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Medicine Grand Rounds - How to Age Gracefully with HIV

Most patients who have been living with HIV for many years are adherent to their medications and have undetectable viral loads. However, the usual problem list associated with aging is complicated in chronic HIV with a higher incidence of cardiovascular and neurological disease, renal and hepatic impairment, and bone fracture. These increased risks are a result of direct effects of HIV infection, medication effects, and higher rates of risk factors for co-morbid conditions. Dr. Applebaum emphasizes the importance of careful medication reconciliation, frailty assessment, focused preventive care, and the value of exercise in mitigating many of the complications of aging in all populations.

Activity Details

Start Date:  October 25, 2019
End Date:  October 25, 2021

You may claim CME credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Register for the learning activity by creating an account or logging in to your account.
  2. Click Continue to navigate to the Activity Material tab. Click View Presentation to view the recording. View the entire presentation.
  3. Return to this Activity page.
  4. Click Continue to navigate to the Evaluation tab; then click the Launch button to start the evaluation.
  5. Complete and Submit the evaluation and attestation form.

When the evaluation is submitted, you will be awarded credit. You may access your transcript for verification of participation at any time via Your Account. Need help? Visit the Support Page, send an Email, or call the Center for Learning and Professional Development at (603) 653-1234, Option 1.

  • Jonathan S. Appelbaum, MD, FACP, AAHIVS
    Laurie L. Dozier, Jr., MD Education Director and Professor of Internal Medicine
    Chair, Department of Clinical Sciences
    Florida State University College of Medicine

    About our presenter: 
    Dr. Appelbaum is an internist, geriatrician, and an HIV expert. He is active regionally and nationally with the American Academy of HIV Medicine and serves on the board of directors of HealthHIV, a national organization supporting advocacy, education, capacity building and research for individuals, organizations and communities. He served as the co-principle investigator for the HIV and Aging Consensus Project and is the co-medical editor for the HIV-Age.org site.  

    Dr. Appelbaum earned his MD at the University of Miami School of Medicine and completed his internal medicine residency at the University of Massachusetts Medical Center.  Prior to relocating to Florida, he held positions at Fenway Community Health and at Brigham and Women’s Hospital in Boston, MA.
Learning Outcome

Participants will be able to discuss the impact of aging on people living with HIV, describe the assessment of older adults with HIV in the context of geriatric syndromes, and compare and contrast the approach to managing aging populations with and without HIV.


Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education (CME) activity, you must:

  • View the entire presentation
  • Complete the online Attestation of Attendance & Evaluation Form (you must register to access).

In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.

The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for How to Age Gracefully with HIV (Medicine Grand Rounds) have reported the following financial interest or relationship* with various companies/organizations. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. The speaker conflict has been resolved by validating the activity content through independent peer review by Kelly Kieffer, MD. All potential conflict(s) were resolved.

* Kelly Kieffer, MD ~ her spouse is a consultant for OcculoBio. 

* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center) and has other financial interest from Allurion. 

* Jonathan Appelbaum, MD ~ is a consultant to Merck and Viiv Healthcare.

Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.

*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center

Type:     Internet Activity (Enduring Material)
12 Registered Users