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Ryan Curriculum Reading List

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Ryan Curriculum Reading List

 

Ryan Curriculum sessions are held Mondays at 7:00 am in the Ob/Gyn Department Conference Room, located off the back clinic hallway in 4ACC in the Ob/Gyn administrative offices.  

 

Please read all articles in advance.  Click here to view the Ryan Curriculum Schedule.

 

  

*New* Ryan Curriculum

 

 

Module I. Overview of Abortion Care

 

 

This week, you will learn background information about abortion epidemiology, professionalism in abortion care, and how to provide appropriate counseling.  Monday’s assignment includes 5 articles (note that one is only part of a report), a webinar and 2 quizzes.  Additional resources are listed on the bottom if you are interested in learning more. 

 

 

Learning objectives

 

  • Describe the epidemiology of abortion in the U.S. and throughout the world
  • Identify steps to enhance and teach professionalism in abortion care
  • Provide objective and compassionate pregnancy options counseling
  • Know where to locate family planning simulation resources

 

Assignment/Required readings

 

                       B Module I Quiz B.docx

 

 

 

Additional resources – NOT required for Monday’s didactics.

 

If you are interested in learning more about the context of abortion care, here are additional resources.  You do NOT need to read or watch these for Monday’s didactics.

 

Video Content

 

Public Health Overview

  • Darney, Philip, “Preventing maternal mortality: The role of safe abortion,” Innovating Education in Reproductive Health https://vimeo.com/129022214
  • Drey, Eleanor and Dan Grossman, “Contextualizing who has abortions after the first trimester,” Innovating Education in Reproductive Healthhttps://vimeo.com/129474879
  • DePiñeres, Teresa, “Abortion in the international context: Why, who and when?,” Innovating Education in Reproductive Healthhttps://vimeo.com/129018334
  • Joffe, Carole, “Abortion in the US after legalization,” Innovating Education in Reproductive Health https://vimeo.com/129461473
  • Dehlendorf, Christine, “Abortion disparities: A public health framework,” Innovating Education in Reproductive Health https://vimeo.com/129490414

 

 

Counseling

  • Perrucci, Alissa, “Decision counseling for positive pregnancy test results,” Innovating Education in Reproductive Health https://vimeo.com/129465362

 

 

Professionalism

  • Steinauer, Jody, “Physicians’ professional responsibilities in abortion care,” Innovating Education in Reproductive Health https://vimeo.com/129465337
  • Steinauer, Jody, “Teaching professionalism in abortion care,” Innovating Education in Reproductive Health https://vimeo.com/129467860
  • Freedman, Lori, “Conscientious provision and refusal of abortion care,” Innovating Education in Reproductive Health https://vimeo.com/129465360

 

 

Simulation Resources

 

 

Trending Topics: Module I

  • Biggs MA, Upadhyay UD, McCulloch CE, Foster DG. “Women’s Mental Health and Well-being 5 Years After Receiving or Being Denied an Abortion: A Prospective, Longitudinal Cohort Study.” JAMA Psychiatry (2017);74(2):169-178.

 

 

Supplemental Resources

  • Dehlendorf, Christine, Lisa H. Harris, and Tracy A. Weitz, “Disparities in abortion rates: a public health approach,” American journal of public health 103, no. 10 (2013): 1772-1779.
  • Weitz, Tracy A., and Katrina Kimport, “A need to expand our thinking about ‘repeat’ abortions,” Contraception 85, no. 4 (2012): 408-412.
  • Harris, Laura F., Sarah CM Roberts, M. Antonia Biggs, Corinne H. Rocca, and Diana Greene Foster, “Perceived stress and emotional social support among women who are denied or receive abortions in the United States: a prospective cohort study,” BMC women’s health 14, no. 1 (2014): 76.

 

 

 


 

 Module II. Surgical abortion

 

This week, you will learn about first and second trimester surgical abortion.  There are four required readings, one required webinar, and one quiz for discussion.  Additional resources are listed on the bottom if you are interested in learning more.

 

 

Learning objectives

 

  • Understand the principles of uterine aspiration abortion and dilation and evacuation
  • Describe cervical preparation techniques for uterine aspiration abortion and D&E
  • Safely and effectively manage patients’ pain during first-trimester uterine aspiration abortion and second-trimester D&E
  • Understand techniques to prevent and manage post-abortion complications

 

 

Assignment

 

 

 

 

Additional resources – NOT required for Monday’s didactics.

 

If you are interested in learning more about the context of abortion care, here are additional resources.  You do NOT need to read these for Monday’s didactics.

 

Video content

 

First-trimester Uterine Aspiration Abortion

 

  • Jackson, Andrea, “First trimester aspiration abortion,” Innovating Education in Reproductive Health https://vimeo.com/129467864
  • Meckstroth, Karen, “Pain with uterine aspiration abortion,” Innovating Education in Reproductive Health https://vimeo.com/129470439
  • Kerns, Jen, “Managing complications of procedural abortion, part 1: In the first trimester,” Innovating Education in Reproductive Health https://vimeo.com/129488044

 

 

Uterine Evacuation after the First Trimester

 

 

Trending Topics: Module II

  • Goldberg AB1, Fortin JA, Drey EA, Dean G, Lichtenberg ES, Bednarek PH, Chen BA, Dutton C, McKetta S, Maurer R, Winikoff B, Fitzmaurice GM. Cervical Preparation Before Dilation and Evacuation Using Adjunctive Misoprostol or Mifepristone Compared With Overnight Osmotic Dilators Alone: A Randomized Controlled Trial. Obstet Gynecol. 2015 Sep;126(3):599-609. doi: 10.1097/AOG.0000000000000977.

 

 

Supplemental Resources

  • Lichtenberg, E. Steve, and Maureen Paul, “Surgical abortion prior to 7 weeks of gestation,” Contraception 88, no. 1 (2013): 7-17.
  • Kerns, Jennifer, and Jody Steinauer, “Management of postabortion hemorrhage,” Contraception 87, no. 3 (2013): 331-342.
  • Newmann, Sara, Andrea Dalve-Endres, and Eleanor A. Drey, “Cervical preparation for surgical abortion from 20 to 24 weeks’ gestation: SFP Guideline# 20073,” Contraception 77, no. 4 (2008): 308-314.
  • Newmann, Sara J., Abby Sokoloff, Mithu Tharyil, Tushani Illangasekare, Jody E. Steinauer, and Eleanor A. Drey, “Same-day synthetic osmotic dilators compared with overnight laminaria before abortion at 14–18 weeks of gestation: a randomized controlled trial,” Obstetrics & Gynecology 123, no. 2, Part 1 (2014): 271-278.
  • Diedrich, Justin and Eleanor Drey, “Induction of fetal demise before abortion,” Contraception 81, no.6 (2010): 462-73.
  • Lee, Susan J., Henry J. Peter Ralston, Eleanor A. Drey, John Colin Partridge, and Mark A. Rosen, “Fetal pain: a systematic multidisciplinary review of the evidence,” Jama 294, no. 8 (2005): 947-954.

 

 

 


 

 Module III. Medication Abortion

This week, you will learn about medication abortion at different gestational ages.  There are four required readings and one quiz for discussion.  Additional resources are listed on the bottom if you are interested in learning more.

 

Learning objectives

 

  • Understand the mechanism, pharmacokinetics, and efficacy of medication abortion/labor induction termination agents (mifepristone, methotrexate, misoprostol, oxytocin)
  • Describe the evidence-based dosing regimens of medication abortion and labor induction termination
  • Counsel patients about eligibility, pain management, side effects, and risks of medication abortion
  • Provide post-procedure care for patients who undergo medication abortion and labor induction termination

 

Assignment

 

 

 

Additional resources – NOT required for Monday’s didactics.

 

If you are interested in learning more about the context of abortion care, here are additional resources.  You do NOT need to read these for Monday’s didactics.

 

Video Content

 

First-trimester Medication Abortion

 

 

Labor Induction Termination

  • Grossman, Dan, “Improving access to safe abortion care after the first-trimester,” Innovating Education in Reproductive Health https://vimeo.com/129488040
  • DePiñeres, Teresa and Dan Grossman, “High-quality abortion care,” Innovating Education in Reproductive Health https://vimeo.com/129474881
  • Kerns, Jen, “Patient decision making about abortion after the first trimester,” Innovating Education in Reproductive Health https://vimeo.com/129488042

 

 

Trending Topics: Module III

  • Raymond E et al. Effects of depot medroxyprogesterone acetate injection timing on medical abortion efficacy and repeat pregnancy: a randomized controlled trail. Obstetrics and Gynecology October 2016.
  • Grossman D, Grindlay K. Safety of medication abortion provided through telemedicine compared with in person. Obstetrics and Gynecology September 2017; epub ahead of print.

 

 

Supplemental Resources

Meckstroth, Karen R., Amy K. Whitaker, Suzanne Bertisch, Alisa B. Goldberg, and Philip D. Darney, “Misoprostol administered by epithelial routes: drug absorption and uterine response,” Obstetrics & Gynecology 108, no. 3, Part 1 (2006): 582-590.

 

 

 


 

Module IV. Pregnancy Loss Management

 

This week, you will learn about diagnosing and managing early abnormal pregnancies as well managing later gestational pregnancy loss.  There are three required readings, a required video, and two quizzes for discussion.  Additional resources are listed on the bottom if you are interested in learning more.

 

Learning objectives

  • Evaluate and diagnose abnormal pregnancy (anembryonic gestation, embryonic demise, fetal demise, incomplete miscarriage, ectopic pregnancy)
  • Understand safety and efficacy of treatment options for EPL
  • Counsel patients about management options of EPL: expectant care, medication management and uterine aspiration
  • Counsel patients about management options for second-trimester fetal demise: induction vs. D&E

 

Assignment:

 

 

 

Additional resources

 

If you are interested in learning more about pregnancy loss and abnormal pregnancy management, here are additional resources.  You do NOT need to read these for Monday’s didactic.

 

  • Post-traumatic stress, anxiety and depression following miscarriage or ectopic pregnancy: a prospective cohort study. Farren J, Jalmbrant M, Ameye L, Joash K, Mitchell-Jones N, Tapp S, Timmerman D, Bourne T. BMJ Open. 2016 Nov 2;6(11):e011864. doi: 10.1136/bmjopen-2016-011864.
  • Wallace, Robin R., Suzan Goodman, Lori R. Freedman, Vanessa K. Dalton, and Lisa H. Harris, “Counseling women with early pregnancy failure: Utilizing evidence, preserving preference.” Patient Education and Counseling 81, no. 3 (2010): 454-461.
  • Kerns, Jennifer, Rachna Vanjani, Lori Freedman, Karen Meckstroth, Eleanor A. Drey, and Jody Steinauer, “Women’s decision making regarding choice of second- trimester termination method for pregnancy complications,” International Journal of Gynecology & Obstetrics 116, no. 3 (2012): 244-248.
  • Schreiber CA, Creinin MD, Atrio J, Sonalkar S, Racliffe SJ, Barnhart KT, “Mifepristone pretreatment for the medical management of early pregnancy loss.” N Engl J Med 2018;378(23):2161-70. https://www-nejm-org.libproxy.unm.edu/doi/pdf/10.1056/NEJMoa1715726
  • Clinical Practice: Ectopic Pregnancy. Barnhart KT. N Engl J Med 2009; 361:379-387. www.nejm.org/doi/full/10.1056/NEJMcp0810384.

 

 

 


 

 Module V. Contraceptive overview

 

This week, you will learn about contraception.  There are 4 required readings, a website and a chart.  Additional resources are listed on the bottom if you are interested in learning more.

 

Learning objectives

  • Describe the mechanisms of action and efficacy of contraceptive methods, including emergency and permanent contraception
  • Explain the noncontraceptive benefits of hormonal contraception

 

 

Assignment

 

 

 

Additional resources – NOT required for Monday’s didactics.

 

If you are interested in learning more about the context of abortion care, here are additional resources.  You do NOT need to read or watch these for Monday’s didactics.

 

Background

  • Daniels, Kimberly, Jill Daugherty, and Jo Jones, “Current contraceptive status among women aged 15–44: United States, 2011–2013,” NCHS data brief 173 (2014): 1-8. 
  • Steinauer, Jody, “Contraception,” Innovating Education in Reproductive Healthhttps://vimeo.com/129470448 

 

Emergency Contraception

  • Raymond, Elizabeth and Kelly Cleland, “Emergency contraception,” New England Journal of Medicine 372, no. 14 (2015): 1342-8.
  • Emergency contraception. Practice Bulletin No. 152. American College of Obstetricians and Gynecologists.  Obstet Gynecol 2015;126:e1-11.
  • Committee Opinion No 707: Access to Emergency Contraception. (2017). Obstet Gynecol, 130(1), e48-e52

 

LARC

  • Darney, Philip, Ashlesha Patel, Kimberly Rosen, Lena S. Shapiro, and Andrew M. Kaunitz, “Safety and efficacy of a single-rod etonogestrel implant (Implanon): results from 11 international clinical trials,” Fertility and sterility 91, no. 5 (2009): 1646-1653.
  • Sonalkar, Sarita, and Nathalie Kapp, “Intrauterine device insertion in the postpartum period: A systematic review,” The European Journal of Contraception and Reproductive Health Care 20, no. 1 (2015): 4-18.
  • Winner, Brooke, Jeffrey F. Peipert, Qiuhong Zhao, Christina Buckel, Tessa Madden, Jenifer E. Allsworth, and Gina M. Secura, “Effectiveness of long-acting reversible contraception,” New England Journal of Medicine 366, no. 21 (2012): 1998-2007.
  • Hubacher, David, Roger Lara-Ricalde, Douglas J. Taylor, Fernando Guerra-Infante, and Raymundo Guzmán-Rodríguez, “Use of copper intrauterine devices and the risk of tubal infertility among nulligravid women,” New England Journal of Medicine 345, no. 8 (2001): 561-567.
  • American Congress of Obstetricians and Gynecologists, “Committee opinion #539: Adolescents and long-acting reversible contraception: Implants and intrauterine devices,” Obstetrics & Gynecology 120, no. 4 (2012): 983-988.

 

Hormonal Contraception

  • Bitzer, Johannes, and James A. Simon, “Current issues and available options in combined hormonal contraception,” Contraception 84, no. 4 (2011): 342-356.
  • Kaunitz, Andrew M., Jeffrey F. Peipert, and David A. Grimes, “Injectable contraception: issues and opportunities,” Contraception 89, no. 5 (2014): 331-334.
  • Speroff, Leon, and Philip D. Darney. A clinical guide for contraception. (Philadelphia: Lippincott Williams & Wilkins, 2010). Available for short-term lending from Dr. Krashin
  • Allen RH & Cwiak CA. Contraception for the medically challenging patient. (New York: Springer, 2014). Available for short-term lending from Dr. Krashin

 

 

 


 

Module VI. Contraceptive guidelines and counseling

 

This week, you will learn about CDC’s evidence-based contraceptive guidelines for safety and management of contraceptive issues, as well as how to counsel patients about contraception.  There are several required readings and a webinar.  Additional resources are listed on the bottom if you are interested in learning more.

 

Learning objectives 

  • Use the US Medical Eligibility Criteria to evaluate eligibility for the use of contraceptives among women with specific medical conditions or characteristics
  • Use the US Selected Practice Recommendations for initiation of contraception and management of common problems
  • Provide patient-centered and evidence-based contraceptive counseling, including postpartum and post-abortion contraception

 

Assignment

                       B Module V Quiz B.docx

 

 

Additional resources – NOT required for Monday’s didactics.

 

If you are interested in learning more about the context of abortion care, here are additional resources.  You do NOT need to read or watch these for Monday’s didactics.

 

Contraception among Breastfeeding Women

  • Lopez, Laureen M., Thomas W. Grey, Mario Chen, Sarah T. Truitt, and Maria F. Gallo, “Hormonal and nonhormonal birth control during breastfeeding,” The Cochrane Library (2015).

 

Counseling

  • C. Dehlendorf, J.T. Henderson, E. Vittinghoff, L. Grumbach, K. Levy, J.Schmittdiel, et al. Association of the quality of interpersonal care during family planning counseling with contraceptive use. Am J Obstet Gynecol (2016). https://www.ncbi.nlm.nih.gov/pubmed/26827879.

 

Cost-effectiveness / Policy Effects of Contraception

  • Foster, Diana Greene, Denis Hulett, Mary Bradsberry, Philip Darney, and Michael Policar, “Number of oral contraceptive pill packages dispensed and subsequent unintended pregnancies,” Obstetrics & Gynecology 117, no. 3 (2011): 566-572.
  • Ahmed, Saifuddin, Qingfeng Li, Li Liu, and Amy O. Tsui, “Maternal deaths averted by contraceptive use: an analysis of 172 countries,” The Lancet 380, no. 9837 (2012): 111-125.
  • Rocca CH, Thompson KM, Goodman S, Westhoff CL, Harper CC. Funding policies and postabortion long-acting reversible contraception: results from a cluster randomized trial.Am J Obstet Gynecol. 2016 Jun;214(6):716.e1-8. doi: 10.1016/j.ajog.2015.12.009. Epub 2015 Dec 12.
  • Upadhya K, Santelli J, Raine-Bennett T, Kottke M, Grossman D. Over-the-counter access to oral contraceptives for adolescents. Journal of Adolescent Health. 2017, article in-press: DOI: http://dx.doi.org/10.1016/j.jadohealth.2016.12.024.

 

 

 


 

Module VIII: Policy

 

This week, you will learn about different policy aspects of abortion provision.  Please read the 5 required readings and be prepared to talk about all of them.  Additional resources are listed on the bottom if you are interested in learning more.

 

Learning objectives 

  • Describe the history of abortion in training settings
  • Understand current policy trends, both in states and institutional settings
  • Recognize everyday opportunities for advocacy, within your department, institution, or legislatively  

Assignment 

 

 

Additional resources – NOT required for Monday’s didactics.

 

If you are interested in learning more about the context of abortion care, here are additional resources.  You do NOT need to read or watch these for Monday’s didactics.

 

Articles

 

Abortion Training and Safety

  • Raymond, Elizabeth G., and David A. Grimes, “The comparative safety of legal induced abortion and childbirth in the United States,” Obstetrics & Gynecology 119, no. 2, Part 1 (2012): 215-219.

 

State Influence

 

Hospital Restrictions

  • Freedman, Lori R., and Debra B. Stulberg, “Conflicts in care for obstetric complications in Catholic hospitals,” AJOB Primary Research 4 (2013): 1-10.

 

Who’s hurt by these policies?

 

Video Content

 

Training

 

Policy

 

Supplemental Resources

 

Abortion Training

  • Espey, Eve, Tony Ogburn, Alice Chavez, Clifford Qualls, and Mario Leyba, “Abortion education in medical schools: a national survey,” American Journal of Obstetrics and Gynecology 192, no. 2 (2005): 640-643.
  • Tocce, Kristina, and Britt Severson, “Funding for abortion training in ob/gyn residency,” Virtual Mentor 14, no. 2 (2012): 112.
  • Dragoman, Monica, Jody E. Steinauer, Ana G. Cepin, Mayam Guiahi, Colleen M. Krajewski, Diana L. Taylor, and Molly F. Battistelli, “Medical Education in Abortion: Roundtable in Ob/Gyn & Women’s Health,” MedScape OB/GYN (2011).

 

Legal Perspective

  • Talcott Camp, J. D., “The ‘partial-birth abortion’ ban: Health care in the shadow of criminal liability, panel II, the path ahead: Legal challenges and responses,” JL & Pol’y 17 (2008): 1-735.

 

Hospital Restrictions

  • United States Conference of Catholic Bishops, “Ethical and religious directives for Catholic health care services,” United States Conference of Catholic Bishops 5 (2009).
  • Steinauer, Jody E., Jema K. Turk, Maura C. Fulton, Kristin H. Simonson, and Uta Landy, “The benefits of family planning training: a 10-year review of the Ryan Residency Training Program,” Contraception 88, no. 2 (2013): 275-280.
  • American College of Obstetricians and Gynecologists, “Committee opinion #385 November 2007: The limits of conscientious refusal in reproductive medicine,” Obstetrics and gynecology 110, no. 5 (2007): 1203.
  • Sedgh, Gilda, Susheela Singh, and Rubina Hussain, “Intended and unintended pregnancies worldwide in 2012 and recent trends,” Studies in family Planning 45, no. 3 (2014): 301-314.
  • Sedgh, Gilda, Susheela Singh, Iqbal H. Shah, Elisabeth Åhman, Stanley K. Henshaw, and Akinrinola Bankole, “Induced abortion: incidence and trends worldwide from 1995 to 2008,” The Lancet 379, no. 9816 (2012): 625-632.

 

 

 


 

Module VIII: Career Planning

 

This week, you will learn about think about if and how to plan for incorporating abortion and family planning into your post-training career.  There are 4 required readings, a website and a brochure.  Additional resources are listed on the bottom if you are interested in learning more.

 

Learning objectives

 

  • Name several pathways through which abortion and family planning can be integrated into practice after residency
  • Prioritize factors affecting your job search process
  • Consider how abortion and family planning will play a role in your future career

 

Assignment

 

Additional resource – NOT required for Monday’s didactics.

 

  • Harris, Lisa H., “Recognizing conscience in abortion provision,” New England Journal of Medicine 367, no. 11 (2012): 981-983.

 

 

 

 

 

 

 

 

 


 

 

 Archived Reading List 

 

 Abortion Complications

Gestational Trophoblastic Disease (NAF 2009_Ch19).pdf

 

Ectopic Pregnancy and Miscarriage

Tubal ectopic pregnancy PB193.pdf

Pregnancy Loss (NAF 2009_Ch17).pdf

Doubilet 2013 NEJM dx of nonviable pregnancy.pdf

 

Hormonal Contraception

ACOG Bulletin #73.pdf

ACOG Bulletin #110.pdf

DMPA and bone density.pdf

 

IUDs and Implants

ACOG Practice Bulletin #186

Contraceptive Implant - Hohmann.pdf

Long_Acting_Reversible_Contraceptives.pdf

 

Medical Abortion

Fatal Toxic Shock Syndrome Associated with Clostridium sordellii after Medical Abortion.pdf

N Engl J Med 2009_Infection Rates.pdf

Medical AB in Early Pregnancy (NAF 2009_Ch9).pdf

Significant_Adverse_Events_and_Outcomes_After.25.pdf

 

Pain Management

EarlyAbortionTrainingWorkbook2012_Ch.4.pdf

Effect of Deep Injections of Local Anesthetics.pdf

Pain Management (NAF 2009_Ch8).pdf

Paracervical Block for Pain Control in First Trimester Abortion.pdf

 

Surgical Abortion

Tissue Inspection (NAF 2009_Slides).pdf

Complications of 1st Tri AB_PP study (Hakim-Elahi 1990).pdf

Ch 15 NAF - AB Complications.pdf

 

Public Health

Epi & PH Impact (NAF 2009_Ch3).pdf

Unsafe Abortion (NAF 2009_CH2).pdf

NEJMPregnancy - Finer 2016.pdf

 

 

 

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