TRAINING PLAN

NAME: ________________________________________________________
TRAINING INITIATION DATE: _______________________________________
TRAINING COMPLETION DATE: _____________________________________

 Date  Activity  Basic  Advanced
1. ORIENTATION: ABORTION IN PERSPECTIVE
Discuss Chapter 1 and suggested videos
               Review Training Plan
Discuss reproductive justice lens, professional ethics, and abortion in both global and U.S. perspective
Discuss policies, safety issues, and emergency cart contents
Follow patient(s) through an abortion or early pregnancy loss visit
Review instruments and simulate aspiration procedure
Discuss Chapter 1 Exercises including Values Clarification
2. COUNSELING & INFORMED CONSENT
Discuss Chapter 2 and suggested videos
Observe or role play pregnancy options counseling
Observe or role play abortion counseling
Discuss Chapter 2 Counseling and Consent Exercises
Paul Textbook Chapter 5 & 16: Informed Consent and Counseling and Answering Questions about Long-term Outcomes
3. PRE-ABORTION EVALUATION
Discuss Chapter 3 and suggested videos
Review pregnancy testing and dating methods
Review medical history pertinent to uterine aspiration
Observe and perform early pregnancy ultrasound examinations
Perform pelvic examinations for uterine sizing and position
Discuss diagnosis of viable, non-viable and ectopic pregnancy
Discuss Chapter 3 Pre-Abortion Evaluation Exercises
Paul Textbook Chapter 6 & 7 – Clinical Assessment and Ultrasound in Early Pregnancy and Medical Evaluation
4. MEDICATION ABORTION
Discuss Chapter 4 and suggested videos
Discuss various medication abortion regimens and access issues
Review counseling, patient information, and patient selection
Provide regimen and patient information
Review follow-up to assess completion of abortion
Discuss Chapter 4 Medication Abortion Exercises
5. PAIN MANAGEMENT & MEDICATIONS
Discuss Chapter 5 and suggested videos
Review medications including antibiotics, & pain medications used for oral and IV sedation, patient selection, and monitoring
Review agents and methods used for cervical anesthesia
Administer effective cervical anesthesia
Review appropriate selection criteria, monitoring and administration of IV sedation
Discuss Chapter 5 Pain Management & Medications Exercises
Paul Textbook Chapter 8 – Pain Management

Note: SHADING indicates optional activities depending on training goals.

 Date  Activity  Basic  Advanced
6. UTERINE ASPIRATION PROCEDURE
Discuss Chapter 6 and suggested videos
Observe procedure, review use of equipment and instruments with faculty, and practice “no touch” technique
Perform accurate tissue examinations
Review strategies for minimizing and managing complications
Discuss Chapter 6 Uterine Aspiration Exercises
Perform MVA to competency
Perform EVA to competency
Paul Textbook Chapters 10, 13, & 15 – First Trimester Aspiration, The Challenging Abortion, & Surgical Complications
7. CONTRACEPTION & ABORTION AFTERCARE
Discuss Chapter 7 and suggested videos
Review and practice patient-centered contraceptive counseling
Review tools for providing evidence-based contraception and determining medical eligibility
Perform IUD and contraceptive implant placement
Review aftercare instructions, and precautions
Observe recovery room procedures
Discuss Chapter 7 Contraception and Abortion Aftercare Exercises
8. MANAGEMENT OF EARLY PREGNANCY LOSS
Discuss Chapter 8 and suggested videos
Review counseling for Early Pregnancy Loss
Discuss management options for Early Pregnancy Loss
Discuss Chapter 8 Early Pregnancy Loss Exercises
9. BECOMING A PROVIDER
Discuss Chapter 9 and suggested videos
Complete Paul Textbook suggested supplemental readings to deepen knowledge base
Discuss trainee aspirations and pertinent advanced opportunities
Discuss Chapter 9 Exercises on Becoming a Provider
10. TEACHING POINTS
Review Content while working through each chapter
11. BECOMING A TRAINER (Available online)
Review Content, exercises and suggested videos
12. OFFICE PRACTICE INTEGRATION (Available online)
Review Content, exercises and suggested videos
13. EVALUATION (Options available online)
Review Skills Assessment with faculty
Complete Training Program Evaluation

Note: SHADING indicates optional activities depending on training goals.

License

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