly to ABPM. Please save your certificate for your records.

American Board of Psychiatry and Neurology (ABPN)

This activity has been designed to satisfy the CME requirements of the American Board of Psychiatry and Neurology’s Continuing Certification (CC) requirements. These credits are not reported directly to ABPN. Please save your certificate for your records.

American Board of Surgery (ABS)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME requirement of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Royal College of Physicians and Surgeons of Canada (RCPSC)

The Royal College of Physicians and Surgeons of Canada will recognize activities registered for CME for MOC as meeting the requirements for Royal College MOC Program Section 3 (Self-Assessment Programs) credits. Visit CME that Counts for Royal College MOC for more information.

Disclosure Information

In accordance with the disclosure policies of ASAM and Joint Accreditation, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all accredited continuing education activities. These policies include identifying and mitigating all relevant financial relationships with ineligible companies for those involved in the creation and dissemination of accredited continuing education. Click here to view the full disclosure listing.

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View On-Demand Recording
Open to view video.  |   Closed captions available
Open to view video.  |   Closed captions available Video is approximately 75 minutes long. Recorded between 04/23/26 - 04/26/26.
You must register to access.
Complete Post Test
5 Questions  |  10 attempts  |  4/5 points to pass
5 Questions  |  10 attempts  |  4/5 points to pass This post-test has 5 questions and requires 4 out of 5 to pass the quiz.
You must register to access.
Complete Evaluation
9 Questions
9 Questions Scroll down within the evaluation, as some questions may extend beyond the visible window.
You must register to access.
Claim Credit & Certificate
Up to 1.25 medical credits available  |  Certificate available
Up to 1.25 medical credits available  |  Certificate available Attendees should claim only the credit commensurate with the extent of their participation in this activity.
You must register to access.