- 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.