• APC Toolkit Home

• Executive Summary

• Introduction

• Module One: Understanding Abortion Care

  • Section I. Abortion In Context
    • A. An Overview of the Abortion Care Specialty
    • B. Basic Types of Abortion Procedures
    • C. Who Can Provide Abortion Care?
    • Summary
    • Section I References
  • Section II. Advanced Practice Clinicians as Abortion Providers
    • A. APCs within the Health Care System
    • B. APCs' History of Providing Comprehensive Women's Health Care, Including Abortion
    • C. Barriers to Abortion Provision by APCs
    • Summary
    • Section II References

• Module Two: Advancing Scope of Practice to Include Abortion Care

  • Section III. APC Practice Regulation: Roles of Legislatures, Licensing Boards, and Professional Organizations
    • A. State Abortion Laws and APCs
    • B. Credentialing Framework for APCs
    • C. General Legal and Regulartory Requirements
    • D. Understanding Scope of Practice
    • E. Who Determines Scope of Practice?
    • F. How Individual APCs Can Participate in Scope of Practice Determinations
    • G. Getting to Know Your Professional Community
    • Section III Summary
    • Section III References
  • Section IV. Advancing Abortion into APC Scope of Practice: Evidence and Methods
    • A. Professional-Organization Position Statements on Abortion Care by APCs
    • B. Essential Elements of Professional Practice That Establish APCs as Qualified Providers of Abortion Care
    • C. Evidence of Education and Training in Abortion Care
    • D. Evidence of Legislative, Legal & Regulatory Environments: Provider Restrictions and Legal Strategies for Establishing Abortion as within APC Scope of Practice
    • E. Applying the Evidence: How Professional and Licensing Boards Assess or Advance Scope of Practice
    • F. Strategies for Working with State APC Regulatory Boards
    • G. Case Studies: Montana, New York, Oregon, Arizona, and Alaska
    • Summary
    • Section IV References
  • Section V. Becoming Clinically Competent and Documenting Competency in Abortion Care
    • A. Specialty Education and Training in Abortion Care: Opportunities and Resources
    • B. The Professional Portfolio: Proactive Documentation of Professional Credentials
    • C. Case Study: Developing a Portfolio in Response to a Challenge
    • Summary
    • Section V References

• Appendix

SECTION III REFERENCES

Advancing New Standards in Reproductive Health. (2009). California Health Workforce Pilot Project, No. 171. San Francisco, CA: University of California, San Francisco, Advancing New Standards in Reproductive Health (ANSIRH) Program. Retrieved March 5, 2009, from http://ansirh.org/research/ hwpp.php

American Academy of Family Physicians (AAFP). (2009). Family physicians scope of practice. Retrieved February 8, 2009, from http://www.aafp.org/online/en/home/policy/state/issues/scope/fpscope.html

American Medical Association. (1993). Clinical privileges. In AMA policy compendium. Chicago: Author.

Association of Social Work Boards (ASWB), Federation of State Boards of Physical Therapy (FSBPT), Federation of State Medical Boards (FSMB), National Board for Certification in Occupational Therapy (NBCOT), National Council of State Boards of Nursing (NCSBN), & National Association of Boards of Pharmacy (NABP). (2006). Changes in healthcare professions’ scope of practice: Legislative considerations. Available at the NCSBN website, http://www.ncsbn.org; the FSBPT website, http:// www.fsbpt.org; and the NABP website, http://www.nabp.net

Capiello, J. (2008). Scope of practice: Politics meddling in professional norms. Retrieved from http:// www.abortionaccess.org/content/view/176/119/

Christian, S., Dower, C., & O’Neil, E. (2007). Overview of nurse practitioner scopes of practice in the United States: A discussion (Report). San Francisco: University of California San Francisco, Center for the Health Professions. Available at http://futurehealth.ucsf.edu

Dower, C., Christian, S., & O’Neil, E. (2007). Promising scopes of practice models for the health professions. San Francisco: University of California San Francisco, Center for the Health Professions. Available at http://futurehealth.ucsf.edu

Federation of State Medical Boards. (2005). Assessing scope of practice in health care delivery: Critical questions in assuring public access and safety. Dallas, TX.

Joffe, C., & Yanow, S. (2004). Advanced practice clinicians as abortion providers: Current developments in the United States. Reproductive Health Matters, 12(24 Suppl), 198–206.

Kuehl, S. (2002). Letter to “The Honorable John Burton, President pro Tempore.” California Legislature 2001–2002 Regular Session Senate Journal, 6002.

New York State Nurses Association (2004). Resolution: The role of nurses in patient education on birth control and reproductive health. NY: NYSNA. Retrieved January 5, 2005 from http://www.nysna.org/ images/pdfs/report04/dec04_Report.pdf

Pearson LJ (2009). The pearson report: the annual state-by-state national overview of nurse practitioner legislation and healthcare issues. American J for NPs, 13(2): 8-71.

Safriet, B. (1992). Health care dollars and regulatory sense: The role of advanced practice nursing. Yale Journal on Regulation, 9, 417.

Safriet, B. (2002). Closing the gap between can and may in healthcare providers’ scopes of practice: A primer for policymakers. Yale Journal on Regulation, 19, 301.

Wysocki S. (2008). Editorial: Pulling the load. NP Communications: Women’s Health Care for NPs, 7(2), 6, 33.

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