13. TRAINING EVALUATION

^{Updated 2025 by Caitlin Weber MD, MS, Jasmine Stewart MD, MS,
and Innes Tounkel MD}

Evaluation and feedback are among the most important tools in effective learning. Programs should strive to provide a culture where feedback is integral in the learning process for both trainees and trainers and where diverse learners can learn in an equitable, safe, and supported learning environment. Inclusion of learners and staff with disabilities is also essential and programs should consider language, accessibility, and potential accommodations required by participants (Ipas 2021). See Chapter 11: Becoming a Trainer for best practices to support trainees, including those underrepresented in medicine (Campbell 2021, Summit 2023).

Instruments, developed for use with this Curriculum, are based on recommendations from the ACGME, TEACH, NAF, STFM, Advanced Practice Clinician training programs, Ipas, and others (ACGME 2025, Baum 2023, Donnelly 2019, FSRH 2022, Ipas 2014, Ipas 2014, Levi 2018, Myerholtz 2019, NAF 2024, RHAP 2025, Vamos 2023, WHO 2022). They include knowledge, behaviors, and skills that clinicians should be able to demonstrate upon entry into independent reproductive health practice and are intended to supplement the core competencies for all clinicians (physicians, NP, CNM, and PA) providing abortion care.

Instruments are designed to evaluate participants, faculty, and the overall training experience. They may be adapted for professional training programs, specific rotations, or specific training settings. Most use Competency-Based scales which also may be adapted to create forms within other evaluation systems (MedHub, New Innovations, etc.). Trainers should consider their practice setting (including legal landscape), learner goals (full or partial participation, see Chapter 1: Training Plans), other required trainee assessments, available technology, time lag between direct and formal evaluation, and risks of assessment burden when selecting which tools for use (Tierney 2023). These evaluation forms can be downloaded separately here.

• Core Competencies for Abortion Care: entry-level abortion competencies
• ACGME Milestones: for ACGME residencies, milestones pertinent to abortion training that may be added to site-specific evaluations
• Skills and Experience Inventory: to assess trainee’s prior experience
• Trainee Agreement and Consent Form: for trainee to consent to training
• Procedure Log: To record trainee procedural experience. May use alternative systems (residency procedure tracker, online forms, etc.). Trainees interested in future credentialing should continue tracking cases post-training.
• Daily 2-way Competency Evaluation for Procedural Abortion: to evaluate daily progress
• Daily 2-way Competency Evaluation for Medication Abortion: to evaluate daily progress
• Competency-Based Skills Evaluation: for faculty to evaluate trainee skills at rotation end
• Training Program Evaluation: for trainees to review the reproductive training program.
• Patient Clinic Services Satisfaction Survey: for patients to evaluate training sites
• Trainee Feedback Form by Clinic Staff: for training site staff to give feedback about the trainee’s performance, with regards to patient care and professionalism
• Feedback for Trainers and Clinic Staff: for trainee to give feedback to training site staff
• Trainer Self Reflection Tool: for completion by trainers to help guide ongoing faculty development and training program improvement
• Early Pregnancy Ultrasound Skills Evaluation: to assess ultrasound competency
• Trainer Skills Evaluation: competency evaluation for new or experienced trainers