I. Ambulatory Penn Family Planning and Pregnancy Loss Center

I.  Ambulatory—Penn Family Planning and Pregnancy Loss Center

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.

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
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
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