At the conclusion of the program, you should be able to:

  1. List key elements of pregnancy options and informed consent counseling
  2. Consider benefits of providing these services in a primary care vs. specialty setting.
  3. Describe management options for early pregnancy loss
  4. Describe the steps involved or provide early medication abortion care
  5. Perform uterine aspiration for abortion or early pregnancy loss
  6. Describe the management of complications related to early pregnancy loss, medication abortion, and uterine aspiration
  7. Provide patient-centered contraceptive counseling and management


This program will vary depending on the training setting. We encourage use in professional training programs, clinics, or individual practice in the U.S. or abroad.

When this curriculum is reviewed as part of hands-on clinical training, each trainee should:

  • Meet with faculty for orientation and values exploration around pregnancy options
  • Follow patient(s) through visits from counseling to recovery
  • Review best practices and participate in patient-centered reproductive counseling
  • Review routine aftercare and follow-up including for those referred out
  • Discuss cases involving routine care and rare complications
  • Learn the contraceptive options, contraindications, side effects, initiation and removal
  • Participate in counseling, evaluation, and management of early pregnancy loss

Those participating in abortion training will also: 

  • Review steps to evaluate and counsel patients before and after medication abortion
  • Handle procedural instruments using the “no touch” technique
  • Observe and perform first-trimester uterine aspiration procedures
  • Perform tissue examinations to identify pregnancy elements accurately.


  • We encourage evaluation focused on core competencies for individual learners rather than a specific number of procedures or sessions. Depending on patient volume, 4-8 day-long sessions may be adequate for a full participant and 1-4 sessions may provide adequate exposure for a partial participant not learning uterine aspiration.   


  • Those interested in gaining more in-depth skills and knowledge may also:
    • Complete elective clinical sessions and procedural exposure
    • Complete further training on complex cases and complication simulations
    • Read Chapter 9 on Becoming a Provider
    • Complete supplemental videos and readings (such as Paul Textbook, 2009)
    • Get involved in networking, advocacy, & leadership activities, such as TEACH’s CREATE (Advanced Training and Leadership) Program, or RHAP Cluster
    • Plan for additional training, mentorship, and / or fellowship opportunities



EARLY ABORTION TRAINING CURRICULUM Copyright © 2020 by UCSF Bixby Center for Global Reproductive Health. All Rights Reserved.