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Introduce trainees to the process of values clarification prior to or early in patient contact. Consider changing training opportunities in the setting of post-Roe legal constraints.
Review learning expectations and procedural skills each session with trainees.
Teach opt-out trainees core skills of pregnancy dating, early ultrasound, pregnancy options, contraceptive counseling, EPL, management of abortion and / or EPL complications, and when to refer.
Distinguish recommendations based on current evidence, legal setting, and those based on provider preference. Acknowledge inter-provider variability.
Learn to manage competing priorities in a busy clinic, including patient support and safety, clinic flow, and training learners with different skills and interests.
Give the trainee the first opportunity at self-evaluation and offer positive reinforcement before constructive criticism in a specific and timely fashion.
Encourage trainees to log questions, observations, interesting cases and issues encountered so that they may revisit them during their training experience.
Be aware of clinic policy and process for trainee involvement in abortion care. Prioritize patient safety: set a plan and designate specific cues to prompt a trainee should you need to take over the procedure for safety or patient comfort.
Review elements of consent for the abortion procedure and sedation with each trainee.
Progressively involve a new trainee in the procedure as they gain confidence and demonstrate competence.
Discuss the management of potential complications ahead of time.
Train new providers as part of a collaborative national effort to normalize abortion and address the abortion provider shortage.
Model values of person-centered care: consent, bodily autonomy, evidence-based options, and freedom from persuasion or coercion.
Consider and discuss power dynamics between trainer and trainee as well as between providers and patients. Uplift individuals historically marginalized in healthcare settings.