• 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
    • 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
    • Section V Summary
    • Section V References

• Appendix

SECTION V REFERENCES

Abortion Access Project. (2001). Caring for the woman with an unintended pregnancy (Nursing version). Cambridge, MA: Author; available at http://www.abortionaccess.org/component/option,com_ docman/task,doc_details/gid,119/Itemid,61/

Abortion Access Project, & University of Massachusetts Medical Center. (1998). Abortion training: A guide to establishing an effective program at your facility. Cambridge, MA.

Agency for Health Research & Quality (2008). National guidelines clearinghouse: NAF clinical policy guidelines for abortion services. Retrieved June 15, 2009 from http://www.guideline.gov

Finer, L. B., & Henshaw, S. K. (2006). Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on Sexual and Reproductive Health, 38(2), 90–96.

Gold, M., & Planned Parenthood of New York City. (1996). Surgical abortion training curriculum. New York: PPNYC.

Hwang, A. C., Koyama, A., Taylor, D., Henderson, J. T., & Miller, S. (2005). Advanced practice clinicians’ interest in providing medical abortion: Results of a California survey. Perspectives on Sexual and Reproductive Health, 37(2), 92–97.

Ibis Reproductive Health. (2003). Medication abortion: A training module for health professionals. Retrieved March 7, 2009, from http://www.ibisreproductivehealth.org/pub/downloads/Medication_ Abortion_Training_Module.ppt

Ipas. (2008). Ipas start-up kit for integrating manual vacuum aspiration (MVA) and medication technologies into women’s reproductive health-care services. Chapel Hill, NC.

Levi, A.J., Simmonds, K. E., Taylor, D. (2009). The role of nursing in the management of unintended pregnancy. In Olshansky, E. (ed.), Nursing Clinics of North America: Women’s Health. In press.

Medical Students for Choice. (2009). Abortion training in residency programs: An interactive guide for medical students. Available at http://medicalstudentsforchoice.org/index.php?page=ob-gyn-orfamily- practice.

Medical Students for Choice. (2008). Guide for students considering residency in OB/GYN or family practice. Retrieved March 7, 2009, from http://medicalstudentsforchoice.org/index.php?page=obgyn- or-family-practice

National Abortion Federation. (2002). Early medical abortion with mifepristone and other agents: Overview and protocol recommendations. Washington, DC: Author.

National Abortion Federation. (2005a). Clinical training curriculum in abortion practice (2nd ed.) Retrieved March 5, 2009, from http://www.prochoice.org/education/resources/naf_curriculum.html

National Abortion Federation. (2005b). Early options: A provider’s guide to medical abortion (rev.). CME accredited self-study guide. Retrieved March 7, 2009, from http://www.prochoice.org/education/ cme/online_cme/default.asp

National Abortion Federation. (2005c). Early options educational slide program on CD-ROM. [One disc.] Washington, DC: Author; available at http://www.prochoice.org/education/cme/online_cme/ default.asp

National Abortion Federation. (2008). Clinical policy guidelines. Washington, DC: Author;. available at http://www.prochoice.org/pubs_research/publications/clinical_policy.html

National Abortion Federation. (2009). Obtaining abortion training: A guide for informed decision making. http://www.prochoice.org/education/resources/postgrad_training.html

National Organization of Nurse Practitioner Faculties, & American Association of Colleges of Nursing. (2002). Nurse practitioner primary care competencies in specialty areas: Adult, family, gerontological, pediatric, and women’s health. (Prepared for Department of Health and Human Services Health Resources and Services Administration, No. HRSA 00-0532(P)). Rockville, MD.

Nicholas, C. (1991). Vermont Women’s Health Center: Training program for abortion and related services. Burlington, VT: Vermont Women’s Health Center.

Paul, M., Lichtenberg, S., Borgatta, L., Grimes, D., Stubblefield, P., & Creinin, M. (Eds.). (2009). Management of unintended and abnormal pregnancy: Comprehensive abortion care. Washington, DC: National Abortion Federation & Wiley-Blackwell.

Policar, M., Pollack, A., Nicholas, C., & Dudley, S. (Eds.). (1999). Principles of abortion care: A curriculum for physician assistants and advanced practice nurses. Washington, DC: National Abortion Federation.

Ranieri D (2009). Ethics 2009, session 7: Reproduction, ethical considerations. Stony Brook, NY: Stony Brook University, Dept. PA Education.

Simmonds, K., & Abortion Access Project. (1997). Teaching reproductive choice options: A resource guide for nurse educators, practicing nurses and nursing students. Cambridge, MA: Abortion Access Project.

UCSF Advancing New Standards in Reproductive Health. (2007). Early abortion training workbook. Retrieved March 7, 2009, from http://www.ansirh.org/training/workbook.php

University of Illinois-Chicago Nurse Midwifery and Women’s Health Nurse Practitioner Program (2003) Statement on reproductive rights for faculty and students. Chicago, IL: Author.

U.S. Department of Health and Human Services. (2000). Healthy people 2010: Understanding and improving health and objectives for improving health. Washington, DC: Author.

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