• Expose each trainee to the process of values clarification prior to, or early in patient contact, and individualize a learning plan for each trainee. Log issues encountered that trainees want help deciphering and revisit their learning plan throughout the training experience.
  • Teach opt-out trainees to gain core skills including pregnancy dating, ultrasound, options and contraceptive counseling, referral skills, miscarriage and complication management.
  • Make learning expectations clear. Each skill can be broken into distinct steps with observable competencies for learners and for trainers-in-training.
  • Distinguish recommendations based on evidence versus those based on provider preference.
  • Introduce yourselves as a team to maintain the patient’s confidence.
  • Learn to manage competing priorities in a busy clinic, including patient support and safety, clinic flow, and training learners with different skills and interest.
  • Give the trainee the first opportunity at self-evaluation, and offer positive reinforcement before constructive criticism in a specific and timely fashion.


  • Prioritize patient safety (when teaching); review plans for communication that would prompt a trainee to allow you to take over.
  • Progressively involve a new trainee in the procedure as they gain more confidence.
  • Take every opportunity to discuss the management of potential complications ahead of time, which will help prepare trainees for the challenges they may encounter.


  • Train new providers as part of a collaborative national effort aimed to normalize abortion within the healthcare system and address the abortion provider shortage.


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