<p> I. Ambulatory—Penn Family Planning and Pregnancy Loss Center</p><p>GOALS AND OBJECTIVES: Exposure to comprehensive family planning, options counseling, and induced and spontaneous abortion. Experience in this rotation includes but is not limited to: 1. Contraceptive management for complex patients. 2. The management of pregnancies with diagnosed fetal anomalies, second- trimester pregnancy complications, and serious maternal conditions 3. Office-based uterine evacuation 4. Second trimester Dilation and evacuation 5. Medical management of induced and spontaneous abortion 6. Providing education, access to contraception, and counseling to prevent unplanned pregnancies.</p><p>CORE COMPETENCIES: Patient Care -Care for PFPPLC patients in the outpatient 1000 Courtyard setting -Care for women referred from MFM and Genetics with diagnosed fetal anomalies, second-trimester pregnancy complications, and serious maternal conditions -Care for patients presenting with pregnancy loss or miscarriage -Care for patients in need of contraception, especially those with serious medical conditions -Perform transvaginal ultrasound to assess early pregnancy -Perform office MVA -Perform D+E in first and second trimester -Perform medical management of pregnancy loss or miscarriage -Provide LARC- Mirena, Paragard, Implanon Medical Knowledge -Be familiar with history of contraception -Understand mechanism of hormonal contraception - LARC - contraceptive efficacy and effectivness -Understand physiologic effects of pregnancy and contraception -Be familiar with fetal anomalies and maternal and fetal conditions that complicate pregnancy -Understand HCG, TVS and diagnosis of PUL vs. IUP vs. ectopic and management -Understand medical management of early pregnancy loss or miscarriage</p><p>Interpersonal and Communication Skills -Communicate effectively with patients in language appropriate to age, educational, cultural, socioeconomic background -Convey information to colleagues in a concise, effective manner -Perform accurate and focused history and physical exam, develop an appropriate assessment and be able to discuss treatment options -Appropriately consult with other medical specialties as needed -Exhibit appropriate sensitivity to patients during a critical decision-making process</p><p>Professionalism -Demonstrate a commitment to excellence and interest in ongoing professional development -Discuss opt-out with supervising attendings on as needed basis -Practice with consideration of patient’s as they compare with your own values exercise and address on as needed basis Practice-Based Learning and Improvement -Present monthly contraception talk at Resident Didactics -Attend morning resident conferences -Present cases at M+M Systems-Based Practice -Use Blackboard on-line curriculum to broaden knowledge base and improve patient care -Recognize disparities with contraceptive access based on race, socioeconomic status, insurance</p>