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Description & Requirements
Description & Requirements
While HIV incidence has declined substantially from four decades ago, our progress will need to accelerate to accomplish the national Ending the HIV Epidemic objectives. PrEP is one of the most powerful tools for HIV elimination, albeit uptake, adherence, and persistence have been uneven across populations. For example, at San Francisco City Clinic (SFCC), San Francisco's municipal sexual health clinic, PrEP use is lower among black/African American patients than those of other race/ethnicities, and much lower among eligible women and people who use drugs (PWUD) compared with men who have sex with men (MSM). SF Department of Public Health (SFDPH) recently funded 7 health access points (HAPs) to deliver low barrier HIV and STI prevention services to priority populations in SF County. The HAP at the Ward 86 HIV Clinic (known as "The Lobby”) provides prevention and treatment services to people experiencing homelessness (PEH), PWUD and other people who need low-barrier care access.
Lenacapavir, delivered by a biannual injection, may lead to higher rates of persistence given challenges coordinating follow-up ever 8 weeks among a population with intermittent phone access, competing subsistence needs, and a high burden of substance use and mental health challenges. We have previously shown that more rapid PrEP initiation is associated with greater PrEP persistence. This proposal will build on our expertise in both rapid ART and PrEP start, and have a long history of leadership in PrEP implementation. SFCC was one of the 3 participating clinics in the United States PrEP demonstration study, a landmark study that demonstrated the acceptability and feasibility of implementing oral TDF/FTC for PrEP in sexual health clinics and community health centers, and has developed expertise in rapid PrEP implementation. Ward 86's the Lobby has growing experience initiating individuals rapidly on cabotegravir, and has been one of the largest implementers of long-acting PrEP in the city. SF Getting to Zero's New Product Initiative (NPI) is conducting sentinel surveillance of implementation of biomedical HIV/STI prevention tools in San Francisco, including LA-PrEP, which will provide key study infrastructure for this proposal. In this study, we propose to assess factors associated with uptake and persistence of LEN for PrEP in real-world urban settings, along with factors affecting implementation, and develop a toolkit to facilitate LEN implementation in similar clinical settings in other high incidence jurisdictions.
In addition to coordinating the LEN PrEP Study at Ward 86, the CRC will be asked to assist with IRB management of Dr. Gandhi’s studies, as well as occasionally support sample collection and coordination in Dr. Gandhi’s Hair Analytical Lab.
The Clinical Research Coordinator’s duties may include, but will not be limited to supporting the management and coordinating the tasks of single or multiple clinical research studies, depending on their size and complexity; act as intermediary between services and departments while overseeing data and specimen management; transport specimens; manage and report on study results; create, clean, update, and manage databases and comprehensive datasets and reports; coordinate staff work schedules, assist with training of other Clinical Research Coordinators (CRC) Assistant Clinical Research Coordinators (Ast CRC), and assist PI with oversight of other research staff; manage Investigator’s protocols in the Committee on Human Research (CHR) online system, as well as renewals and modifications of protocol applications and the implementation of new studies; participate in the review and writing of protocols to ensure institutional review board approval within University compliance; help assure compliance with all relevant regulatory agencies; oversee study data integrity; implement and maintain periodic quality control procedures; interface with departments to obtain UCSF approval prior to study initiation; maintain all regulatory documents; report study progress to investigators; and participate in any internal and external audits or reviews of study protocols. The incumbent will recruit, screen, enroll, and follow study participants, and interact with the study research data analyst, other clinical research coordinators, clinical researchers, collaborators, and funders.
The CRC position requires the incumbent to adhere to research protocols with an emphasis on organizational skills and attention to detail. In addition, given that the employee will be working with people living with HIV and transgender men and women, past experience or strong interest in working with some or all of these populations would be highly beneficial. The CRC will respond to communications from participants through online forums and assist them in completing study procedures, so strong communication skills will be important. The CRC will meet regularly with the principal investigator and research data analyst for the studies to ensure study milestones are met.