Editors: Suzan Goodman MD, MPH, Gabriel Flaxman MD
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.