Team Approach to Addressing Comorbidities in Aging Populations of PLWH

This activity is part of a series


Carlos Malvestutto, MD, MPH
Associate Professor
Division of Infectious Diseases
Department of Medicine
The Ohio State University Wexner Medical Center
Columbus, OH
Carlos Malvestutto, MD, MPH

Carlos Malvestutto, MD, MPH is an Associate Professor of Clinical Medicine in the Division of Infectious Diseases at the Ohio State University Wexner Medical Center. Dr. Malvestutto completed his undergraduate degree at Yale University in New Haven, Connecticut and his master’s in public health at Johns Hopkins University Bloomberg School of Public Health in Baltimore, Maryland. He earned his medical degree from the Ponce Health Sciences University in Ponce, Puerto Rico. He then completed his residency in Internal Medicine at Mount Sinai Hospital in New York, New York and his Infectious Disease Fellowship at New York University Medical Center-Tisch Hospital in New York, New York.

Dr. Malvestutto’s research has focused on cardiovascular complications of HIV as well as HIV cure strategies using broadly neutralizing antibodies. He is a member of the HIV Reservoirs and Viral Eradication  (Cure) Transformative Science Group of the AIDS Clinical Trials Group and serves in the Ending the HIV Epidemic Working Group of the HIV Medical Association.

Milena Murray, PharmD, MSc, BCIDP, AAHIVP, FCCP
Associate Professor
Midwestern University College of Pharmacy, Downers Grove Campus
System-Level HIV/ID Clinical Pharmacist
Northwestern Medicine
Chicago, IL
Milena Murray, PharmD, MSc, BCIDP, AAHIVP, FCCP

Milena Murray, PharmD, MS, is an Associate Professor of Pharmacy Practice at Midwestern University College of Pharmacy, Downers Grove campus and a System-Level HIV/ID Clinical Pharmacist at Northwestern Medicine. Dr. Murray completed her Doctor of Pharmacy degree at the Philadelphia College of Pharmacy and her Master of Science in Clinical Investigation at Northwestern University. Her post-graduate training consisted of a PGY-1 Pharmacy Residency at Maimonides Medical Center in Brooklyn, New York, and an Infectious Diseases Pharmacotherapy Fellowship at Northwestern Memorial Hospital through Midwestern University. Her primary research interests are drug shortages and HIV/Hepatitis C pharmacotherapy. Dr Murray is a Board-Certified Infectious Diseases Pharmacist and an AAHIVM HIV Pharmacist.

Statement of Need

With the advancement of treatments for people living with HIV (PLWH), having a longer lifespan requires clinicians to balance treatment for HIV with other comorbid or chronic conditions associated with aging. For example, people aging with HIV (PAWH) show higher risks of cardiovascular disease and certain types of cancers compared to those without HIV. It is common for PAWH to follow multiple medication treatments (polypharmacy) for their HIV and other chronic conditions. Clinicians treating PAWH need to understand the interactions of the conditions, the polypharmacy or various medications prescribed, and work with one another as a team to best treat these patients and meet their unique health care needs.

This CMEO BriefCase entitled, Team Approach to Addressing Comorbidities in Aging Populations of People Living With HIV (PLWH), will discuss a specific case of an individual facing the challenges of living with HIV and having other comorbid or chronic conditions as a matter of aging. Expert faculty will discuss a team-based approach to caring for PAWH, including how to balance the various treatments and polypharmacy for HIV and other common conditions associated with aging.

Learning Objective

Utilize team-based interdisciplinary care to optimize HIV and comorbidity outcomes in aging patients.

Financial Support

This program has been supported by an independent educational grant from Gilead Sciences, Inc.

Target Audience

Primary care physicians, physician associates (PAs), nurse practitioners (NPs), nurses, and pharmacists specializing in HIV.

Credit Information

Jointly Accredited Provider

In support of improving patient care, CME Outfitters, LLC, 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.

Interprofessional (IPCE) 1.0

This activity was planned by and for the healthcare team, and learners will receive 1.0 Interprofessional Continuing Education (IPCE) Credit for learning and change.

Nurses (ANCC) 1.0

This activity is designated for 1.0 contact hour.

Note for California Nurses

This continuing nursing education activity was approved by the California Board of Registered Nursing. CME Outfitters, LLC’s provider number is CEP15510.

Pharmacists (ACPE) 1.0

This application-based activity is approved for 1.0 contact hour (0.10 CEUs) of continuing pharmacy credit.
Activity UAN: JA0007185-0000-23-072-H01-P

PAs (AAPA) 1.0

CME Outfitters, LLC, has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. Approval is valid until the expiration date listed above. PAs should only claim credit commensurate with the extent of their participation.


Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 medical knowledge MOC point 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.

MIPS Improvement Activity

Completion of this accredited CME activity meets the expectations of an Accredited Safety or Quality Improvement Program (IA_PSPA_28) for the Merit-based Incentive Payment Program (MIPS). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Royal College MOC

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and mitigated any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process.

Dr. Malvestutto reports the following financial relationships: Advisory Board: Gilead Sciences, Inc.; ViiV Healthcare; and Pfizer Inc. Research Support: Lilly.

Dr. Murray reports the following financial relationships: Advisory Board: Janssen Pharmaceuticals, Inc. and ViiV Healthcare. Speakers Bureau: Gilead Sciences, Inc.; Merck & Co., Inc.; and ViiV Healthcare.

Disclosures were obtained from the CME Outfitters, LLC staff; no disclosures to report:

  • Joshua Caballero PharmD, BCPP, FCCP (peer reviewer)
  • Michael Franks, APRN, AGACNP-BC, FNP-BC (peer reviewer)
  • Mary Gleason, PhD (planning committee)
  • Kellie Busby, PharmD (planning committee)
  • Susan H. Yarbrough, CHCP (planning committee)
  • Sandra Caballero, PharmD (planning committee)
  • Sharon Tordoff (planning committee)

Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.

Obtaining Credit

Post-tests, credit request forms, and activity evaluations must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (75% pass rate required). This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit our Privacy & Confidentiality page.

Questions about this activity?

Call us at 877.CME.PROS (877.263.7767).


Team Approach to Addressing Comorbidities in Aging Populations of PLWH
Event Date: 08/21/2023