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DEDICATION
Title Page
PROLOGUE
ACKNOWLEDGEMENTS
SCIENTIFIC ADVISORY COMMITTEE
OBTAINING CONTINUING MEDICAL EDUCATION CREDITS
1. ABORTION IN PERSPECTIVE
SUMMARY POINTS
REPRODUCTIVE HEALTH THROUGH A JUSTICE LENS
EMERGING TERMINOLOGY
GLOBAL ABORTION FACTS AT A GLANCE
UNITED STATES ABORTION FACTS AT A GLANCE
AN OVERVIEW OF U.S. ABORTION LAW
ADOPTION FACTS AT A GLANCE
PROGRAM OVERVIEW AND CORE COMPETENCIES
TRAINING PLANS
PARTIAL PARTICIPATION or OPT-OUT CURRICULUM
EXERCISES: ORIENTATION: ABORTION IN PERSPECTIVE
CHAPTER 1 TEACHING POINTS: ORIENTATION: ABORTION IN PERSPECTIVE
CHAPTER 1 REFERENCES
2. COUNSELING AND INFORMED CONSENT
ADDRESSING PERSONAL AND SYSTEMIC BIAS
PREGNANCY OPTIONS COUNSELING TECHNIQUES
COUNSELING QUICK GUIDE
EARLY ABORTION OPTIONS
CONFIDENTIALITY AND INFORMED CONSENT
MAKING REFERRALS
CONSIDERATIONS FOR PERSON-CENTERED CARE
RESPONDING TO CHALLENGING QUESTIONS
POST-PROCEDURE SUPPORT
EXERCISES: COUNSELING AND INFORMED CONSENT
CHAPTER 2 TEACHING POINTS: COUNSELING & CONSENT
CHAPTER 2 REFERENCES
3. PRE-ABORTION EVALUATION
PREGNANCY CONFIRMATION AND DATING
MEDICAL EVALUATION PRIOR TO ASPIRATION
ULTRASOUND (US) OVERVIEW, METHODS, TIPS & IMAGES
ULTRASOUND FINDINGS WITH ABNORMAL PREGNANCIES
PREGNANCY OF UNKNOWN LOCATION (PUL) EVALUATION
EXERCISES: PRE-ABORTION EVALUATION
CHAPTER 3 TEACHING POINTS: PRE-ABORTION EVALUATION
CHAPTER 3 REFERENCES
4. MEDICATION ABORTION
COMPARISON OF MEDICATION ABORTION REGIMENS
MIFEPRISTONE/MISOPROSTOL ABORTION: STEP BY STEP*
ULTRASOUND AS NEEDED WITH MEDICATION ABORTION
MANAGING COMPLICATIONS OF MEDICATION ABORTION
EXERCISES: MEDICATION ABORTION
CHAPTER 4 TEACHING POINTS: MEDICATION ABORTION
CHAPTER 4 REFERENCES
5. PAIN MANAGEMENT AND OTHER MEDICATIONS
PRE-PROCEDURE MEDICATIONS
PAIN MANAGEMENT
PAIN CONTROL CONSIDERATIONS FOR PEOPLE WHO USE OPIOIDS
BASIC MEDICATION OPTIONS
MANAGING EMERGENCIES
EXERCISES: MEDICATIONS AND PAIN MANAGEMENT
CHAPTER 5 TEACHING POINTS: MEDICATIONS AND PAIN MANAGEMENT
CHAPTER 5 REFERENCES
6. UTERINE ASPIRATION PROCEDURE
TRAUMA-INFORMED CARE DURING PROCEDURES
QUICK GUIDE: COMMUNICATION DURING THE PROCEDURE
NO-TOUCH TECHNIQUE
STEPS FOR UTERINE ASPIRATION
USING MVA AND EVA EQUIPMENT
MANAGING COMPLICATIONS
EXERCISES: ASPIRATION ABORTION PROCEDURE
CHAPTER 6 TEACHING POINTS: UTERINE ASPIRATION PROCEDURE
CHAPTER 6 REFERENCES
7. CONTRACEPTION AND ABORTION AFTERCARE
CONTRACEPTIVE COUNSELING
EVIDENCE-BASED CONTRACEPTIVE GUIDANCE
MEDICAL ELIGIBILITY FOR INITIATING CONTRACEPTION
ABORTION AFTERCARE
ABORTION PROCEDURE AFTERCARE
EXERCISES: CONTRACEPTION & AFTERCARE
CHAPTER 7 TEACHING POINTS: CONTRACEPTION AND ABORTION AFTERCARE
CHAPTER 7 REFERENCES
8. EARLY PREGNANCY LOSS MANAGEMENT
EARLY PREGNANCY LOSS (EPL)
COUNSELING TIPS FOR EARLY PREGNANCY LOSS
EPL DIAGNOSTIC AND CLINICAL CONSIDERATIONS
COMPARING MANAGEMENT OPTIONS FOR EPL
EPL OPTIONS COUNSELING
STEP BY STEP: EXPECTANT OR MEDICATION MANAGEMENT
EXERCISES: EARLY PREGNANCY LOSS MANAGEMENT
CHAPTER 8 TEACHING POINTS: EARLY PREGNANCY LOSS MANAGEMENT
CHAPTER 8 REFERENCES
9. BECOMING A PROVIDER, ADVOCATE AND LEADER
BUILDING AND MAINTAINING YOUR SKILLS
LEADERSHIP, ADVOCACY, AND POLICY
FINDING PRACTICE OPPORTUNITIES
PERSONAL SECURITY
ORGANIZATIONAL AND PATIENT RESOURCES
EXERCISES: BECOMING A PROVIDER
CHAPTER 9 TEACHING POINTS: BECOMING A PROVIDER
CHAPTER 9 REFERENCES
10. PRACTICE INTEGRATION
GETTING STARTED
TRAINING STAFF FOR NEW SERVICES
MEDICAL DOCUMENTATION
QUALITY ASSURANCE AND IMPROVEMENT
REIMBURSEMENT CONSIDERATIONS
LEGAL CONSIDERATIONS AND REGULATORY COMPLIANCE
EXERCISES: PRACTICE INTEGRATION
TEACHING POINTS FOR CHAPTER 10: PRACTICE INTEGRATION EXERCISES
CHAPTER 10 REFERENCES
11. BECOMING A TRAINER
TRAINING SKILLS
CONTRIBUTE TO AN ENVIRONMENT OF EQUITY
OPT-OUT (PARTIAL PARTICIPATION) TRAINEES
COMPETENCY-BASED SKILLS
GIVING AND RECEIVING FEEDBACK
MASTERING AND TEACHING ULTRASOUND (US)
CONSENT FOR TRAINEE PARTICIPATION IN ABORTION CARE
EXERCISES: BECOMING A TRAINER
CHAPTER 11 TEACHING POINTS: BECOMING A TRAINER EXERCISES
CHAPTER 11 REFERENCES
12. INCREMENTAL EXPANSION OF ABORTION CARE
INTRODUCTION
CLINIC PREPARATION
PATIENT PREPARATION
PROCEDURAL STEPS
MANAGING COMPLICATIONS BETWEEN 14 - 18 WEEKS
EXERCISES: INCREMENTAL EXPANSION OF ABORTION CARE
CHAPTER 12 REFERENCES
EXERCISE TEACHING POINTS: INCREMENTAL EXPANSION OF ABORTION CARE
13. TRAINING EVALUATION
SKILLS & EXPERIENCE INVENTORY
TRAINEE AGREEMENT AND CONSENT FORM
PROCEDURE LOG
CORE COMPETENCIES FOR ABORTION CARE BY PRIMARY CARE CLINICIANS: FIRST TRIMESTER ASPIRATION ABORTION
DAILY 2-WAY COMPETENCY EVALUATION
COMPETENCY SIGN-OFF (OBSERVED PERFORMANCE EVALUATION)
TRAINING PROGRAM EVALUATION FORM
CLINIC SERVICES SATISFACTION SURVEY
TRAINEE FEEDBACK FORM FOR CLINIC STAFF
FEEDBACK FOR TRAINERS AND CLINIC STAFF
TRAINER SELF-REFLECTION TOOL
EARLY PREGNANCY ULTRASOUND SKILLS EVALUATION
NEW TRAINER SKILLS EVALUATION
CHAPTER 13 REFERENCES
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