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VHHITAL
VHHITAL is the Victorian HIV and Hepatitis Integrated Training And Learning program.
| Faculty biographies | Referral and support |
What is VHHITAL?
VHHITAL delivers comprehensive education and training for the primary health care workforce for the diagnosis, treatment and management of HIV, hepatitis B, hepatitis C and sexually transmitted infections (STI).
It includes the provision of training and certification for practitioners who prescribe highly specialised drugs administered under Section 100 (S100) of the National Health Act 1953.
The program aims to:
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- improve the capacity of the general practice workforce to screen, treat and manage HIV, hepatitis B, hepatitis C and STIs
- improve alignment of general practitioners with priority populations and areas of high prevalence for HIV, hepatitis B, hepatitis C and STIs
- improve access to community testing and prescribing for HIV, hepatitis B, hepatitis C and STIs
- improve networking opportunities for prescribers.
Education and training
VHHITAL training is delivered throughout Victoria. To find out about upcoming events, sign up to the VHHITAL mailing list by emailing vhhital@nwmphn.org.au, or see the events calendars below.
View the statewide BBV and STI events calendar
Essentials, or introductory courses, are delivered by topic experts and experienced educators to help you to get started. Advanced courses explore more complex presentations, treatment, contact tracing, and emerging drug resistance.
Section 100 (s100) prescriber courses are available for all eligible nurse practitioners and GPs who wish to expand their knowledge in HIV and HBV treatment and management, with a path to prescriber accreditation and mentoring at the end of the course.
Our step by step education enables you to start at any point and build skills as you go. You can complete all courses, or select those relevant to you. Each course increases your confidence with blood borne viruses and STIs to make sexual health part of your everyday practice.
Courses
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STI Essentials for Primary Care
Before attending the STI courses, we recommend you watch the primer videos below to support your learning.
Over the past 10 years in Victoria rates of syphilis, chlamydia and gonorrhoea have all increased, and primary health care practitioners are the key to bringing these epidemics under control. STIs are not always visible, but can cause severe health problems if left undiagnosed and untreated.
This informative and interactive session provides the understanding and tools to confidently manage common STI screening and care, making sexual health a routine everyday part of your primary health care practice. The option of referring complex cases and receiving other supports from the new sexual health sentinel clinics will be highlighted.
Learning outcomes:
- Improved understanding of sexual health care for young people, pregnant women and other key populations.
- Know how to approach taking a sexual history.
- Be able to describe the clinical presentation of chlamydia, gonorrhoea, and syphilis.
- Be able to correctly perform comprehensive sexual health screening, including testing for the most common STIs.
- Manage treatment, contact tracing and, if necessary, referrals using the Health Pathways tool.
Format: Online, 2 hours.
Presenters & Facilitators: Dr Melanie Bissessor, Sexual Health Physician, Melbourne Sexual Health Centre.
Learning Methods: Presentation, case discussion, Q&A.
Continuing Professional Development: 4 x RACGP CPD hours (Educational Activity)/2 x ACRRM PDP points. All participants will receive a certificate of attendance.
To register your interest for future sessions, contact the VHHITAL team at vhhital@nwmphn.org.au, with subject line: ‘EOI (name of course)’.
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Syphilis Advanced Webinar for Primary Care
Before attending the STI courses, we recommend you watch the primer videos below to support your learning.
Infectious syphilis has significantly increased in Victoria over the past decade. There were 298 cases in 2010 but the rate is now close to 2,000. Gay, bisexual and other men who have sex with men continue to make up the volume of cases.
This course builds on VHHITAL’s STI Essentials course and provides skills and resources for primary health care practitioners to confidently implement guideline-based management of patients diagnosed with syphilis, improving patient outcomes. Course numbers are limited to maximise participation in the case study discussions.
Learning outcomes:
- Understand and reinforce that sexual health is everyday routine business for primary care.
- Describe the clinical presentation of primary, secondary and latent syphilis.
- Correctly perform testing for syphilis.
- Implement guideline-based management of patients diagnosed with syphilis.
- Recap contact tracing and its key role in managing STIs.
- Apply learning in case study discussions.
Presenters & Facilitators: Dr Melanie Bissessor, sexual health physician, Melbourne Sexual Health Centre, Alfred Health.
Format: Online, 2 hours.
Learning Methods: Presentation, case discussion, Q&A.
Continuing Professional Development: 4 x RACGP CPD hours (Educational Activity)/2 x ACRRM PDP points. All participants will receive a certificate of attendance.
Upcoming sessions
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Mycoplasma Genitalium (MG) and Drug Resistant STIs
Before attending the STI courses, we recommend you watch the primer videos below to support your learning.
Mycoplasma genitalium (MG) and gonorrhoea are relatively common in Australia. Both have developed antimicrobial resistance in recent years, rendering them increasingly difficult to treat. This course delves into treating them and other evolving drug-resistant STIs.
Learning outcomes
- Define the epidemiology and mechanisms of microbial resistance in sexually transmitted infections (STIs)
- Identify the testing methods for the presence of microbial resistance
- Discuss treatment options for microbial resistant sexually transmitted infections (STIs) with patients
- Describe other emerging sexually transmitted infection (STI) resistance possibilities and options for specialist advice and referral in managing treatment.
Format: Online, 2 hours.
Learning Methods: Presentation, case discussion, Q&A.
Presenter & Facilitator: Dr Melanie Bissessor, Sexual Health Physician, Melbourne Sexual Health Centre.
Continuing Professional Development: 4 x RACGP CPD hours (Educational Activity). All participants will receive a certificate of attendance.
Upcoming sessions
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PrEP & HIV Essentials for Primary Care
Pre-Exposure Prophyslaxis (PrEP) is an effective HIV prevention strategy in high demand within the community. On April 1st 2018, PrEP was listed on the Pharmaceutical Benefits Scheme (PBS) as a general schedule s85 item. GPs and nurse practitioners can prescribe it, and community pharmacies are able to dispense it.
This session will guide you on which populations the treatment is suitable for, and how to initiate it with ease.
Learning outcomes:
- Describe different HIV prevention strategies.
- Explain different options for PrEP dosing.
- Use the PrEP decision-making tool to manage patients.
- Explain the effectiveness and appropriate use of PrEP/PEP (post-exposure prophylaxis) to patients.
Format: Online, 2 hours.
Presenters & Facilitators: Dr Matt Penn
Continuing Professional Development: 4 x RACGP CPD hours (Educational Activity)/2 x ACRRM PDP points. All participants will receive a certificate of attendance.
To register your interest contact the VHHITAL team at vhhital@nwmphn.org.au, with subject line: ‘EOI (name of course)’.
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Hepatitis B s100 Prescriber Course
Advanced level training that enables Victorian GPs and nurse practitioners to effectively diagnose, manage and treat chronic hepatitis B in primary care settings. Successful completion of the training and assessment accredits community-based medical practitioners to prescribe s100 highly specialised drugs for the treatment of chronic hepatitis B.
Learning outcomes:
- Outline the critical role of primary care in the diagnosis, management and treatment of people living with chronic hepatitis B.
- Plan long-term care, including guideline-based monitoring and hepatocellular carcinoma screening, for patients with chronic hepatitis B.
- Select and prescribe first-line antiviral treatment when clinically indicated.
- Identify situations where specialist advice or referral is required.
- Integrate principles of person-centred and culturally competent care into hepatitis B management.
This course is in high demand and places are limited. By agreeing to register you agree to also gain HBV s100 accreditation, and can commit to attending all the live sessions and course work.
Format: Online, over 3 weeks.
Requirements
Prior to the course:
- Pre-course survey (10 minutes to complete)
- Hepatitis B introductory online modules (about 1 hour to complete).
During the course:
- Completion of pre-recorded video modules. Between each webinar, 30-minute video lectures are available for participants to watch in their own time. The interactive webinar activities are based on content these lectures.
- Live webinars. Attending three webinars is compulsory for completion of the course and to receive accreditation.
- Completion of assignment. One assignment, which contains a case study, must be completed during the course. It takes about 30 minutes.
After the course: A post-course online assessment and survey must be completed to become an accredited hepatitis B s100 prescriber. This comprises 30 case-based multiple choice questions.
Presenters & Facilitators: VHHITAL has a faculty of specialists and general practitioner trainers for its hepatitis B prescriber course, including Professor Ben Cowie, Dr Nicole Allard and Dr Lester Mascarenhas.
Continuing Professional Development: Pending Accreditation with RACGP and ACRRM for the 2023-25 Triennium.
Upcoming sessions
- Starts: Tuesday, 16 April 2024
- Ends: Tuesday, 30 April 2024
Register here.
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HIV s100 Prescriber Course
This course is designed to support GPs and nurse practitioners in managing and treating HIV in the general practice setting, providing the opportunity to establish relationships with local specialist services for ongoing mentoring and referral. Upon successful completion of this training and the associated assessment, you may apply to your relevant state department of health for authority to prescribe section 100 drugs for the management of HIV in Australia.
This course is in high demand and places are limited. We kindly ask that you only register if you intend to gain HIV s100 accreditation and can commit to attending all the live sessions and the course work.
Learning outcomes:
- Describe the principles of initiation of antiretroviral therapy.
- Evaluate the complexity of factors influencing patients’ treatment decisions.
- Develop a clinical management plan for a patient on therapy, incorporating strategies for health promotion and harm minimisation.
- Describe the contributing factors to the development of treatment toxicities and antiretroviral resistance.
- Identify appropriate referral pathways for complex HIV issues including salvage therapy, women considering pregnancy and IRIS.
Format: Online, over 4 weeks.
Requirements:
- Pre-course activity. Multiple choice questionnaire (mandatory, taking about 8 minutes).
- Introduction to HIV online learning modules. Self-paced online learning modules (mandatory, about 3 hours).
- HIV Prevention, video module. Online video presentation (mandatory, about one hour).
- Australian PEP (post-exposure prophylaxis) Guidelines. Pre-reading in preparation for week one case discussion (optional, about one hour).
During the course:
- Completion of pre-recorded video modules. Each week, video lectures lasting between 1.5 and 2 hours will be available for participants to watch in their own time. The interactive webinar activities will be based on content from these lectures.
- Live webinars. Attending of 4 live webinars is compulsory for successful completion of the course.
- Completion of assignments. Two 30-minute case study assignments must be completed during the course.
After the course: A post-course online assessment comprising multiple choice questions must be completed to become an accredited HIV s100 prescriber.
Presenters & Facilitators: VHHITAL has a faculty of highly experienced specialists and general practitioner trainers for our HIV s100 prescriber course, including Dr Olga Vujovic, Dr Matt Penn, Dr David Griffin and Professor Jenny Hoy.
Continuing Professional Development:12.5 RACGP CPD hour – Educational Activities & 9.5 RACGP CPD hour – Reviewing Performance
To register your interest for future sessions, contact the VHHITAL team at vhhital@nwmphn.org.au, with subject line: ‘EOI (name of course)’.
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Hepatitis C for Nurses and Midwives
This free facilitated online training course by VHHITAL and ASHM provides nurses with the knowledge and confidence to increase screening and management of hepatitis C in primary care settings. The training is for nurses and midwives working in VIC and ACT.
Learning outcomes
- Describe risk factors for HCV, enabling discussions with patients around prevention
- Discuss HCV serology to identify opportunities for screening, testing and linkage-to-care
- Explain the nurse’s role in providing culturally appropriate care, free from stigma and discrimination, to people from priority populations
- Explain the nurse’s role in the management of chronic HCV, advanced liver disease and hepatocellular carcinoma
- Outline strategies for supporting patients with medication adherence.
Learning objectives align with the Australiasian Hepatology Association (AHA) Practice Standards for the Hepatology Nurse (2015) and the AHA Consensus based Nursing Guidelines (2019). The course is also endorsed by the AHA.
Format: Online. The course is run over two days, each consisting of a 3 hour session 9.30am-12.30pm.
Target Audience: Nurses and Midwives working in sexual health services, public and private medical clinics, refugee and migrant services, correctional facilities, Aboriginal and Torres Strait Islander health services, drug and alcohol services, mental health services, and youth services.
Presenters & Facilitators:
- Dr Jacqui Richmond, Burnet Institute
Continuing Professional Development: 6.5 CPD Hours
Upcoming sessions
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Hepatitis B for Nurses and Midwives
The course will provide nursing and midwifery professionals with advanced practical skills and knowledge in hepatitis B nursing.
The course includes presentations and case discussions that introduce the epidemiology and natural history of hepatitis B; vaccination; testing; fibrosis assessment; advanced liver disease; stigma and discrimination and the cultural context of hepatitis B nursing and midwifery.
Learning outcomes:
- Outline the epidemiology of hepatitis B and the risk factors for hepatitis B transmission.
- Identify opportunities for screening and testing, vaccination and linkage to care
- Outline nurses’ and midwives’ role in providing culturally appropriate care, free from stigma and discrimination
- Outline the nurses’ and midwives’ role in identifying, diagnosing, assessing, monitoring and treating patients with chronic hepatitis B and advanced liver disease.
- Utilise innovative strategies and models of care that deliver care for patients with hepatitis B.
Course components:
This course will be presented as a mix of self-paced and live facilitated learning, providing attendees an opportunity to discuss and practice strategies with peers and specialists. This is comprised of:
- Online learning modules
- Video modules
- Two 4-hour interactive webinars via Zoom
This course is endorsed by ACN according to our Continuing Professional Development (CPD) Endorsed Course Standards. This activity, including all required pre-course and post-course work is allocated 10 CPD hours according to the Nursing and Midwifery Board of Australia – Continuing Professional Development Standard.
Australian College of Midwives CPD Endorsed Activity.
Target audience:
Nursing and midwifery professionals working with patients at risk of or living with hepatitis B based in Vic.
Presenters & Facilitators:
- Dr Jacqui Richmond, Burnet Institute
- Gabrielle Bennett, St Vincent’s Health Australia
- Phoebe Trinidad, Latrobe Community Health Service
Continuing Professional Development: 10 CPD hours
To register your interest for future sessions, contact the VHHITAL team at vhhital@nwmphn.org.au, with subject line: ‘EOI (name of course)’.
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STI Community of Practice
Communities of Practice (CoP) provide opportunities for learning, networking and collaboration for all primary health care practitioners. See the BBV/STI calendar for dates.
The STI CoP is facilitated by Melbourne Sexual Health Centre and affiliated general practices.
Upcoming sessions
Decriminalisation of sex work and impacts to GP practice
There is a long history of sex work stigma and discrimination. The Centre for Social Research in Health’s 2020 Stigma Indicators Monitoring Project, showed that 91% of sex workers report having had negative experiences in accessing healthcare and 31% of healthcare workers report enacting negative behaviours toward sex workers.
These figures highlight the importance for increased awareness and education, to remove barriers to sex workers accessing healthcare, for sexual health, mental health and all other health needs.
VHHITAL is delivering a suite of courses aimed at GPs and primary health clinicians, supporting clinical practice in primary care, AoD and mental health settings. This training will build the capacity of participants to understand their responsibilities under the new legal framework.
This education session will support mental health and AoD professionals in understanding their responsibilities under the new legislation and equip them with the knowledge and confidence needed to provide best practice healthcare to all patients, whether sex work status has been disclosed or not.
This session is co-designed by the Victorian HIV and Hepatitis Integrated Training and Learning (VHHITAL) and Vixen and is funded by the Victorian Department of Health.
Upcoming sessions:
To find out more or if you are unable to attend on this date, click here or contact the VHHITAL team at vhhital@nwmphn.org.au
Training primer to help curb STIs in Victoria
Before attending the STI courses, we recommend you watch the primer videos below to support your learning. These videos highlight the issues, signs, symptoms, tips, treatment and management of common STIs as part of everyday practice.
More Information
For further information about VHHITAL, please email vhhital@nwmphn.org.au or call (03) 9347 1188.
Consortium partners
The consortium brings the skills and resources of clinical subject-matter experts, research expertise, program development and accreditation, training and education for health professionals, and expert knowledge of the health needs of Victorian living with, or at risk of contracting blood-borne viruses (BBV).
The program is funded by the Victorian Department of Health and is delivered and managed through a consortium comprising of North Western Melbourne Primary Health Network (NWMPHN), the Australasian HIV, Hepatitis and Sexual Health Medicine Society (ASHM), Alfred Health, and the Doherty Institute.
North Western Melbourne Primary Health Network
As an independent, locally governed and run, not-for-profit organisation, NWMPHN is dedicated to strengthening primary health care, and connecting health services across the system. NWMPHN brings experience in developing, delivering and promoting education and training to the primary health workforce.
Victorian and Tasmanian Primary Health Network Alliance
NWMPHN is a member of the Victorian and Tasmanian Primary Health Network Alliance (VTPHNA). The VTPHNA enables all seven Victorian and Tasmanian primary health networks to collectively achieve the best possible outcomes for local communities and organisations through leadership, collaboration, coordination and synergy.
Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine
The Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) seeks the virtual eradication of HIV, viral hepatitis and sexually transmissible infections. It brings program experience in developing and delivering HIV, hepatitis B and hepatitis C training tailored to GPs, as well as skills in the management of assessment and ongoing accreditation of HIV and hepatitis B S100 prescribers.
Alfred Health
Alfred Health’s Department of Infectious Diseases is one of the largest and most comprehensive infectious diseases clinical services in the country and provides statewide HIV/AIDS services. It provides share-care support to low-caseload GPs, regular case discussions with high-caseload S100 clinics, lunchtime education meetings, and other HIV, hepatitis B and hepatitis C education events targeting the primary health workforce, including education in rural and regional areas.
Doherty Institute
A joint venture between The University of Melbourne and The Royal Melbourne Hospital, the Doherty Institute is a world leader in research and clinical management of BBV including HIV, hepatitis B and hepatitis C, and an experienced provider of both face-to-face and online education.
