Falencki Reproductive Health/Faculty Development Fellowship Description

Download Application (Word document)

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

1. Background / Overview

Goal:

The fellow is aware of the historical, societal, legal and governmental factors that influence the provision of reproductive healthcare

Objectives:

  • Describes the incidence of abortion in the United States and worldwide
  • Describes the legal restrictions to abortion in the United States
  • Describes the impact of abortion training on abortion access
  • Describes the public health implications of access to legal abortion

Reading / Resources:

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

2. Counseling

Goal:

The fellow provides patient-centered counseling for all aspects of reproductive health care

Objectives:

  • Provides evidence-based, patient-centered counseling on contraceptive choices
  • Provides non-directive counseling for options for unintended pregnancy
  • Counsels women appropriately about the choices for pregnancy termination
  • Knows elements of and obtains informed consent for all procedures
  • Recognizes complexity of ethical issues surrounding the provision of reproductive health care

Reading / Resources:

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

3. Contraception

Goal:

The fellow provides evidence-based, patient-centered contraceptive care

Objectives:

  • Counsels patients appropriately about risks and benefits of available contraceptive methods
  • Describes the efficacy, mechanism of action, and contraindications of available contraceptive methods
  • Describes non-contraceptive benefits of available contraceptive methods
  • Describes available methods of emergency contraception and counsels patients in their appropriate use
  • Informs patients of new trends in contraception, including QuickStart and extended-use regimens
  • Demonstrates proficiency in insertion of intrauterine devices
  • Demonstrates proficiency in diaphragm fitting
  • Demonstrates proficiency in inserting contraceptive implants

Reading / Resources:

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

4. Documenting Pregnancy and Gestational Age

Goal:

The fellow accurately documents intrauterine pregnancy and determines gestational age

Objectives:

  • Elicits and documents relevant historical findings
  • Uses appropriate physical exam to estimate gestational age
  • Knows how to interpret urine and serum pregnancy tests
  • Accurately confirms intrauterine pregnancy and gestational age using sonography
  • Knows indications for use of sonography in medication and surgical abortion

Reading / Resources:

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

5. Abortion

Goal:

The fellow demonstrates proficiency in the provision early abortion care

Objectives:

  • Describes the contraindications to medication and surgical abortion
  • Counsels women through the process of medication abortion
  • Performs all steps of manual vacuum aspiration proficiently
  • Accurately assesses for completeness of medication and surgical abortion
  • Describes how to recognize and manage complications of medication and surgical abortion

Reading / Resources:

  • Early Options: A Provider’s Guide to Medical Abortion
    www.prochoice.org/education/cme/online_cme/default.asp
  • A Clinician’s Guide to Medical and Surgical Abortion
    Chapters 9: Surgical Abortion in the First Trimester
    Chapter 13: The Challenging Abortion (not available online)
    Chapter 15: Abortion Complications, Prevention and Management
    www.prochoice.org/education/resources/textbook.html
  • ANSIRH Early Abortion Training Workbook
    www.teachtraining.org/Workbook.html
  • MacIsaac L, Darney P. Early surgical abortion: An alternative to and backup for medical abortion. Am J Obstet Gynecol, 2000;183(2):S76-83.
  • Westfall JM, et al. Manual vacuum aspiration for first trimester abortion. Arch Fam Med, 1998;7:559-62.
  • Fischer M, et al. Fatal toxic shock syndrome associated with Clostridium sordellii after medical abortion. N Engl J Med, 2005;335:2352-60.
  • Cohen A, et al. Toxic shock associated with Clostridium sordellii and Clostridium perfringens after medical and spontaneous abortion. Obstet & Gyn, 2007;110:1027-33.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

6. Early Pregnancy Complications

Goal:

The fellow accurately diagnoses and manages first trimester pregnancy complications

Objectives:

  • Describes signs and symptoms of abnormal pregnancies
  • Describes use of laboratory testing in diagnosis of abnormal pregnancies
  • Identifies ultrasound characteristics of ectopic pregnancy
  • Identifies ultrasound characteristics of early pregnancy failure
  • Describes management options for early pregnancy failure
  • Describes management options for suspected ectopic pregnancy

Reading / Resources:

  • Chen, BA, Creinin, MD. Contemporary Management of Early Pregnancy Failure. Clinical Obstetrics and Gynecology. March 2007; 50(1):67-88.
  • Zhang J, Gilles JM, Barnhart K, Creinin MD, Westhoff C, Frederick MM. A comparison of medical management with misoprostol and surgical management for early pregnancy failure. N Engl Med, 2005;353:761-769.
  • Sotiriadis A. Makrydimas G. Papatheodorou S. Ioannidis JP. Expectant, medical, or surgical management of first-trimester miscarriage: a meta-analysis. Obstet Gynecol, 2005;105:1104-13.
  • Luise C, Jermy K, May C, Costello G, Collins WP, Bourne TH. Outcome of expectant management of spontaneous first trimester miscarriage: observational study. BMJ, 2002;324:873-5.
  • Seeber et al. Suspected Ectopic Pregnancy. Obstetrics and Gynecology. Feb 2006; 107:399-413.
  • Diagnosis and Management of Gestational Trophoblastic Disease. ACOG Practice Bulletin 53: 103(6) 1365-1372.
  • ANSIRH Early Abortion Training Workbook: Chapter 8
    www.teachtraining.org/Workbook.html

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

7. Training / Teaching

Goal:

The fellow demonstrates the ability to effectively train clinicians in the provision of primary care and abortion care

Objectives:

  • Leads didactic sessions on family medicine and reproductive health topics
  • Presents and helps residents to present at academic meetings
  • Precepts residents and medical students during family medicine continuity clinics
  • Effectively trains residents and other trainees in procedural care, including IUD insertion, manual vacuum aspiration and the use of 1st trimester ultrasound
  • Teaches all aspects of the provision of medication abortion

Reading / Resources:

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

8. Advocacy

Goal:

The fellow collaborates with advocacy, educational and community organizations to promote access to reproductive health care in primary care settings

Objectives:

  • Presents at academic meetings on reproductive health topics
  • Facilitates values clarification workshops for organizational groups
  • Leads community workshops for medication abortion training
  • Leads trainings on reproductive health topics for community groups
  • Works with NYU medical students to organize the free reproductive health clinic
  • Works with medical student groups to promote training in reproductive healthcare in the primary care setting

Reading / Resources:

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

9. Evaluation

DOWNLOAD THIS PAGE: PDF FORMAT, WORD DOCUMENT
These forms are not intended to provide legal, medical or other professional advice. They are not a substitute for consultation with a healthcare provider or for independent judgment by healthcare providers or other professionals regarding individual conditions and situations.