Options Counseling for Unintended Pregnancy
Subjects:
How the programs train on Options Counseling in terms of both didactic and experiential/procedural skills training
Evaluation methodologies for individual resident competencies and to evaluate programmatic outcomes
Plans to enhance teaching methodologies
How the programs train on Options Counseling in terms of both didactic and experiential/procedural skills training
- Three interactive half-day conferences
- Early Abortion Training Workbook: Case and evidence based training manual
- Four days at Planned Parenthood on gynecology rotation
- Weekly early pregnancy options clinic at Family Practice Center
- Opt-Out curriculum
- Contraceptive training
- Grand rounds
- Journal clubs and discussion groups
- “On-call” experiences
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- We have developed didactic conferences on options
counseling, evidence based contraception, abortion
provision and complications, and adoption
- Residents participate in training at Planned Parenthood Golden Gate where counseling is observed and then performed under supervision
- Residents are guided by a TEACH Trainer
- Residents may learn about procedures this is an opt-out option
- All residents have felt comfortable counseling
- We utilize TEACH Early Abortion Training Workbook as a resource and to complete case-based reviews (www.ansirh.org/training)
- Residents see a diverse population
- Residents develop skills in interviewing
- Counseling skills are integrated with behavioral science training
- We have developed and instituted a protocol to ensure that all women with newly diagnosed pregnancy tests at the Family Health Center have consistent and immediate access to options counseling
- Ongoing discussions
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- Guest lectures by experts in the field
- One-on-one student/faculty training and advising
- Interactive PowerPoint presentations
- Procedural training during rotation
- Procedural training in Larry Leeman’s family practice women’s health clinic
- Options counseling and clinical protocols developed using peer edited resources
- Annual Contraceptive Update lecture during Grand Rounds
- Patient education handouts
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Evaluation methodologies for individual resident competencies and to evaluate programmatic outcomes
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PGY2: Personal and written feedback from Trainer at Planned Parenthood
- PGY3: Feedback from faculty after sessions at early pregnancy clinic
- PGY3: Self-assessment of skills doing options counseling by New Innovations evaluation standardized form
- New Innovations evaluation standardized form
- One-on-one teaching sessions with faculty
- One-on-one self reflection with faculty
- OSCE evaluation
- Ongoing research and evaluation
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Pre-training baseline skills and knowledge evaluation and post-training comprehensive formal evaluation of clinical knowledge, procedural and patient skills during TEACH rotation
- Electronic evaluation of residents during TEACH rotation, covering procedural, counseling and professional competencies.
- Ongoing evaluation and preceptorship of residents by faculty
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Students evaluate the rotation
- Each resident is evaluated using a standardized form for communication
- Formal self-reflection session
- Begun working with RHEDI
- Publications in peer review journals and at national conferences
- Developed an OSCE (Objective Structured Clinical Examination)
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Plans to enhance teaching methodologies
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Continue to integrate training program and on-site reproductive health clinic
- Enable residents to offer options counseling at medication abortion in continuity clinics
- Submitting article to Family Medicine on residency education on abortion
- Expanding TEACH curriculum
- Advocate for comprehensive reproductive health training locally and nationally
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Integrate medication abortion into Family Health Center services summer 2006
- Integrate training materials for pregnancy loss
- Continue to share experience with other residency programs
- Increase involvement in state and national Family Practice policy and continuing medical education in reproductive health for primary care providers.
- Train other physicians regionally
- Continue to evaluate training
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