OPT-OUT, PARTIAL PARTICIPATION,
OR ALTERNATIVE CURRICULUM OPTIONS

This training workbook and program are designed to help all trainees achieve their individualized learning objectives in reproductive health care. Not everyone will go on to provide abortion care. However, as a primary care provider it is important that you become familiar with both services your patients seek and knowledge to help manage their follow-up care.

Professional organizations such as the AAFP, ACNM, and NONPF recommend trainees receive exposure to many core skills covered in this curriculum, including:

  • Evaluation of pregnancy dating and pregnancy risk
  • Pregnancy options and contraceptive counseling
  • Management of uncomplicated spontaneous abortion
  • IUD and contraceptive implant counseling, placement, and removal
  • First trimester uterine aspiration (considered advanced training by provider organizations of Family Physicians, Certified Nurse Midwives, Women’s Health Nurse Practitioners)

After the initial Orientation and Values Clarification, all trainees can benefit from discussing training options with their faculty to arrive at a balanced appraisal of the appropriate training content.

The alternative or opt out curriculum recommendation below is for partial participants to cover the foundation of values clarification, options counseling, contraception, follow-up care, complication management, and early pregnancy loss. Additional material can be added based on individual training goals.

Benefits commonly reported from partial participants in training include improved counseling skills, gynecologic procedural exposure, and reflection on individual values (Steinauer 2014).

SUGGESTED EXERCISES FOR PARTIAL PARTICIPATION or OPT OUT CURRICULUM

Note: SHADING indicates optional activities depending on training goals.

Date Chapter / Activity Reading / Exercises Initials
1. Orientation All / All
2. Counseling and Informed Consent All / All
3. Evaluation before Uterine Aspiration All / All
4. Medications and Pain Control
5. Uterine Aspiration Procedure (for EPL and / or Abortion)
6. Contraception and Aftercare All / All
7. Medication Abortion All / 7.2 (1), 7.3 (1-3)
8. Management of Early Pregnancy Loss All / All
9. Becoming a Provider

 

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